Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elisa Rush Port, MD

Individual provider Surgery Physician · NPI 1669457248

Elisa Rush Port, MD is a Surgical Oncology in New York, New York. Graduated from Icahn School of Medicine at Mount Sinai in 1992, 34 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 2,791-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
34
Trained at
Icahn School of Medicine at Mount Sinai
Licensed in
NY
In the registry since
2005
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1176 5th Ave
New York, NY 10029-6503
Phone: (212) 241-3300
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgical Oncology Physician (primary) Taxonomy 2086X0206X · Licence 198721 (NY)
Surgery Physician Taxonomy 208600000X · Licence 198721 (NY)

Record details

NPI number1669457248
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorYes
NPI enumeratedDecember 7, 2005
Last updated in NPPESApril 4, 2023
Certification dateApril 4, 2023

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtySURGICAL ONCOLOGY
Also practisesGENERAL SURGERY
Medical schoolICAHN SCHOOL OF MEDICINE AT MOUNT SINAI
Graduated 1992 (34 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 2791 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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