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ENOCH CARRILLO MONTALVO M.D.
NPI 1205192606
Emergency Medicine in Brooklyn, NY

Active since April 10, 2012PECOS EnrolledAccepts Medicare Assignment
4802 10TH AVE, BROOKLYN, NY 11219(718) 283-6000 Get Directions Write a Review

NPPES record last updated: April 2, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 2, 2024, Dec 3, 2021 (2 updates tracked since 2021).

About Enoch Carrillo Montalvo M.d. NPPES

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

ENOCH CARRILLO MONTALVO M.D. (NPI 1205192606) is an individual emergency medicine provider in Brooklyn, New York, licensed in California (A136625) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS and is a graduate of Loma Linda University School Of Medicine (2012).

NPPES Registry Identity

NPI1205192606
Entity TypeIndividualMale
Primary Taxonomy207P00000X
Provider Legal NameENOCH CARRILLO MONTALVOCredential: M.D.
Location Address4802 10TH AVEBrooklyn, NY 11219-2916
Mailing Address4802 10th AveBrooklyn, NY 11219-2916 · (718) 283-6000
Phone(718) 283-6000
Sole ProprietorNo
Medical School CMSLoma Linda University School Of MedicineGraduated 2012
Enumeration DateApril 10, 2012
Last NPPES UpdateApril 2, 20242 updates tracked since enumeration
NPPES CertifiedApril 2, 2024
✔ NPI 1205192606 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License✔ Licensed in CA · A136625
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
4802 10TH AVE, Brooklyn, NY 11219
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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

Enoch Carrillo Montalvo 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 ID8325358047
PECOS Enrollment IDI20151110000801
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 Enoch Montalvo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
2,428 mi
Health Maintenance Organization
4647 ZION AVE
San Diego, CA 92120
  • Reassigned Medicare billing, California enrollment
  • 13,921 clinicians in this Medicare group
NPI 1225060742 (619) 528-5000

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

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
20 services19 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11219 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
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 20

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

CARLOS BUZZETTA
Legal Medicine
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-8961
LOBELYS A ANICET PMHNP
Nurse Practitioner (Psychiatric/Mental Health)
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-5660
CHIAMAKA MEREMETOH MD
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
JESSE M. GALINA
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
DR. ABANOUB ALFY NAKHLA MD
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
CHRISTINE LI MD
Student in an Organized Health Care Education/Training Program
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-6000
MS. KATRINA W SOWERBY FNP
Nurse Practitioner (Family)
4802 10TH AVE, PRE-TESTING
BROOKLYN, NY 11219
Kings County (718) 283-7300
MAIMONIDES MEDICAL CENTER MAIMONIDES INFECTIOUS DISEASES FPP
Internal Medicine (Infectious Disease)
4802 10TH AVE
BROOKLYN, NY 11219
Kings County (718) 283-8773

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 Enoch Montalvo's NPI number?

The NPI number for Enoch Montalvo is 1205192606. It was assigned to this individual provider in the NPPES registry on April 10, 2012.

Where is Enoch Montalvo located?

Enoch Montalvo practices at 4802 10th Ave, Brooklyn, NY 11219. The listed phone number is (718) 283-6000.

What is Enoch Montalvo's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Enoch Montalvo enrolled in Medicare?

Yes. Enoch Montalvo 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 Enoch Montalvo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Enoch Montalvo reassigns Medicare benefits to Southern California Permanente Medical Group (San Diego, CA). 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 Enoch Montalvo'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 Enoch Montalvo was last updated on April 2, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.