Individual provider Active NPI

Lloyd Elijah Bailey, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1689707499
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
172706 Issued in NY
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, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
01157551MedicaidNY
A400027518OtherMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091216000403 NY Practitioner - Internal Medicine 2466592803 Reassigns benefits to 1 organization

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
Urban Health Plan IncGroup PAC ID 3173517281, 158 clinicians

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

LicenseStateTypeSpecialty
172706NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew 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.

FacilityTypeRoleSince
Care for the HomelessBronx, NY, CCN 571901 Federally qualified health center Corporate Officer
Corporate Director
May 1, 2016
May 1, 2016
Citadel Health CenterJamaica, NY, CCN 331146 Federally qualified health center Corporate Officer
Corporate Director
Jan 1, 2023
Jan 1, 2023
Part of the Solution Health CenterBronx, NY, CCN 571906 Federally qualified health center Corporate Officer
Corporate Director
Jan 1, 2016
Jan 1, 2016
Franklin Health CenterBronx, NY, CCN 331183 Federally qualified health center Corporate Officer
Corporate Director
Jan 1, 2023
Jan 1, 2023
Care for the Homeless-Part of the SolutionBronx, NY, CCN 331175 Federally qualified health center Corporate Officer
Corporate Director
May 1, 2016
May 1, 2016
Care for the Homeless-Living RoomBronx, NY, CCN 571006 Federally qualified health center Corporate Officer
Corporate Director
May 1, 2016
May 1, 2016
Care for the HomelessBrooklyn, NY, CCN 571813 Federally qualified health center Corporate Director Jan 1, 2016
Care for the HomelessBronx, NY, CCN 571833 Federally qualified health center Corporate Director Jan 1, 2021
Care for the HomelessBronx, NY, CCN 571839 Federally qualified health center Other Jan 1, 2021
Care for the HomelessNew York, NY, CCN 571842 Federally qualified health center Corporate Director Jan 1, 2021
Care for the HomelessBrooklyn, NY, CCN 571921 Federally qualified health center Corporate Officer
Corporate Director
May 1, 2016
May 1, 2016
Care for the HomelessBronx, NY, CCN 571933 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.

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.

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

Verify at the official NPI Registry.