Active NPI
Lloyd Elijah Bailey, M.D.
- Internal Medicine Physician
- New York, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 172706
- Practice address
- 230 W 17TH St
7TH Floor
New York, NY 10011-5325 - Phone
- (212) 523-6500
- Fax
- (212) 523-8555
- NPI assigned
- Mar 13, 2007
- Last updated
- Oct 2, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 172706 | NY | Primary |
| Infectious Disease Physician | 207RI0200X | 172706 | NY |
Addresses
Primary practice location
230 W 17TH St
7TH Floor
New York, NY 10011-5325
Mailing address
PO Box 95000-2240
Philadelphia, PA 19195-0001
Phone (212) 523-6500
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01157551 | Medicaid | NY | |
| A400027518 | Other | MEDICARE PTAN |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Tulane University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1065 Southern Blvd
Bronx, NY 10459-2417
Phone (718) 589-2440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 172706 | NY | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Vincents Hospital and Medical Center | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Ownership & related parties
All facility ownership & control disclosures 12
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Care for the Homeless | Federally qualified health center | Corporate Officer Corporate Director |
May 1, 2016 May 1, 2016 |
| Citadel Health Center | Federally qualified health center | Corporate Officer Corporate Director |
Jan 1, 2023 Jan 1, 2023 |
| Part of the Solution Health Center | Federally qualified health center | Corporate Officer Corporate Director |
Jan 1, 2016 Jan 1, 2016 |
| Franklin Health Center | Federally qualified health center | Corporate Officer Corporate Director |
Jan 1, 2023 Jan 1, 2023 |
| Care for the Homeless-Part of the Solution | Federally qualified health center | Corporate Officer Corporate Director |
May 1, 2016 May 1, 2016 |
| Care for the Homeless-Living Room | Federally qualified health center | Corporate Officer Corporate Director |
May 1, 2016 May 1, 2016 |
| Care for the Homeless | Federally qualified health center | Corporate Director | Jan 1, 2016 |
| Care for the Homeless | Federally qualified health center | Corporate Director | Jan 1, 2021 |
| Care for the Homeless | Federally qualified health center | Other | Jan 1, 2021 |
| Care for the Homeless | Federally qualified health center | Corporate Director | Jan 1, 2021 |
| Care for the Homeless | Federally qualified health center | Corporate Officer Corporate Director |
May 1, 2016 May 1, 2016 |
| Care for the Homeless | Federally qualified health center | Corporate Officer Corporate Director |
May 1, 2016 May 1, 2016 |
Owned or controlled facilities with NPI records 11
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Citadel Health Center
- Federally Qualified Health Center (FQHC)
- Jamaica, NY
- NPI 1013253327
Corporate Director, Corporate Officer
-
dba Jerome Avenue Men's Shelter (JAMS) Health Center
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1164983482
Corporate Director
-
dba Care Found Here: Junius Street
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1245886753
Corporate Director
-
dba Care For The Homeless Jackson Avenue Family Residence
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1306182076
Corporate Director, Corporate Officer
-
dba Franklin Health Center
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1588900245
Corporate Director, Corporate Officer
-
dba Living Room Health Center
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1740679695
Corporate Director, Corporate Officer
-
dba Care Found Here: Liberty Avenue Health Center
- Federally Qualified Health Center (FQHC)
- Brooklyn, NY
- NPI 1760728430
Corporate Director, Corporate Officer
-
dba Morris Avenue Health Center
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1811656515
Other
-
dba Part of the Solution Health Center
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1891184750
Corporate Director, Corporate Officer
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
- NPI 1912461773
Corporate Director
-
dba BLondell Avenue Health Center
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1952647430
Corporate Director, Corporate Officer
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Federally Qualified Health Center (FQHC)
- Bronx, NY
- NPI 1265596548
-
- Specialist
- New York, NY
- NPI 1285746354
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173744000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1349136000000",
"number": "1689707499",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 95000-2240",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191950001",
"telephone_number": "212-523-6500",
"fax_number": "212-523-8555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "230 W 17TH ST",
"address_2": "7TH FLOOR",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100115325",
"telephone_number": "212-523-6500",
"fax_number": "212-523-8555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAILEY",
"first_name": "LLOYD",
"middle_name": "ELIJAH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-13",
"last_updated": "2012-10-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "172706",
"primary": true
},
{
"code": "207RI0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Infectious Disease",
"state": "NY",
"license": "172706",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01157551",
"state": "NY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "A400027518",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.