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NICOLAS MARTIN HIDALGO CORRAL MD
NPI 1205379443
Pediatrics - Pediatric Cardiology in Bronx, NY

Active since November 20, 2016PECOS Enrolled
111 E 210TH ST, BRONX, NY 10467(718) 741-2343(718) 920-4351 Get Directions Write a Review

NPPES record last updated: March 20, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Nicolas Martin Hidalgo Corral Md NPPES

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

NICOLAS MARTIN HIDALGO CORRAL MD (NPI 1205379443) is an individual pediatric cardiology provider in Bronx, New York, licensed in New York (299714-01) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1205379443
Entity TypeIndividualMale
Primary Taxonomy2080P0202X
Provider Legal NameNICOLAS MARTIN HIDALGO CORRALCredential: MD
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address100 Corporate Dr Ste 100Yonkers, NY 10701-6807 · (914) 377-4722
Phone(718) 741-2343
Fax(718) 920-4351
Sole ProprietorNo
Enumeration DateNovember 20, 2016
Last NPPES UpdateMarch 20, 2024
NPPES CertifiedMarch 20, 2024
✔ NPI 1205379443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric CardiologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0202X
License✔ Licensed in NY · 299714-01
Definition
A pediatric cardiologist provides comprehensive care to patients with cardiovascular problems. This specialist is skilled in selecting, performing and evaluating the structural and functional assessment of the heart and blood vessels, and the clinical evaluation of cardiovascular disease.
Also ListedPediatricsTaxonomy 208000000X · License 299714-01 (NY)
111 E 210TH ST, Bronx, NY 10467
Open in Google Maps ↗

Secondary Practice Location 1

Location 11650 Grand ConcourseBronx, NY 10457-7679 · Phone (718) 992-7669

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Nicolas Martin Hidalgo Corral Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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

3

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

Montefiore Medical Center
Same address
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021
Bronxcare Health System
3.0 mi
Pediatrics
1650 GRAND CONCOURSE
Bronx, NY 10457
  • Reassigned Medicare billing, New York enrollment
  • 795 clinicians in this Medicare group
NPI 1073858296 (718) 901-8918
Downtown Bronx Medical Associates PC
4.9 mi
Emergency Medical Services
234 E 149TH ST, STE 8D200
Bronx, NY 10451
  • Reassigned Medicare billing, New York enrollment
  • 971 clinicians in this Medicare group
NPI 1689618407 (718) 576-6200

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. AMANDA MCNEAR JACOBS M.D.
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Bronx County (718) 920-2306
HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
MS. JOHANNA SHEA-FEN TAN
Student in an Organized Health Care Education/Training Program
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

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 Nicolas Hidalgo Corral's NPI number?

The NPI number for Nicolas Hidalgo Corral is 1205379443. It was assigned to this individual provider in the NPPES registry on November 20, 2016.

Where is Nicolas Hidalgo Corral located?

Nicolas Hidalgo Corral practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 741-2343.

What is Nicolas Hidalgo Corral's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Cardiology, with taxonomy code 2080P0202X.

Is Nicolas Hidalgo Corral enrolled in Medicare?

Yes. Nicolas Hidalgo Corral is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Nicolas Hidalgo Corral's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nicolas Hidalgo Corral reassigns Medicare benefits to 3 organizations: Montefiore Medical Center (Bronx, NY), Bronxcare Health System (Bronx, NY) and Downtown Bronx Medical Associates PC (Bronx, 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 Nicolas Hidalgo Corral'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 Nicolas Hidalgo Corral was last updated on March 20, 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.