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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: October 25, 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
Phone(718) 250-6925
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
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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

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.

Medicare Billing Reassignment

Medicare enrollment records show Maria Lourdes Agustin reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southern California Permanente Medical Group
2,392 mi
Health Maintenance Organization
3527 W FLORIDA AVE
Hemet, CA 92545
  • Reassigned Medicare billing, California enrollment
  • 5,228 clinicians in this Medicare group
NPI 1013433465 (877) 608-0044

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 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.

JENNIFER ELIZABETH FILLER RD, CD-N, CDE
Dietitian, Registered
240 WILLOUGHBY ST, SUITE 11E
BROOKLYN, NY 11201
Kings County (718) 250-8866
DR. ANGELA DENISE KERR MD
Specialist
240 WILLOUGHBY ST
BROOKLYN, NY 11201
Kings County (718) 250-8318
NELSON MENEZES VASCULAR SPECIALIST PC
Surgery (Vascular Surgery)
240 WILLOUGHBY ST, 5A
BROOKLYN, NY 11201
Kings County (718) 250-6237
LESLIE M SIMS MD PLLC
Ophthalmology
240 WILLOUGHBY ST, SUITE 4A
BROOKLYN, NY 11201
Kings County (718) 250-6937
THE BROOKLYN HOSPITAL CENTER
Urology
240 WILLOUGHBY ST, 6TH FLOOR
BROOKLYN, NY 11201
Kings County (718) 250-8663
GOTHAM NEUROSURGERY, PLLC
Neurological Surgery
240 WILLOUGHBY ST, SUITE 4E
BROOKLYN, NY 11201
Kings County (718) 250-8103
KAREN STANFORD, MD, PC
Surgery
240 WILLOUGHBY ST
BROOKLYN, NY 11201
Kings County (718) 250-8645
THE BROOKLYN HOSPITAL CENTER
Pediatrics
240 WILLOUGHBY ST, 11TH FLOOR
BROOKLYN, NY 11201
Kings County (718) 250-8663

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.

Which organization bills Medicare for Maria Lourdes Agustin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Maria Lourdes Agustin reassigns Medicare benefits to Southern California Permanente Medical Group (Hemet, 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 Maria Lourdes Agustin'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 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 5 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.