DR. MIGUEL L BLANCO MD
NPI 1235127861
Internal Medicine - Cardiovascular Disease in Riverhead, NY

Active since October 07, 2005PECOS Enrolled
951 ROANOKE AVE, RIVERHEAD, NY 11901(631) 727-7773(631) 369-4994 Get Directions Write a Review

NPPES record last updated: September 20, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Miguel L Blanco Md NPPES

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

DR. MIGUEL L BLANCO MD (NPI 1235127861) is an individual cardiovascular disease provider in Riverhead, New York, licensed in New York (180073-1) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1235127861
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. MIGUEL L BLANCOCredential: MD
Location Address951 ROANOKE AVERiverhead, NY 11901-2724
Mailing Address45 Research Way, Suite 204East Setauket, NY 11733-6401 · (631) 615-8272 · Fax (631) 350-7200
Fax(631) 369-4994
Sole ProprietorNo
Enumeration DateOctober 7, 2005
Last NPPES UpdateSeptember 20, 2013
✔ NPI 1235127861 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 · 180073-1
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.
951 ROANOKE AVE, Riverhead, NY 11901

Other Identifiers 3

Medicare UPINF21353NY
Medicaid01231781NY
Medicare PIN29K471NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Miguel L Blanco 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 Reassignment

Medicare enrollment records show Miguel Blanco 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 11901 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.

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.

Internal Medicine (Cardiovascular Disease)
951 ROANOKE AVE
RIVERHEAD, NY 11901
Nurse Practitioner (Family)
951 ROANOKE AVE
RIVERHEAD, NY 11901
Internal Medicine (Cardiovascular Disease)
951 ROANOKE AVE
RIVERHEAD, NY 11901
Internal Medicine (Interventional Cardiology)
951 ROANOKE AVE
RIVERHEAD, NY 11901
Physician Assistant (Medical)
951 ROANOKE AVE
RIVERHEAD, NY 11901
Physician Assistant
951 ROANOKE AVE
RIVERHEAD, NY 11901
Internal Medicine (Cardiovascular Disease)
951 ROANOKE AVE
RIVERHEAD, NY 11901
Internal Medicine (Clinical Cardiac Electrophysiology)
951 ROANOKE AVE
RIVERHEAD, NY 11901

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 Miguel Blanco's NPI number?

The NPI number for Miguel Blanco is 1235127861. It was assigned to this individual provider in the NPPES registry on October 7, 2005.

Where is Miguel Blanco located?

Miguel Blanco practices at 951 Roanoke Ave, Riverhead, NY 11901. The listed phone number is (631) 727-7773.

What is Miguel Blanco's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Miguel Blanco enrolled in Medicare?

Yes. Miguel Blanco is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Miguel Blanco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Miguel Blanco 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 Miguel Blanco'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 Miguel Blanco was last updated on September 20, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.