DR. MARIA LOURDES SAN GABRIEL AGUSTIN M.D.
NPI 1235227018
Internal Medicine in Brooklyn, NY

Active since October 10, 2006PECOS EnrolledAccepts Medicare Assignment
240 WILLOUGHBY ST, SUITE NO. 19C, BROOKLYN, NY 11201(718) 250-6925 Get Directions Write a Review

NPPES record last updated: November 1, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Maria Lourdes San Gabriel Agustin M.d. NPPES

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

DR. MARIA LOURDES SAN GABRIEL AGUSTIN M.D. (NPI 1235227018) is an individual internal medicine provider in Brooklyn, New York, licensed in New York (242033) and active in the NPI registry since October 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1999).

NPPES Registry Identity

NPI1235227018
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARIA LOURDES SAN GABRIEL AGUSTINCredential: M.D.
Location Address240 WILLOUGHBY ST, SUITE NO. 19CBrooklyn, NY 11201-5465
Mailing Address62 Clermont Ave, Apt. 305Brooklyn, NY 11205-2309
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateOctober 10, 2006
Last NPPES UpdateNovember 1, 2021
NPPES CertifiedNovember 1, 2021
NPI 1235227018 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NY · 242033
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
240 WILLOUGHBY ST, Brooklyn, NY 11201

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Maria Lourdes San Gabriel Agustin 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 ID8224131016
PECOS Enrollment IDI20070724000691
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11201 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 20

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

Dietitian, Registered
240 WILLOUGHBY ST, SUITE 11E
BROOKLYN, NY 11201
Specialist
240 WILLOUGHBY ST
BROOKLYN, NY 11201
Surgery (Vascular Surgery)
240 WILLOUGHBY ST, 5A
BROOKLYN, NY 11201
Ophthalmology
240 WILLOUGHBY ST, SUITE 4A
BROOKLYN, NY 11201
Urology
240 WILLOUGHBY ST, 6TH FLOOR
BROOKLYN, NY 11201
Neurological Surgery
240 WILLOUGHBY ST, SUITE 4E
BROOKLYN, NY 11201
Surgery
240 WILLOUGHBY ST
BROOKLYN, NY 11201
Pediatrics
240 WILLOUGHBY ST, 11TH FLOOR
BROOKLYN, NY 11201

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 Maria Lourdes Agustin's NPI number?

The NPI number for Maria Lourdes Agustin is 1235227018. It was assigned to this individual provider in the NPPES registry on October 10, 2006.

Where is Maria Lourdes Agustin located?

Maria Lourdes Agustin practices at 240 Willoughby St Suite No. 19C, Brooklyn, NY 11201. The listed phone number is (718) 250-6925.

What is Maria Lourdes Agustin's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Maria Lourdes Agustin enrolled in Medicare?

Yes. Maria Lourdes Agustin 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.

When was this NPI record last updated?

The NPPES record for Maria Lourdes Agustin was last updated on November 1, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.