Dr Ellis Enabosi, MD - Medicare General Surgery in Staten Island, NY

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Dr Ellis Enabosi, MD is a medicare enrolled "Internal Medicine" physician in Staten Island, New York. He graduated from medical school in 2012 and has 13 years of diverse experience with area of expertise as General Surgery. He is a member of the group practice Peyman Younesi Md Pllc, Bronx Medical Practice Pc and his current practice location is 455 Jersey St, Staten Island, New York. You can reach out to his office (for appointments etc.) via phone at (187) 524-5611.

Dr Ellis Enabosi is licensed to practice in New York (license number 291470) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1669866158.

Contact Information

Dr Ellis Enabosi, MD
455 Jersey St,
Staten Island, NY 10301-2976
(187) 524-5611
Not Available

Map and Direction




Physician's Profile

Full NameDr Ellis Enabosi
GenderMale
SpecialityGeneral Surgery
Experience13 Years
Location455 Jersey St, Staten Island, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Ellis Enabosi graduated from medical school in 2012
  NPI Data:
  • NPI Number: 1669866158
  • Provider Enumeration Date: 03/24/2015
  • Last Update Date: 01/08/2021
  Medicare PECOS Information:
  • PECOS PAC ID: 3274890272
  • Enrollment ID: I20171129002536

Medical Identifiers

Medical identifiers for Dr Ellis Enabosi such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1669866158NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208D00000XGeneral Practice 291470 (New York)Secondary
207R00000XInternal Medicine 291470 (New York)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Peyman Younesi Md Pllc4981860202128
Bronx Medical Practice Pc9739496100114

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Ellis Enabosi allows following entities to bill medicare on his behalf.
Entity NameEssen Medical Associates, Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1366418709
PECOS PAC ID: 1759353501
Enrollment ID: O20040811000885
Entity NameHouse Call Medical Services Of New York Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851345946
PECOS PAC ID: 2264517754
Enrollment ID: O20080307000427
Entity NamePeyman Younesi Md Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891053328
PECOS PAC ID: 4981860202
Enrollment ID: O20120731000499
Entity NameEssen Medical Urgicare, Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1841607298
PECOS PAC ID: 4385960897
Enrollment ID: O20150227000903
Entity NameBronx Medical Practice Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1356726087
PECOS PAC ID: 9739496100
Enrollment ID: O20150917000004
Entity NameIntegrated Wound Care New York Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1639649643
PECOS PAC ID: 4486086790
Enrollment ID: O20191107000208
Entity NameCare Physicians Of Ny Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1558982199
PECOS PAC ID: 3072933738
Enrollment ID: O20201019000937
Entity NameMy Medical Pc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1518637891
PECOS PAC ID: 0143610600
Enrollment ID: O20211124001353
Entity NameFresh Meadows Physician Practice Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1720775083
PECOS PAC ID: 0941657811
Enrollment ID: O20231114003265
Entity NameMedical Services Of Northeastern Queens Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1184311441
PECOS PAC ID: 4587013446
Enrollment ID: O20231218002332

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Ellis Enabosi is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Ellis Enabosi, MD
1434 Williamsbridge Rd Fl 2,
Bronx, NY 10461-2507

Ph: (718) 618-0401		Dr Ellis Enabosi, MD
455 Jersey St,
Staten Island, NY 10301-2976

Ph: (187) 524-5611

Reviews and Comments


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Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.