WICHAE IM MD
NPI 1558398214
Physical Medicine & Rehabilitation in Elmhurst, NY

NPI Status: Active since June 27, 2006

Contact Information

7901 BROADWAY
ROOM A1-9
ELMHURST, NY
ZIP 11373
Phone: (718) 334-4952
Fax: (718) 334-4815

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  • Individual
  • Male
  • Years of Experience 36
  • Physical Medicine & Rehabilitation
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About WICHAE IM

This page provides the complete NPI Profile along with additional information for Wichae Im, a provider established in Elmhurst, New York with a medical specialization in Physical Medicine & Rehabilitation and more than 36 years of experience. He graduated from Meharry Medical College School Of Medicine in 1990. The healthcare provider is registered in the NPI registry with number 1558398214 assigned on June 2006. The practitioner's primary taxonomy code is 208100000X with license number 198358 (NY). The provider is registered as an individual and his NPI record was last updated 18 years ago.

NPI
1558398214
Provider Name
WICHAE IM MD
Gender
Male
Entity Type
Individual
Location Address
7901 BROADWAY ROOM A1-9 ELMHURST, NY 11373
Location Phone
(718) 334-4952
Location Fax
(718) 334-4815
Mailing Address
7901 BROADWAY ROOM A1-9 ELMHURST, NY 11373
Mailing Phone
(718) 344-2600
Mailing Fax
(718) 334-4815
Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduation Year
1990
Is Sole Proprietor?
No
Enumeration Date
06-27-2006
Last Update Date
12-10-2007
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Physical Medicine & Rehabilitation

Taxonomy Code
208100000X
Type
Allopathic & Osteopathic Physicians
License No.
198358
License State
NY
Taxonomy Description
Physical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
01862922MEDICAID (05)NY 
G79019MEDICARE UPIN (02)NY 
5265TQMEDICARE PIN (08)NY 

Medicare Participation & PECOS Enrollment Status

Wichae Im is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Wichae Im is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9234283433

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20090824000123

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Provider Referred Orders for Durable Medical Equipment, Devices & Supplies

The following list reflects the services, supplies or durable medical equipment ordered by this provider to a DME supplier on behalf of patients. The information below is derived from Medicare claims data and reflects the BETOS category, HCPCS code information and the number times each service was submitted under the Medicare fee-for-service program.

Durable Medical Equipment

  • DME-Wheelchairs (DD000N)

    Standard wheelchair (HCPCS:K0001)

    1 DME suppliers used 12 Medicare Claims 12 Services Paid

Areas of Expertise

The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.

Established patient office or other outpatient visit, 20-29 minutes

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

This service was performed 16 times for 13 patients

Follow-up hospital inpatient care per day, typically 15 minutes

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

This service was performed 95 times for 18 patients

Follow-up hospital inpatient care per day, typically 25 minutes

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

This service was performed 56 times for 14 patients

Hospital discharge day management, 30 minutes or less

Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.

This service was performed 12 times for 12 patients

Initial hospital inpatient care per day, typically 50 minutes

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

This service was performed 46 times for 41 patients

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Wichae Im is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
ELMHURST HOSPITAL CENTER79-01 BROADWAY
ELMHURST, NY 11373
(718) 334-1141Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1558398214
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25108691622
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 1 + 0 + 8 + 6 + 9 + 1 + 6 + 2 + 2 + 24 = 66
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 66 = 44

The NPI number 1558398214 is valid because the calculated check digit 4 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1164498788DR. JOSEPH HALBACH MD
Individual
Family Medicine7901 BROADWAY ELMHURST HOSPITAL CENTER E6-7
ELMHURST, NY 11373
(718) 334-5224
1134186109 DAVID YOHAI MD
Individual
Psychiatry & Neurology (Neurology)7901 BROADWAY ROOM A1 9
ELMHURST, NY 11373
(718) 334-4952
1003855610 GEORGE NICHOLAS CORITSIDIS MD
Individual
Internal Medicine (Nephrology)7901 BROADWAY ROOM A1-9
ELMHURST, NY 11373
(718) 334-4952
1104867340 AARON SAUL STERN MD
Individual
Internal Medicine (Nephrology)7901 BROADWAY ROOM A1-9
ELMHURST, NY 11373
(718) 334-4952
1225079445 AARON SPITAL MD
Individual
Internal Medicine (Nephrology)7901 BROADWAY ROOM A1-9
ELMHURST, NY 11373
(718) 334-4952
1831132455 MICHAEL A. ROTHSCHILD MD
Individual
Otolaryngology (Pediatric Otolaryngology)7901 BROADWAY ROOM A1 - 9
ELMHURST, NY 11373
(718) 334-4952
1790729416DR. JUDITH J. LEVINE MD
Individual
Orthopaedic Surgery7901 BROADWAY ROOM A1-9
ELMHURST, NY 11373
(718) 334-4952
1689618282 NAEEM AHMAD MD
Individual
Anesthesiology (Pain Medicine)7901 BROADWAY ROOM A1-9
ELMHURST, NY 11373
(718) 334-4952
1578591509 IAN MARTINEZ GAMPON M.D.
Individual
Pediatrics (Pediatric Emergency Medicine)7901 BROADWAY ROOM A1-9
ELMHURST, NY 11373
(718) 334-4952
1841222361 JOEL BERNARDO CABALLES M.D.
Individual
Pediatrics7901 BROADWAY ROOM A1-9
ELMHURST, NY 11373
(718) 334-4952
1073545547 THELMA OCAMPO CABATIC M.D.
Individual
Pediatrics (Pediatric Emergency Medicine)7901 BROADWAY ROOM A1-9
ELMHURST, NY 11373
(718) 334-4952
1851323331 IYA CHIKVASHVILI M.D.
Individual
Pediatrics (Pediatric Emergency Medicine)7901 BROADWAY ROOM A1-9
ELMHURST, NY 11373
(718) 334-4952
1639101777 LISA DIANNE FORMAN M.D.
Individual
Pediatrics7901 BROADWAY ELMHURST HOSPITAL, ROOM H-116
ELMHURST, NY 11373
(718) 334-3044
1831121235 ALICE NICOLE FELELLA M.D.
Individual
Pediatrics (Adolescent Medicine)7901 BROADWAY ROOM A1-9
ELMHURST, NY 11373
(718) 334-4952
1235162017 DEBASIS KANJILAL M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)7901 BROADWAY ROOM A1-9
ELMHURST, NY 11373
(718) 334-4952
1316979453 TATYANA GABINSKAYA M.D.
Individual
Pediatrics (Neonatal-Perinatal Medicine)7901 BROADWAY ROOMM A1-9
ELMHURST, NY 11373
(718) 334-4952
1194759605 CONCEPCION PINEDA SONGCO M.D.
Individual
Pediatrics7901 BROADWAY ROOM A1-9
ELMHURST, NY 11373
(718) 334-4952
1033134028 MELVIN GERTNER M.D.
Individual
Pediatrics7901 BROADWAY ROOM A1-9
ELMHURST, NY 11373
(718) 334-4952
1811912900 MARIA DE LOS ANGELES DOMINICIS M.D.
Individual
Pediatrics7901 BROADWAY ROOM A1-9
ELMHURST, NY 11373
(718) 334-4952
1043235690 LUCY LIM M.D.
Individual
Pediatrics7901 BROADWAY ROOMA1-9
ELMHURST, NY 11373
(718) 334-4952

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558398214, enumerated in the NPI registry as an "individual" on June 27, 2006

The provider is located at 7901 Broadway Room A1-9 Elmhurst, Ny 11373 and the phone number is (718) 334-4952

The provider's speciality is Physical Medicine & Rehabilitation with taxonomy code 208100000X

The provider has more than 36 years of experience. He graduated from Meharry Medical College School Of Medicine in 1990.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

The most common procedures or services performed by this practitioner are: Established patient office or other outpatient visit, 20-29 minutes, Follow-up hospital inpatient care per day, typically 15 minutes, Follow-up hospital inpatient care per day, typically 25 minutes, Hospital discharge day management, 30 minutes or less and Initial hospital inpatient care per day, typically 50 minutes.

The practitioner is affiliated to the following hospital(s): ELMHURST HOSPITAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on June 27, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.