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MARCELO VENEGAS PIZARRO MD
NPI 1245431204
Internal Medicine in Jackson Heights, NY

Active since May 29, 2007PECOS EnrolledAccepts Medicare Assignment
7302 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372(718) 475-2351(718) 475-2352 Get Directions Write a Review

NPPES record last updated: July 24, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Marcelo Venegas Pizarro Md NPPES

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

MARCELO VENEGAS PIZARRO MD (NPI 1245431204) is an individual internal medicine provider in Jackson Heights, New York, licensed in New York (228904) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, maintains a secondary practice location in Hoboken, and is a graduate of Other (2000).

NPPES Registry Identity

NPI1245431204
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameMARCELO VENEGAS PIZARROCredential: MD
Location Address7302 ROOSEVELT AVEJackson Heights, NY 11372-6336
Mailing Address1345 Rxr Plz Fl 13Uniondale, NY 11556-1301 · (516) 456-0435
Phone(718) 475-2351
Fax(718) 475-2352
Sole ProprietorNo
Medical School CMSOtherGraduated 2000
Enumeration DateMay 29, 2007
Last NPPES UpdateJuly 24, 2019
✔ NPI 1245431204 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in NY · 228904✔ Licensed in NJ · 25MA10113500
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.
7302 ROOSEVELT AVE, Jackson Heights, NY 11372
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Secondary Practice Location 1

Location 1231 Washington StHoboken, NJ 07030-4738 · Phone (201) 754-1006 · Fax (201) 754-1005

Other Identifiers 1

Other228904NY · License

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

Marcelo Venegas Pizarro Md 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 ID5890687354
PECOS Enrollment IDI20040329000637
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 Marcelo Venegas Pizarro reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

City Medical Of Upper East Side, PLLC
0.1 mi
Urgent Care
7302 ROOSEVELT AVE
Jackson Heights, NY 11372
  • Reassigned Medicare billing, New York enrollment
  • 596 clinicians in this Medicare group
NPI 1255742342 (718) 475-2351
Aids Healthcare Foundation
5.3 mi
Clinic/Center
655 MORRIS AVE STE 2
Bronx, NY 10451
  • Reassigned Medicare billing, New York enrollment
  • 3 clinicians in this Medicare group
NPI 1720793318 (347) 736-9046
Mvp Medical Practice PC
6.4 mi
Infectious Disease
475 ATLANTIC AVE STE 2
Brooklyn, NY 11217
  • Reassigned Medicare billing, New York enrollment
  • 30 clinicians in this Medicare group
NPI 1912541061 (718) 369-4850

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 5

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
60 services32 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
58 services56 patients
Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428
This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.
32 services30 patients
Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
24 services13 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
21 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11372 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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 3

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

CITY MEDICAL OF UPPER EAST SIDE, PLLC
Clinic/Center (Urgent Care)
7302 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372
Queens County (718) 475-2351
JAPDEEP CHHOKAR PA-C
Physician Assistant
7302 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372
Queens County (718) 475-2351
PATRICIA NELSON RPA-C
Physician Assistant
7302 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372
Queens County (718) 475-2351

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 Marcelo Venegas Pizarro's NPI number?

The NPI number for Marcelo Venegas Pizarro is 1245431204. It was assigned to this individual provider in the NPPES registry on May 29, 2007.

Where is Marcelo Venegas Pizarro located?

Marcelo Venegas Pizarro practices at 7302 Roosevelt Ave, Jackson Heights, NY 11372. The listed phone number is (718) 475-2351.

What is Marcelo Venegas Pizarro's specialty?

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

Is Marcelo Venegas Pizarro enrolled in Medicare?

Yes. Marcelo Venegas Pizarro 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 organizations bill Medicare for Marcelo Venegas Pizarro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marcelo Venegas Pizarro reassigns Medicare benefits to 3 organizations: City Medical Of Upper East Side, PLLC (Jackson Heights, NY), Aids Healthcare Foundation (Bronx, NY) and Mvp Medical Practice PC (Brooklyn, 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 Marcelo Venegas Pizarro'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 Marcelo Venegas Pizarro was last updated on July 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.