Individual provider Active NPI

Allen Wilkins, MD

  • Physical Medicine & Rehabilitation Physician
  • New York, NY
National Provider Identifier
1265627079
Registry record updated Mar 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
L-226503 Issued in MA
Practice address
1009 Park Ave
New York, NY 10028-0936
Phone
(617) 726-3644
Fax
(212) 472-4127
NPI assigned
Sep 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 253179 NY
Physical Medicine & Rehabilitation Physician 208100000X L-226503 MA Primary

Addresses

Primary practice location

1009 Park Ave
New York, NY 10028-0936

Mailing address

55 Fruit Street
Massachusetts General Hospital
Boston, MA 02114
Phone (617) 726-3644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110818000196 NY Practitioner - Physical Medicine and Rehabilitation 5395914865 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Warren Alpert Medical School of Brown University, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pelham Physical Medicine IncGroup PAC ID 8325939093, 4 clinicians

Practice addresses (Care Compare)

2118 Williamsbridge Rd
Bronx, NY 10461-1602
Phone (718) 823-3900

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
L-226503MAMDPhysical Medicine & Rehabilitation Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Rubina Heptulla Physician PLLC CurrentSince Nov 14, 2018 Accepting new patients
East Village Physical Medicine, PC Physical Medicine & Rehabilitation CurrentSince Jul 25, 2019 Accepting new patients
Pelham Physical Medicine Inc Current Accepting new patients
Pelham Physical Medicine Inc Physical Medicine & Rehabilitation CurrentSince Sep 17, 2018 Accepting new patients

Locations

2118 Williamsbridge Rd
Bronx, NY 10461
Phone (718) 823-3900

1075 Central Park Ave
Ste 107
Scarsdale, NY 10583
Phone (914) 266-2280

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H5989

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1189728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553558400000",
    "number": "1265627079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 FRUIT STREET",
            "address_2": "MASSACHUSETTS GENERAL HOSPITAL",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02114",
            "telephone_number": "617-726-3644",
            "fax_number": "212-472-4127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1009 PARK AVE",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100280936",
            "telephone_number": "617-726-3644",
            "fax_number": "212-472-4127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILKINS",
        "first_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-09-14",
        "last_updated": "2019-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "NY",
            "license": "253179",
            "primary": false
        },
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MA",
            "license": "L-226503",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.