Tatiana Carrillo, DO
Individual provider Active NPI Emergency Medicine Physician · New York, NY
NPI 1780180448 · NPPES record last updated Sep 10, 2025
Key facts
- NPI
- 1780180448
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 336461 (NY)
- Practice address
- 525 E 68TH St
New York, NY 10065-4870 - Phone
- (212) 746-5454
- NPI assigned
- Apr 2, 2018
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 6
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Touro Un Col of Osteopathic Medicine, New York, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Weill Medical College of Cornell
Practice addresses (Care Compare)
525 E 68TH St
Emergency Physicians Dept
New York, NY 10021-4870
Phone (646) 962-7300
Hospital & facility affiliations
- New York-Presbyterian Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.91 of 100
- Quality
- 73.58
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.13
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in PA, NY
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20221017000484 | PA | Practitioner - Emergency Medicine | 6204202286 | Reassigns benefits to 1 organization |
| I20250918002055 | NY | Practitioner - Emergency Medicine | 6204202286 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Weill Medical College of Cornell | Current |
Accepting new patients | |
| University of Penn-Medical Group | Emergency Medicine | Current |
Accepting new patients |
| University of Penn-Medical Group | Current | Accepting new patients | |
| Weill Medical College of Cornell | Current | Accepting new patients | |
| University of Penn-Medical Group | Current |
Accepting new patients | |
| Weill Medical College of Cornell | Emergency Medicine | Current |
Accepting new patients |
Locations
170 William St
New York, NY 10038
Phone (212) 238-0100
525 E 68th St
New York, NY 10065
Phone (212) 746-2846
3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669
501 S 54th St
Philadelphia, PA 19143
Phone (215) 581-2046
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 336461 | NY | Yes |
Addresses
Primary practice location
525 E 68TH St
New York, NY 10065-4870
Mailing address
525 E 68TH St
New York, NY 10065-4870
Phone (917) 683-2191
Other providers in New York, NY
- Michelle Christine Carrillo
- Nicholas Carrillo
- Nina Prabhu Carrillo
- Noel Carrillo
- Rose Carrillo
- Vanessa Caroline Carrillo
- Lynette Carrington-Cox
- Karen Carrington
- Kristel Carrington
- John A Carrino
All providers in New York, NY · Emergency Medicine Physician in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 10, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.