Individual provider Active NPI

Asiya Sarasa Tschannerl, MD

  • Family Medicine Physician
  • Bronx, NY
National Provider Identifier
1730460320
Registry record updated Jan 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
262524 Issued in NY
Practice address
3544 Jerome Avenue
Residency Program in Social Medicine
Bronx, NY 10467-2401
Phone
(347) 820-8416
NPI assigned
Sep 8, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 262524 NY Primary
Student in an Organized Health Care Education/Training Program 390200000X 262524 NY

Addresses

Primary practice location

3544 Jerome Avenue
Residency Program in Social Medicine
Bronx, NY 10467-2401

Mailing address

3450 Wayne Ave Apt 25D
Bronx, NY 10467-0830

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
I20120507000224 NY Practitioner - Family Practice 5597927624 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Optum Medical Care PCGroup PAC ID 9931013240, 1,013 clinicians

Practice addresses (Care Compare)

90 S Bedford Rd
Mount Kisco, NY 10549-3412
Phone (914) 241-1050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
262524NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Under 21 CurrentSince Dec 8, 2024 Accepting new patients
Optum Medical Care, P.C. CurrentSince Apr 1, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Apr 3, 2012 Accepting new patients
Optum Medical Care, P.C. CurrentSince Apr 1, 2025 Accepting new patients
Montefiore Medical Center CurrentSince Apr 3, 2012 Accepting new patients
Medalliance Medical Health Services Inc CurrentSince Oct 17, 2018 Accepting new patients
Mount Kisco Medical Group Past Accepting new patients

Locations

2322 30th Ave
Astoria, NY 11102
Phone (718) 267-2763

537 N State Rd
Briarcliff Manor, NY 10510
Phone (914) 242-2930

625 E Fordham Rd
Bronx, NY 10458
Phone (718) 409-3433

3544 Jerome Ave
Bronx, NY 10467
Phone (718) 920-2007

111 E 210th St
Bronx, NY 10467

90 S Bedford Rd
Mount Kisco, NY 10549
Phone (914) 242-1050

460 W 41st St
New York, NY 10036
Phone (212) 613-0300

Philadelphia, PA 19195

Networks

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

Interoperability endpoints

  • Direct secure messaging: atschannerl219146@northwell.direct-ci.com

Organizations & group practices 7

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": "1315440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326844800000",
    "number": "1730460320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3450 WAYNE AVE APT 25D",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104670830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3544 JEROME AVENUE",
            "address_2": "RESIDENCY PROGRAM IN SOCIAL MEDICINE",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104672401",
            "telephone_number": "347-820-8416"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSCHANNERL",
        "first_name": "ASIYA",
        "middle_name": "SARASA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-08",
        "last_updated": "2012-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "262524",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "262524",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bronx, NY

Sources for this page

Verify at the official NPI Registry.