NATHALLIE POKASUWAN (M.D.) – Geriatric Medicine (Family Medicine) Physician, NPI 1285983015
Geriatric Medicine (Family Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
640 GERIATRIC MEDICINE in NY
Provider Addresses for NATHALLIE POKASUWAN (M.D.)
PO BOX 746722
ATLANTA, GA 303746722
Phone: (312) 733-9730
Fax: (773) 866-8014
Type: Mailing
5141 BROADWAY
DEPARTMENT OF GERIATRICS AND PALLIATIVE CARE
NEW YORK, NY 10034
Phone:
Type: Mailing
39 Broadway Fl 3
New York, NY 100063113
Phone: (212) 420-3370
Type: Location
1601 Washington St
Family Medicine
Boston, MA 02120
Phone: (617) 425-2000
Type: Location
3621 Aramingo Ave
Philadelphia, PA 191344607
Phone: (215) 444-7215
Fax: (215) 979-6726
Type: Location
3621 ARAMINGO AVE
PHILADELPHIA, PA 191344607
Phone: (215) 444-7215
Fax: (215) 979-6726
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
Loading prescription activity...
Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-08-12
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240812002758 | I | Geriatric Medicine | NY | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30374)
Loading plans...
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | VA | |
| O P H T H A L M O L O G Y | NY | |
| U R O L O G Y | NY | |
| Nurse Practitioner | NY | |
| - | CA | |
| Emergency Medicine | NY | |
| General Surgery | NY | |
| Neuropsychiatry, Neurology | NY | |
| - | NY | |
| - | NY |
Reviews
All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.
No reviews yet. Be the first to share your experience — your opinion helps families compare providers.