Carl Nicoleau, MD PHD
NPI 1396792867 · Internal Medicine Physician · Far Rockaway, NY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Carl Nicoleau, MD PHD is a Internal Medicine Physician provider in Far Rockaway, NY (NPI 1396792867).
Provider details
- NPI number
- 1396792867
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD PHD
- Sex
- Male
- Sole proprietor
- Yes
- License
- 141096 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
20 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
89 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Low Level OD Decision Making, If Using Time, 20 Minutes Or More99213 | 36 | $102 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 27 | $141 |
| Insertion of Needle Into Vein for Collection of Blood Sample36415 | 14 | $9 |
| Annual Alcohol Misuse Screening, 5 to 15 MinutesG0442 | 12 | $21 |
Typical Medicare-allowed amounts for these services range $9–$141 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 36 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Amlodipine Besylate | 160 | 63 |
| Atorvastatin Calcium | 76 | 32 |
| Losartan Potassium | 72 | 29 |
| Pravastatin Sodium | 69 | 29 |
| Metformin Hcl | 69 | 31 |
| Metoprolol Tartrate | 48 | 15 |
| Gabapentin | 32 |
Practice location
Mailing address
Additional practice locations (2)
- 3712 92nd St Fl 2Jackson Heights, NY 11372-7930Phone: (718) 565-6880Fax: (877) 796-4457
- 6315 Roosevelt AveWoodside, NY 11377-3641Phone: (718) 565-6880Fax: (877) 796-4457
Registry dates
- Enumerated
- 2006-05-28
- Last updated
- 2024-08-26
- Certified
- 2024-08-26
Frequently asked questions
- What is Carl Nicoleau's NPI number?
- Carl Nicoleau's National Provider Identifier (NPI) is 1396792867, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Carl Nicoleau's specialty?
- Carl Nicoleau is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Carl Nicoleau located?
- Carl Nicoleau's practice location on file with NPPES is 2008 Seagirt Blvd, Far Rockaway, NY 11691-2803.
- What is Carl Nicoleau's phone number?
- The practice phone number listed in the NPPES registry for Carl Nicoleau is (718) 565-6880.
- Does Carl Nicoleau accept Medicare?
- Carl Nicoleau is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Carl Nicoleau's NPI active?
- Yes — Carl Nicoleau's NPI (1396792867) is active in the NPPES registry as of the last update on 2024-08-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.