Individual provider Active NPI

Luis Rafael Mendez-Castellanos, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1457491961
Registry record updated Sep 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
195245 Issued in NY
Practice address
336 Fort Washington Ave
Suite 1-F
New York, NY 10033-6803
Phone
(212) 740-8231
Fax
(212) 740-3420
NPI assigned
Feb 7, 2007
Last updated
Sep 23, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 195245 NY Primary

Addresses

Primary practice location

336 Fort Washington Ave
Suite 1-F
New York, NY 10033-6803

Mailing address

336 Fort Washington Ave Apt 1F
New York, NY 10033-6804
Phone (212) 740-8231

Other identifiers 1

IdentifierTypeStateIssuer
02079436MedicaidNY

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120411000510 NY Practitioner - Internal Medicine 7416118898 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1980
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

336 Fort Washington Ave
Apt 1F
New York, NY 10033-6804
Phone (212) 740-8231

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
195245NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luis Mendez Castellanos MD PC CurrentSince Jan 19, 2012 Accepting new patients

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1170806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1285200000000",
    "number": "1457491961",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "336 FORT WASHINGTON AVE APT 1F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100336804",
            "telephone_number": "212-740-8231",
            "fax_number": "212-740-3420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "336 FORT WASHINGTON AVE",
            "address_2": "SUITE 1-F",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100336803",
            "telephone_number": "212-740-8231",
            "fax_number": "212-740-3420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MENDEZ-CASTELLANOS",
        "first_name": "LUIS",
        "middle_name": "RAFAEL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-07",
        "last_updated": "2010-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "195245",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02079436",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.