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DR. ALFRED MARC CALO ILORETA JR. M.D.
NPI 1184882136
Otolaryngology in New York, NY

Active since May 27, 2008PECOS EnrolledAccepts Medicare Assignment
5 E 98TH ST, 8TH FLOOR DEPT OTOLARYNGOLOGY, NEW YORK, NY 10029(212) 241-9410 Get Directions Write a Review

NPPES record last updated: August 18, 2015. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Dr. Alfred Marc Calo Iloreta Jr. M.d. NPPES

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

DR. ALFRED MARC CALO ILORETA JR. M.D. (NPI 1184882136) is an individual otolaryngology provider in New York, New York, licensed in Pennsylvania (MD448184) and active in the NPI registry since May 2008. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and is a graduate of University Of Kansas School Of Med (kc/wich/sal) (2008).

NPPES Registry Identity

NPI1184882136
Entity TypeIndividualMale
Primary Taxonomy207Y00000X
Provider Legal NameDR. ALFRED MARC CALO ILORETA JR.Credential: M.D.
Location Address5 E 98TH ST, 8TH FLOOR DEPT OTOLARYNGOLOGYNew York, NY 10029-6501
Mailing Address5 E 98th St, 8th Floor Dept OtolaryngologyNew York, NY 10029-6501 · (212) 241-9410
Phone(212) 241-9410
Sole ProprietorYes
Medical School CMSUniversity Of Kansas School Of Med (kc/wich/sal)Graduated 2008
Enumeration DateMay 27, 2008
Last NPPES UpdateAugust 18, 2015
✔ NPI 1184882136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOtolaryngologyAllopathic & Osteopathic Physicians
Taxonomy Code207Y00000X
Licenses✔ Licensed in PA · MD448184✔ Licensed in NY · 264716
Definition
An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head and neck. An otolaryngologist diagnoses and provides medical and/or surgical therapy or prevention of diseases, allergies, neoplasms, deformities, disorders and/or injuries of the ears, nose, sinuses, throat, respiratory and upper alimentary systems, face, jaws and the other head and neck systems. Head and neck oncology, facial plastic and reconstructive surgery and the treatment of disorders of hearing and voice are fundamental areas of expertise.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
5 E 98TH ST, New York, NY 10029
Open in Google Maps ↗

Other Identifiers 3

Medicaid0365343NJ
Medicaid102839584PA
Medicare PIN292695PA

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. Alfred Marc Calo Iloreta 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.

PECOS PAC ID648411199
PECOS Enrollment IDI20150123000027
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

2

Medicare enrollment records show Alfred Marc Iloreta reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Icahn School Of Medicine At Mount Sinai
0.1 mi
Otolaryngology
5 E 98TH ST, BOX 1191
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 345 clinicians in this Medicare group
NPI 1538407176 (212) 241-9410
Icahn School Of Medicine At Mount Sinai
4.6 mi
Anesthesiology
7901 BROADWAY
Elmhurst, NY 11373
  • Reassigned Medicare billing, New York enrollment
  • 836 clinicians in this Medicare group
NPI 1063766038 (718) 334-1591

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 6

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.

Diagnostic exam of nasal passages using an endoscope 31231
A diagnostic exam of nasal passages using an endoscope is a non-invasive procedure. A small, flexible tube with a light and camera at the end, called an endoscope, is inserted into the nose. This allows the doctor to view the nasal passages and sinuses, helping to identify any issues.
210 services132 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
166 services107 patients
Biopsy or removal of nasal polyp or tissue using an endoscope 31237
A nasal biopsy or polyp removal is a procedure where an endoscope, a thin tube with a light and camera, is inserted into the nose. This allows the doctor to see and remove abnormal tissues or polyps, which are small growths. This procedure helps diagnose or treat nasal issues.
51 services24 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.
25 services25 patients
Computer-assisted procedure outside membrane covering brain 61782
A computer-assisted procedure outside the brain's membrane involves using advanced technology to help doctors accurately navigate and perform operations near the brain. This method enhances precision, safety, and effectiveness, potentially reducing recovery time.
17 services17 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.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Budesonide, inhalation solution, fda-approved final product, non-compounded, administered through dme, unit dose form, up to 0.5 mg J7626
DME-Drugs Administered Through DME · category DG000N
7 suppliers19 claims1,140 services$0.80 avg. paid by Medicare
Pharmacy dispensing fee for inhalation drug(s); per 30 days Q0513
DME-Other DME · category DE000N
6 suppliers16 claims16 services$26.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

REBECCA BARZI NP
Nurse Practitioner (Family)
5 E 98TH ST
NEW YORK, NY 10029
New York County (212) 241-0764
BELINDA YEW PHD
Psychologist (Clinical)
5 E 98TH ST
NEW YORK, NY 10029
New York County (929) 224-3803
JADEN BAYE-CIGNA PA-C
Physician Assistant
5 E 98TH ST
NEW YORK, NY 10029
New York County (212) 241-9728
SUPINDA BUNYAVANICH M.D.
Allergy & Immunology
5 E 98TH ST
NEW YORK, NY 10029
New York County (212) 241-5548
DR. SHELDON LICHTBLAU M.D.
Orthopaedic Surgery
5 E 98TH ST, BOX 1188
NEW YORK, NY 10029
New York County (212) 241-1645
DR. YOUSAF ALI MD
Internal Medicine (Rheumatology)
5 E 98TH ST
NEW YORK, NY 10029
New York County (212) 659-9210
MRS. LESLIE CARLSON SCHLACHTER PA
Physician Assistant
5 E 98TH ST, 6TH FLOOR UROLOGY
NEW YORK, NY 10029
New York County (212) 241-5629
ORTHOPEDICS 2 DEPARTMENT OF MOUNT SINAI
Specialist
5 E 98TH ST
NEW YORK, NY 10029
New York County (212) 241-8892

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 Alfred Marc Iloreta's NPI number?

The NPI number for Alfred Marc Iloreta is 1184882136. It was assigned to this individual provider in the NPPES registry on May 27, 2008.

Where is Alfred Marc Iloreta located?

Alfred Marc Iloreta practices at 5 E 98th St 8th Floor Dept Otolaryngology, New York, NY 10029. The listed phone number is (212) 241-9410.

What is Alfred Marc Iloreta's specialty?

The primary specialty registered for this NPI is Otolaryngology with taxonomy code 207Y00000X.

Is Alfred Marc Iloreta enrolled in Medicare?

Yes. Alfred Marc Iloreta 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 Alfred Marc Iloreta's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Alfred Marc Iloreta reassigns Medicare benefits to 2 organizations: Icahn School Of Medicine At Mount Sinai (New York, NY) and Icahn School Of Medicine At Mount Sinai (Elmhurst, NY). 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 Alfred Marc Iloreta's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Alfred Marc Iloreta affiliated with any hospitals?

According to CMS data, Alfred Marc Iloreta is affiliated with Mount Sinai Hospital.

When was this NPI record last updated?

The NPPES record for Alfred Marc Iloreta was last updated on August 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.