Elliot B Barsh, MD
Individual provider Active NPI Pediatrics Physician · Mount Kisco, NY
NPI 1295787976 · NPPES record last updated Nov 11, 2016
Key facts
- NPI
- 1295787976
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Pediatrics Physician 208000000X
- License
- 164638 (NY)
- Practice address
- 110 S Bedford Rd
Care Mount Medical PC
Mount Kisco, NY 10549-3446 - Phone
- (914) 241-1050
- Fax
- (914) 242-1516
- NPI assigned
- May 17, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 164638 | NY | MD | Pediatrics Physician |
Practice roles (1 of 5)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mount Kisco Medical Group | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H9678
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 164638 | NY | Yes |
Addresses
Primary practice location
110 S Bedford Rd
Care Mount Medical PC
Mount Kisco, NY 10549-3446
Mailing address
110 S Bedford Rd
Care Mount Medical PC
Mount Kisco, NY 10549-3446
Phone (914) 241-1050
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01065498 | Medicaid | NY | |
| 0067910001 | Other | NY | DME |
| 700002778 | Other | NY | MEDICARE RAILROAD |
Other providers in Mount Kisco, NY
- Herberth Balsells
- David Eugene Bank
- Lisa R Bardack
- Jodi Baretz
- Susan Ruth Barnett
- Michael Barsoum
- Bohdan Batorfalvy
- James Philip Battista
- Elizabeth A Battle
- John Joseph Battles
All providers in Mount Kisco, NY · Pediatrics Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 11, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.