BIANCA GINETTE AGUSTIN LEAL MD
NPI 1184202236
Internal Medicine - Rheumatology in Tarrytown, NY

Active since March 31, 2021PECOS EnrolledAccepts Medicare Assignment
200 S BROADWAY STE 104, TARRYTOWN, NY 10591(914) 269-1790(914) 269-1796 Get Directions Write a Review

NPPES record last updated: August 12, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 12, 2026, Mar 31, 2021 (2 updates tracked since 2021).

About Bianca Ginette Agustin Leal Md NPPES

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

BIANCA GINETTE AGUSTIN LEAL MD (NPI 1184202236) is an individual rheumatology provider in Tarrytown, New York, licensed in New York (343975) and active in the NPI registry since March 2021. She is enrolled in Medicare PECOS, maintains a secondary practice location in Sleepy Hollow, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1184202236
Entity TypeIndividualFemale
Primary Taxonomy207RR0500X
Provider Legal NameBIANCA GINETTE AGUSTIN LEALCredential: MD
Location Address200 S BROADWAY STE 104Tarrytown, NY 10591-4504
Mailing Address200 S Broadway Ste 104Tarrytown, NY 10591-4504 · (914) 269-1790
Fax(914) 269-1796
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 31, 2021
Last NPPES UpdateAugust 12, 20262 updates tracked since enumeration
NPPES CertifiedAugust 12, 2026
✔ NPI 1184202236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
License✔ Licensed in NY · 343975
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
200 S BROADWAY STE 104, Tarrytown, NY 10591

Secondary Practice Location 1

Location 1701 N BroadwaySleepy Hollow, NY 10591-1020 · Phone (914) 366-3000

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

Bianca Ginette Agustin Leal 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 ID1850858457
PECOS Enrollment IDI20260804001539
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 Reassignment

Medicare enrollment records show Bianca Ginette Leal reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Urology
1010 NORTHERN BLVD STE 110
Great Neck, NY 11021
  • Reassigned Medicare billing, New York enrollment
  • 9,353 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10591 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
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

Allergy & Immunology
200 S BROADWAY STE 104
TARRYTOWN, NY 10591

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 Bianca Ginette Leal's NPI number?

The NPI number for Bianca Ginette Leal is 1184202236. It was assigned to this individual provider in the NPPES registry on March 31, 2021.

Where is Bianca Ginette Leal located?

Bianca Ginette Leal practices at 200 S Broadway Ste 104, Tarrytown, NY 10591. The listed phone number is (914) 269-1790.

What is Bianca Ginette Leal's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Bianca Ginette Leal enrolled in Medicare?

Yes. Bianca Ginette Leal 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 organization bills Medicare for Bianca Ginette Leal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Bianca Ginette Leal reassigns Medicare benefits to North Shore-Lij Medical PC (Great Neck, NY). The 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 Bianca Ginette Leal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Bianca Ginette Leal was last updated on August 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.