Doctor profile · Federal record

Dr. Ridaa Idriss, PA-C

Student in an Organized Health Care Education/Training Program (CMS: Physician Assistant) · Bronx, NY

  • NPI 1396201315
  • Accepts Medicare
  • 7 yrs in practice
  • Male
  • Solo practice
  • No sanctions

Practice & contact

Operates at 2 locations .

NPPES Updated May 11, 2026
Primary practice
111 E 210Th St
Bronx, NY 10467
(718) 920-4800
Additional location
35 Marcy Pl Apt 3C
Bronx, NY 104527336
(914) 565-4644

Credentials & registration

NPPES · NUCC
NPI registered
February 2019 — 7 yrs on file
Profile last updated
July 24, 2019
Year of graduation
2019 — 7 yrs since
Specialty taxonomy
390200000X — NUCC code

Federal sanctions & exclusions

OIG LEIE Updated May 11, 2026

No sanctions, exclusions or revocations on file

Checked against OIG LEIE on NPI 1396201315. Last verified May 11, 2026.

Open Payments

Industry payments received

CMS Open Payments
All-time total
$107
Transactions
4
Manufacturers
1
Payer (manufacturer) Industry Txns Amount
Silk Road Medical, Inc. 4 $107.41

By nature of payment

Food and Beverage
$107

Medicare Part D · 2023

Top prescriptions

CMS Part D Prescriber
Total claims
18
Patients
13
Total drug cost
$263
Drug Type Claims Patients Total cost
Clopidogrel (Clopidogrel Bisulfate) Brand 18 13 $263

Frequently asked questions

Auto-generated from federal data
What is Dr. Ridaa Idriss's medical specialty?
Dr. Ridaa Idriss practices Student in an Organized Health Care Education/Training Program in Bronx, NY.
Where does Dr. Ridaa Idriss practice?
Dr. Ridaa Idriss practices at 111 E 210Th St, Bronx, NY 10467. Office phone: 7189204800.
What is Dr. Ridaa Idriss's NPI?
Dr. Ridaa Idriss's National Provider Identifier (NPI) is 1396201315, issued by NPPES.
Does Dr. Ridaa Idriss accept Medicare assignment?
Yes. Dr. Ridaa Idriss accepts Medicare assignment, meaning Medicare-allowed amounts are accepted as full payment for covered services.