Individual provider Active NPI

Pedro Cabrera

  • Anesthesiology Physician
  • Jamaica, NY
National Provider Identifier
1053418764
Registry record updated Jun 3, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
189154 Issued in NY
Practice address
8268 164TH St
Jamaica, NY 11432-1121
Phone
(718) 883-3225
Fax
(718) 883-6193
NPI assigned
Sep 17, 2006
Last updated
Jun 3, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 189154 NY Primary

Addresses

Primary practice location

8268 164TH St
Jamaica, NY 11432-1121

Mailing address

401 E 74TH St
Apt. 4-L
New York, NY 10021-3919
Phone (212) 706-0680

Other identifiers 1

IdentifierTypeStateIssuer
00246075MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040814000025 NY Practitioner - Anesthesiology 1658344064 Reassigns benefits to 9 organizations
I20260203002872 GA Practitioner - Anesthesiology 1658344064 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Walton Anesthesia Associates, PCGroup PAC ID 2264532522, 7 clinicians

Practice addresses (Care Compare)

2151 W Spring St
Monroe, GA 30655-3115
Phone (770) 267-8461

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Walton Anesthesia Associates, PC Anesthesiology CurrentSince Dec 24, 2025 Accepting new patients
Yellow Hook Medical PC Anesthesiology CurrentSince Nov 20, 2011 Accepting new patients
R&N Anesthesia PLLC Anesthesiology CurrentSince Jan 1, 2015 Accepting new patients
West Side Gi, LLC CurrentSince Nov 22, 2023 Accepting new patients
Mark J Coronel MD PC CurrentSince Jul 1, 2015 Accepting new patients
Glacier Cryo Medical P.C Anesthesiology CurrentSince Jan 1, 2015 Accepting new patients
Metropolitan Medical Services PC Anesthesiology CurrentSince Jun 1, 2019 Accepting new patients
Sedation Vacation Perioperative Medicine PLLC CurrentSince Apr 3, 2018 Accepting new patients
University Physicians of Brooklyn, Inc Anesthesiology Past Accepting new patients
Endoscopic Ambulatory Specialty Center of Bay Ridge Inc Anesthesiology Past Accepting new patients
Peninsula Radiology Associates P C Past Accepting new patients

Locations

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

1301 Avenue J
Brooklyn, NY 11230
Phone (718) 645-0600

1396 Myrtle Ave
Brooklyn, NY 11237
Phone (718) 878-4313

2829 Ocean Pkwy
Brooklyn, NY 11235
Phone (718) 676-4112

7601 4th Ave
Ste 1
Brooklyn, NY 11209

383 N Sunrise Service Rd
Ste 2
Manorville, NY 11949
Phone (631) 591-3000

496 County Road 111
Bldg D2
Manorville, NY 11949
Phone (516) 591-3000

310 E 72nd St
New York, NY 10021
Phone (212) 396-3016

619 W 54th St
Fl 8
New York, NY 10019
Phone (212) 889-3142

10512 101st Ave
Ozone Park, NY 11416
Phone (718) 847-3600

944 N Broadway
Yonkers, NY 10701
Phone (914) 965-1234

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/4303/brand/1/csg/1/fhir/r4

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433289600000",
    "number": "1053418764",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E 74TH ST",
            "address_2": "APT. 4-L",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100213919",
            "telephone_number": "212-706-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8268 164TH ST",
            "city": "JAMAICA",
            "state": "NY",
            "postal_code": "114321121",
            "telephone_number": "718-883-3225",
            "fax_number": "718-883-6193"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CABRERA",
        "first_name": "PEDRO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-17",
        "last_updated": "2015-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "189154",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00246075",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamaica, NY

Sources for this page

Verify at the official NPI Registry.