Individual provider Active NPI

Miguel Angel Martillo, MD

  • Advanced Heart Failure and Transplant Cardiology Physician
  • New York, NY
National Provider Identifier
1538500020
Registry record updated Oct 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Heart Failure and Transplant Cardiology PhysicianTaxonomy code 207RA0001X
License
293031 Issued in NY
Practice address
1111 Amsterdam Ave
Plant Building, Suite 2050
New York, NY 10025-1716
Phone
(212) 523-2589
NPI assigned
Jul 11, 2013
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Critical Care Physician 2086S0102X 293031 NY
Advanced Heart Failure and Transplant Cardiology Physician 207RA0001X 293031 NY Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 293031 NY
Internal Medicine Physician 207R00000X 293031 NY
Cardiovascular Disease Physician 207RC0000X 293031 NY

Addresses

Primary practice location

1111 Amsterdam Ave
Plant Building, Suite 2050
New York, NY 10025-1716

Mailing address

1 Gustave L Levy PL # 1264
New York, NY 10029-6504
Phone (212) 241-8867

Other names 1

  • Miguel Angel Martillo Correa Other name

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
I20180726003021 NY Practitioner - General SurgeryPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists)Practitioner - Advanced Heart Failure and Transplant Cardiology 7719234327 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Advanced Heart Failure and Transplant Cardiology, Cardiovascular Disease (Cardiology), Critical Care (Intensivists), Internal Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Icahn School of Medicine at Mount SinaiGroup PAC ID 2264691070, shared by 32 NPIs, 2,809 clinicians

Practice addresses (Care Compare)

1111 Amsterdam Ave
New York, NY 10025-1716
Phone (212) 420-3581

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
293031NYMDCritical Care Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Icahn School of Medicine at Mount Sinai Cardiovascular Disease CurrentSince Sep 10, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Critical Care Medicine CurrentSince Aug 20, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai CurrentSince Aug 20, 2025 Accepting new patients
Icahn School of Medicine at Mount Sinai Current Accepting new patients
Icahn School of Medicine at Mount Sinai Past Accepting new patients
Icahn School of Medicine at Mount Sinai Internal Medicine Past Accepting new patients

Locations

13620 38th Ave
Flushing, NY 11354
Phone (718) 353-7701

5 E 98th St
Fl 5
New York, NY 10029
Phone (212) 241-8234

1468 Madison Ave
Rm 378
New York, NY 10029

1111 Amsterdam Ave
Ste 2050
New York, NY 10025
Phone (212) 523-2589

150 E 42nd St
Fl 9
New York, NY 10017
Phone (646) 605-8119

1111 Amsterdam Ave
New York, NY 10025
Phone (212) 523-2309

Networks

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

Organizations & group practices 6

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.

Hospital & facility affiliations 8

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": "1373500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759795200000",
    "number": "1538500020",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 GUSTAVE L LEVY PL # 1264",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100296504",
            "telephone_number": "212-241-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 AMSTERDAM AVE",
            "address_2": "PLANT BUILDING, SUITE 2050",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100251716",
            "telephone_number": "212-523-2589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARTILLO",
        "first_name": "MIGUEL",
        "middle_name": "ANGEL",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-07-11",
        "last_updated": "2025-10-07",
        "certification_date": "2025-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0102X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Critical Care",
            "state": "NY",
            "license": "293031",
            "primary": false
        },
        {
            "code": "207RA0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Advanced Heart Failure and Transplant Cardiology",
            "state": "NY",
            "license": "293031",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NY",
            "license": "293031",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "293031",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "293031",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIGUEL ANGEL",
            "last_name": "MARTILLO CORREA",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.