DR. JOHN DEPETRILLO JR. M.D.
NPI 1013127562
Internal Medicine - Critical Care Medicine in Forest Hills, NY
About Dr. John Depetrillo Jr. M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JOHN DEPETRILLO JR. M.D. (NPI 1013127562) is an individual critical care medicine provider in Forest Hills, New York, licensed in New York (250815) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with St Mary's General Hospital, and is a graduate of Other (2005).
NPPES Registry Identity
Specialties & Licenses 3
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. John Depetrillo Jr. M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.
Medicare Billing Reassignments
7Medicare enrollment records show John Depetrillo reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
New Hyde Park, NY 11040
- Reassigned Medicare billing, New York enrollment
- 9,353 clinicians in this Medicare group
New York, NY 10016
- Reassigned Medicare billing, Texas enrollment
- 62 clinicians in this Medicare group
Passaic, NJ 07055
- Reassigned Medicare billing, New Jersey enrollment
- 51 clinicians in this Medicare group
Sleepy Hollow, NY 10591
- Reassigned Medicare billing, New York enrollment
- 25 clinicians in this Medicare group
Sumter, SC 29150
- Reassigned Medicare billing, South Carolina enrollment
- 7 clinicians in this Medicare group
Spokane Valley, WA 99037
- Reassigned Medicare billing, Washington enrollment
- 4,383 clinicians in this Medicare group
Redding, CA 96001
- Reassigned Medicare billing, California enrollment
- 46 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 10
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
St Mary's General Hospital
Acute Care Hospitals · Passaic, NJSaint Clare's Hospital/ Denville Campus
Acute Care Hospitals · Denville, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 11375 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
FOREST HILLS, NY 11375
FOREST HILLS, NY 11375
FOREST HILLS, NY 11375
FOREST HILLS, NY 11375
FOREST HILLS, NY 11375
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is John Depetrillo's NPI number?
The NPI number for John Depetrillo is 1013127562. It was assigned to this individual provider in the NPPES registry on May 23, 2007.
Where is John Depetrillo located?
John Depetrillo practices at 10201 66th Rd, Forest Hills, NY 11375. The listed phone number is (718) 830-4359.
What is John Depetrillo's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.
Is John Depetrillo enrolled in Medicare?
Yes. John Depetrillo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.
Which organizations bill Medicare for John Depetrillo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Depetrillo reassigns Medicare benefits to 7 organizations: North Shore - Lij Medical PC (New Hyde Park, NY), Ccmma Tx PLLC (New York, NY), Ccmma Nj LLC (Passaic, NJ), Critical Care Medical Management Associates PLLC (Sleepy Hollow, NY), Ccmma Sc LLC (Sumter, SC) and 2 more organizations, listed in the Medicare section above. Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for John Depetrillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does John Depetrillo accept?
Health plans from Blue Cross and Blue Shield of Texas, Molina Healthcare, Providence Health Plan and WellPoint list John Depetrillo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is John Depetrillo affiliated with any hospitals?
According to CMS data, John Depetrillo is affiliated with St Mary's General Hospital and Saint Clare's Hospital/ Denville Campus.
When was this NPI record last updated?
The NPPES record for John Depetrillo was last updated on September 2, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Dr. John Depetrillo Jr., M.D. · NPI 1013127562
Critical Care Medicine physician in Forest Hills, New York. Individual provider, active in the CMS NPPES registry since May 23, 2007.
## Identity
- **NPI:** 1013127562 (Entity type: Individual)
- **Enumerated:** May 23, 2007
- **Primary specialty:** Internal Medicine - Critical Care Medicine · taxonomy 207RC0200X
- **State license:** 250815 (New York)
- **Sole proprietor:** No
## Practice location
- **Address:** 10201 66TH RD, Forest Hills, NY 11375-2029
- **Phone:** (718) 830-4359 · **Fax:** (718) 830-1015
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): North Shore - Lij Medical PC (NPI 1790043479, New Hyde Park, NY); Ccmma Tx PLLC (NPI 1841829819, New York, NY); Ccmma Nj LLC (NPI 1124543095, Passaic, NJ); Critical Care Medical Management Associates PLLC (NPI 1194090878, Sleepy Hollow, NY); Ccmma Sc LLC (NPI 1245715796, Sumter, SC); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2005
## Record status
- **NPPES last updated:** September 2, 2014
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Source: [NPI Profile](https://npiprofile.com/npi/1013127562) · Data from the CMS NPPES public registry.