ELIAS ER-NY WAN – Emergency Medicine Physician, NPI 1154748481

ELIAS ER-NY WAN is a healthcare provider. based in New york, New York. specializing in EMERGENCY MEDICINE. They hold a License No. 289021 (NY). The NPI Number for ELIAS ER-NY WAN is 1154748481

Main info

Male
Sole Proprietor
12 Years Of Experience
Accepts Medicare Assignment
Name
ELIAS ER-NY WAN
NPI
1154748481
Phone
(212) 420-3743
Address
353 E 17TH ST FL 2
Enumeration Date
25 March 2014
Last Update Date
20 May 2017

Doctor Profile

Medical School Name
STATE UNIVERSITY OF NEW YORK AT STONY BROOK, SCHOOL OF MEDICINE
Secondary Phone
7182838342
Graduation Year
2014 (12 years ago)
PAC ID
5991069478
Group Practice PAC ID
3476441726
Professional Enrollment ID
I20180509001435
Address ID
NY112192923BR953XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness75
Years active:12State licenses:1Digital endpointsOther names

4,917 EMERGENCY MEDICINE in NY

Provider Addresses for ELIAS ER-NY WAN

  • 353 E 17TH ST FL 2

    NEW YORK, NY 100033821

    Phone: (212) 420-3743

    Type: Mailing

  • 10 NATHAN D PERLMAN PL

    NEW YORK, NY 100033851

    Phone: (908) 938-3363

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $48.

Total Amount is formed as General ($48) + Research ($0) + Ownership ($0) = $48.

Last reported payment date: 2023-09-28 • Largest payer in this snapshot: Chiesi USA, Inc. ($33).

Total Amount

$48

General + Research + Ownership

Payments

3

Total payment records

General Amount

$48

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-09-28

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2018-05-09

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20180509001435IEmergency MedicineNYTBD

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.

Verify on CMS Revalidation Lookup Tool

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99291Critical care, first 30-74 minutes21973$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes2018$0
View full utilization report →

Insurance plans in this area (ZIP 10003)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476441726View full group profile
NameSpecialtyState
Critical Care (Intensivists), Pulmonary DiseaseNY
Neurology, Critical Care (Intensivists)NY
Critical Care (Intensivists), Infectious Disease, Infectious Disease, Internal MedicineIL
Neurology, Critical Care (Intensivists)PA
Sleep Medicine, Critical Care (Intensivists), Pulmonary DiseaseNY
Pulmonary Disease, Critical Care (Intensivists)NY
Critical Care (Intensivists), Pulmonary DiseaseNY
Critical Care (Intensivists), Pulmonary DiseaseNY
Critical Care (Intensivists), Pulmonary Disease, Pulmonary Disease, Critical Care (Intensivists)NJ
Pulmonary Disease, Critical Care (Intensivists)NY

Reviews

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Frequently asked questions

How do I look up ELIAS ER-NY WAN by NPI?
Use NPI 1154748481 when you need to reference ELIAS ER-NY WAN in forms, claims, or directories.
Is ELIAS ER-NY WAN's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What field does ELIAS ER-NY WAN work in?
You can think of ELIAS ER-NY WAN as practicing within Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for ELIAS ER-NY WAN?
The page summarizes New York, New York for ELIAS ER-NY WAN; expand the address list for detail.
Is ELIAS ER-NY WAN a real provider?
This page reflects official NPPES data for NPI 1154748481. Always confirm identity and privileges with the practice and licensing boards.

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