LUIS MARIO ASTUDILLO MD
NPI 1114974623
Internal Medicine - Cardiovascular Disease in Bronx, NY

Q: What is Luis Astudillo's NPI number?

The NPI number for Luis Astudillo is 1114974623. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Q: What is Luis Astudillo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Q: When was this NPI record last updated?

The NPPES record for Luis Astudillo was last updated on March 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.

Active since May 28, 2006PECOS EnrolledAccepts Medicare Assignment

75.8/100

CMS Quality Rating

3131 GRAND CONCOURSE, SUITE 1B, BRONX, NY 10468(718) 295-7900(718) 295-4160 Get Directions Write a Review

NPPES record last updated: March 4, 2011. Verified against the NPPES registry weekly; last sync: October 18, 2026.

On this page

About Luis Mario Astudillo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LUIS MARIO ASTUDILLO MD (NPI 1114974623) is an individual cardiovascular disease provider in Bronx, New York, licensed in New York (243249) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (1992).

NPPES Registry Identity

NPI1114974623

Entity TypeIndividualMale

Primary Taxonomy207RC0000X

Provider Legal NameLUIS MARIO ASTUDILLOCredential: MD

Location Address3131 GRAND CONCOURSE, SUITE 1BBronx, NY 10468-1442

Mailing AddressPo Box 837Hartsdale, NY 10530-0837 · (718) 562-6570 · Fax (718) 346-5313

Phone(718) 295-7900

Fax(718) 295-4160

Sole ProprietorYes

Medical School CMSOtherGraduated 1992

Enumeration DateMay 28, 2006

Last NPPES UpdateMarch 4, 2011

✔ NPI 1114974623 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RC0000X

License✔ Licensed in NY · 243249

Definition

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

3131 GRAND CONCOURSE, Bronx, NY 10468

Open in Google Maps ↗

Other Identifiers 3

Medicare ID-Type Unspecified11BDXJSGA

Medicare UPINI00092GA

Medicaid350518195AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.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

Luis Mario Astudillo Md 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.

PECOS PAC ID7719877893

PECOS Enrollment IDI20140218001884

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

Medicare enrollment records show Luis Astudillo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Humc Cardiovascular Partners, PC

6.2 mi

Cardiovascular Disease

400 FRANK W. BURR BOULEVARD, SUITE 22
Teaneck, NJ 07666

Reassigned Medicare billing, New Jersey enrollment
Medicare enrollment name: Humc Cardiovascular Partners, P.C.
79 clinicians in this Medicare group

NPI 1417188905 (201) 907-0442

Palisades Cardiology Services PA

8.0 mi

Cardiovascular Disease

7600 RIVER RD
North Bergen, NJ 07047

Reassigned Medicare billing, New Jersey enrollment
8 clinicians in this Medicare group

NPI 1669431581 (551) 697-5125

Hackensack Meridian Health Medical Group - Specialty Care PC

39 mi

Surgical Critical Care

331 NEWMAN SPRINGS RD STE 220
Red Bank, NJ 07701

Reassigned Medicare billing, New Jersey enrollment
2,844 clinicians in this Medicare group

NPI 1215989249 (732) 807-0800

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 12

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.

Ultrasound of heart with color-depicted blood flow, rate, direction and valve function 93306

This is a heart ultrasound, also known as an echocardiogram. It uses sound waves to create pictures of your heart, showing how blood flows through it. The color depicts the blood flow's speed and direction. It also checks the heart's valves to ensure they're working properly.

251 services248 patients

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214

This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.

239 services127 patients

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232

Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.

125 services56 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

94 services85 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

81 services68 patients

Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215

This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.

31 services24 patients

Ultrasound of heart, follow-up 93308

A follow-up ultrasound of the heart, also known as an echocardiogram, is a non-invasive test that uses sound waves to create images of your heart. It helps doctors monitor your heart's function and structures after initial assessment or treatment.

30 services29 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

16 services16 patients

Heart muscle strain imaging 93356

Heart muscle strain imaging is a non-invasive test that uses sound waves to create pictures of your heart. It helps doctors evaluate how well your heart muscle is working and detect any damage or disease. This can aid in diagnosing heart conditions and guiding treatment plans.

15 services15 patients

Nuclear medicine studies of heart muscle at rest and with stress and spect 78452

Nuclear medicine studies of the heart involve two parts: rest and stress. During rest, images are taken of your heart at ease. During stress, images are taken after exercise or medication-induced stress. SPECT is a special imaging technique providing 3D pictures of your heart, helping identify any issues.

14 services14 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with supervision by physician 93016

An exercise or drug-induced heart stress test with ECG involves monitoring your heart's activity while it's under stress, either from exercise or medication. A doctor supervises the entire procedure to ensure safety and accuracy in results. This test helps detect heart problems.

14 services14 patients

Exercise or drug-induced heart stress test with electrocardiogram (ecg) with review by physician 93018

An exercise or drug-induced heart stress test with ECG is a procedure to assess how your heart functions under stress. It can involve exercising or medication to make your heart work harder while an ECG records its activity. A physician reviews the results.

14 services14 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310001

Location30 Prospect AveHackensack, NJ 07601 · Bergen County

Emergency services Birthing friendly

Palisades Medical Center

Acute Care Hospitals · North Bergen, NJ

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310003

Location7600 River RdNorth Bergen, NJ 07047 · Hudson County

Emergency services Birthing friendly

Englewood Hospital And Medical Center

Acute Care Hospitals · Englewood, NJ

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number310045

Location350 Engle StEnglewood, NJ 07631 · Bergen County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10468 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$83.44 typical visit price

range $21.66 – $164.45

Typical copayment $20.86 (range $5.41 – $41.11)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

75.8/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

68.65

Promoting Interoperability

100

Improvement Activities

Cost

50.69

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. LINDA WASHINGTON

Social Worker (Clinical)

3131 GRAND CONCOURSE, APT 4G
BRONX, NY 10468

Bronx County (718) 617-1068

CARDIOLOGY UNLIMITED PC

Internal Medicine (Cardiovascular Disease)

3131 GRAND CONCOURSE, SUITE 1B
BRONX, NY 10468

Bronx County (718) 295-7900

DR. CARY SCOTT POLLACK M.D.

Internal Medicine (Cardiovascular Disease)

3131 GRAND CONCOURSE
BRONX, NY 10468

Bronx County (718) 295-7900

PETER D MONTAN NURSE PRACTITIONER IN FAMILY HEALTH PLLC

Family Medicine (Adult Medicine)

3131 GRAND CONCOURSE
BRONX, NY 10468

Bronx County (917) 728-9528

PETER D. MONTAN FNP-BC, APRN

Family Medicine (Adult Medicine)

3131 GRAND CONCOURSE
BRONX, NY 10468

Bronx County (917) 728-9528

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 Luis Astudillo's NPI number?

The NPI number for Luis Astudillo is 1114974623. It was assigned to this individual provider in the NPPES registry on May 28, 2006.

Where is Luis Astudillo located?

Luis Astudillo practices at 3131 Grand Concourse Suite 1B, Bronx, NY 10468. The listed phone number is (718) 295-7900.

What is Luis Astudillo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Luis Astudillo enrolled in Medicare?

Yes. Luis Astudillo 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 Luis Astudillo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luis Astudillo reassigns Medicare benefits to 3 organizations: Humc Cardiovascular Partners, PC (Teaneck, NJ), Palisades Cardiology Services PA (North Bergen, NJ) and Hackensack Meridian Health Medical Group - Specialty Care PC (Red Bank, NJ). 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 Luis Astudillo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luis Astudillo accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Luis Astudillo 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 Luis Astudillo affiliated with any hospitals?

According to CMS data, Luis Astudillo is affiliated with Hackensack University Medical Center, Palisades Medical Center and Englewood Hospital And Medical Center.

When was this NPI record last updated?

The NPPES record for Luis Astudillo was last updated on March 4, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.