Active NPI
Elilary Montilla Medrano, MD
- Anesthesiology Physician
- Bronx, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 272055
- Practice address
- 111 East 210 Street Dept of Anesthesiology
Montefiore Medical Center
Bronx, NY 10467 - Phone
- (718) 920-4316
- Fax
- (718) 881-2245
- NPI assigned
- Sep 15, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 272055 | NY | Primary |
Addresses
Primary practice location
111 East 210 Street Dept of Anesthesiology
Montefiore Medical Center
Bronx, NY 10467
Mailing address
111 East 210 Street Dept of Anesthesiology
Montefiore Medical Center
Bronx, NY 10467
Phone (718) 920-4316
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- Other, 2004
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
111 E 210TH St
Bronx, NY 10467-2401
Phone (718) 920-4321
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Montefiore Medical Center | Current | Accepting new patients | |
| Anesthesiology Associates of Boro Park, LLP | Anesthesiology | Current | Accepting new patients |
| Montefiore Medical Center | Anesthesiology | Current | Accepting new patients |
| Maimonides Department of Psychiatry FPP | Past | Accepting new patients |
Locations
111 E 210th St
Bronx, NY 10467
4802 10th Ave
#C
Brooklyn, NY 11219
Phone (718) 283-8163
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H1722
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Anesthesiology Physician
- Bronx, NY
- NPI 1063525152
-
- Pain Medicine (Anesthesiology) Physician
- Brooklyn, NY
- NPI 1518912302
-
dba Montefiore Community Pharmacy @ CHAM
- Community/Retail Pharmacy
- Bronx, NY
- NPI 1194183715
-
- Psychiatry Physician
- Brooklyn, NY
- NPI 1376656710
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221436800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1458172800000",
"number": "1295984268",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 EAST 210 STREET DEPT OF ANESTHESIOLOGY",
"address_2": "MONTEFIORE MEDICAL CENTER",
"city": "BRONX",
"state": "NY",
"postal_code": "10467",
"telephone_number": "718-920-4316",
"fax_number": "718-881-2245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 EAST 210 STREET DEPT OF ANESTHESIOLOGY",
"address_2": "MONTEFIORE MEDICAL CENTER",
"city": "BRONX",
"state": "NY",
"postal_code": "10467",
"telephone_number": "718-920-4316",
"fax_number": "718-881-2245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MONTILLA MEDRANO",
"first_name": "ELILARY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-15",
"last_updated": "2016-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "272055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.