Manhattan Gastroenterology P.c. - Medicare Primary Care in New York, NY

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Manhattan Gastroenterology P.c. is a medicare enrolled primary clinic (Internal Medicine - Gastroenterology) in New York, New York. The current practice location for Manhattan Gastroenterology P.c. is 55 W 17th St, New York, New York. For appointments, you can reach them via phone at (212) 427-8761. The mailing address for Manhattan Gastroenterology P.c. is 121 W 27th St Ste 504, New York, New York and phone number is (212) 427-8761.

Manhattan Gastroenterology P.c. is licensed to practice in * (Not Available) (license number ). The clinic also participates in the medicare program and its NPI number is 1922396472. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (212) 427-8761.

Contact Information

Manhattan Gastroenterology P.c.
55 W 17th St
New York
NY 10011-5513
(212) 427-8761
(212) 427-8762

Map and Direction


Primary Care Clinic Profile

Full NameManhattan Gastroenterology P.c.
SpecialityInternal Medicine
Location55 W 17th St, New York, New York
Authorized Official Name and PositionShawn Khodadadian (OWNER)
Authorized Official Contact6463510911
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Manhattan Gastroenterology P.c.
121 W 27th St Ste 504
New York
NY 10001-6207

Ph: (212) 427-8761		Manhattan Gastroenterology P.c.
55 W 17th St
New York
NY 10011-5513

Ph: (212) 427-8761

NPI Details:

NPI Number1922396472
Provider Enumeration Date07/19/2011
Last Update Date10/20/2025

Medicare PECOS Information:

Medicare PECOS PAC ID7719156207
Medicare Enrollment IDO20110818000476

Medical Identifiers

Medical identifiers for Manhattan Gastroenterology P.c. such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1922396472NPI-NPPES
A100252116OtherNYMEDICARE PTAN

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207R00000XInternal Medicine (* (Not Available))Secondary
207RG0100XInternal Medicine - Gastroenterology 244392 (New York)Secondary
207VG0400XObstetrics & Gynecology - Gynecology (* (Not Available))Secondary
152W00000XOptometrist (* (Not Available))Secondary
213E00000XPodiatrist (* (Not Available))Secondary
207N00000XDermatology (* (Not Available))Secondary
207RG0100XInternal Medicine - Gastroenterology (* (Not Available))Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Manhattan Gastroenterology P.c. acts as a billing entity for following providers:
Provider NameLauren Schwartz
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1033389689
PECOS PAC ID: 5193862795
Enrollment ID: I20091031000031
Provider NameSusan Bard
Provider TypePractitioner - Dermatology
Provider IdentifiersNPI Number: 1134387657
PECOS PAC ID: 5991952590
Enrollment ID: I20120905000279
Provider NameCalvin L Strand
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1154323533
PECOS PAC ID: 9739154519
Enrollment ID: I20150106000239
Provider NameMikhail Yakubov
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1588921266
PECOS PAC ID: 4284937111
Enrollment ID: I20160126002399
Provider NameEric Yoon
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1750624532
PECOS PAC ID: 0244597276
Enrollment ID: I20171130000083
Provider NameMohammad Z Rimawi
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1952752248
PECOS PAC ID: 2264787928
Enrollment ID: I20180620002156
Provider NameKristen Lee
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1942442884
PECOS PAC ID: 4183935794
Enrollment ID: I20210104002084
Provider NameMichael Dann
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1982694725
PECOS PAC ID: 7315292307
Enrollment ID: I20210118000235
Provider NameNatalie Louisa Poppito
Provider TypePractitioner - Pathology
Provider IdentifiersNPI Number: 1578213351
PECOS PAC ID: 2668489170
Enrollment ID: I20220531001035
Provider NameQin Rao
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1922486125
PECOS PAC ID: 6204163959
Enrollment ID: I20240715001066
Provider NameWeidan D Zhao
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1881124287
PECOS PAC ID: 0042589731
Enrollment ID: I20240717002476
Provider NameConnie Park
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1861924615
PECOS PAC ID: 4789929407
Enrollment ID: I20240816002096
Provider NameMichael Seth Rosman
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1710335773
PECOS PAC ID: 6901198647
Enrollment ID: I20240826003759
Provider NameDaniel Perl
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1497133433
PECOS PAC ID: 4688974249
Enrollment ID: I20240925000824
Provider NameMichael Schopis
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1386175123
PECOS PAC ID: 7719412311
Enrollment ID: I20241119003616
Provider NameHima Patel
Provider TypePractitioner - Podiatry
Provider IdentifiersNPI Number: 1851772545
PECOS PAC ID: 5799202636
Enrollment ID: I20250505002882
Provider NameAgnieszka Nagorna
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1679033427
PECOS PAC ID: 3779814033
Enrollment ID: I20250505003312
Provider NameDivya Mallam
Provider TypePractitioner - Gastroenterology
Provider IdentifiersNPI Number: 1437437613
PECOS PAC ID: 1254600638
Enrollment ID: I20250508001154
Provider NameKathryn Schmidt
Provider TypePractitioner - Internal Medicine
Provider IdentifiersNPI Number: 1700346582
PECOS PAC ID: 1557789252
Enrollment ID: I20250512002371

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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.

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