Grand Concourse Medical Practice, P.C.
NPI 1265744197 · Internal Medicine Physician · Bronx, NY
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Grand Concourse Medical Practice, P.C. is a Internal Medicine Physician organization in Bronx, NY (NPI 1265744197).
Provider details
- NPI number
- 1265744197
- Entity type
- Organization
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Manuel Mejia, Medical Director(646) 640-6246
- License
- 241121 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-07-08
- Last updated
- 2016-10-21
Frequently asked questions
- What is Grand Concourse Medical Practice, P.C.'s NPI number?
- Grand Concourse Medical Practice, P.C.'s National Provider Identifier (NPI) is 1265744197, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Grand Concourse Medical Practice, P.C.?
- Grand Concourse Medical Practice, P.C. is classified in the NPPES registry as Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Grand Concourse Medical Practice, P.C. located?
- Grand Concourse Medical Practice, P.C.'s practice location on file with NPPES is 1831 Grand Concourse Ste a, Bronx, NY 10453-6324.
- What is Grand Concourse Medical Practice, P.C.'s phone number?
- The practice phone number listed in the NPPES registry for Grand Concourse Medical Practice, P.C. is (646) 640-6246.
- Does Grand Concourse Medical Practice, P.C. accept Medicare?
- Grand Concourse Medical Practice, P.C. is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Grand Concourse Medical Practice, P.C.?
- The authorized official listed on Grand Concourse Medical Practice, P.C.'s NPPES record is Manuel Mejia, Medical Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Grand Concourse Medical Practice, P.C.'s NPI active?
- Yes — Grand Concourse Medical Practice, P.C.'s NPI (1265744197) is active in the NPPES registry as of the last update on 2016-10-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.