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

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: August 23, 2026.

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
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

Other Identifiers 3

Medicare ID-Type Unspecified11BDXJSGA
Medicare UPINI00092GA
Medicaid350518195AGA

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

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.

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

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
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

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.

Social Worker (Clinical)
3131 GRAND CONCOURSE, APT 4G
BRONX, NY 10468
Internal Medicine (Cardiovascular Disease)
3131 GRAND CONCOURSE, SUITE 1B
BRONX, NY 10468
Internal Medicine (Cardiovascular Disease)
3131 GRAND CONCOURSE
BRONX, NY 10468
Family Medicine (Adult Medicine)
3131 GRAND CONCOURSE
BRONX, NY 10468
Family Medicine (Adult Medicine)
3131 GRAND CONCOURSE
BRONX, NY 10468

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.

What insurance does Luis Astudillo accept?

Health plans from Ambetter Health and Ambetter Health of Delaware 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.