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MIRNEL CARIDAD AZCONA
NPI 1295222370
Pediatrics in New York, NY

Active since April 16, 2018PECOS Enrolled
4250 BROADWAY RM 1C, NEW YORK, NY 10033(212) 740-3900(212) 740-8232 Get Directions Write a Review

NPPES record last updated: April 28, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 28, 2022, Apr 16, 2018 (2 updates tracked since 2018).

About Mirnel Caridad Azcona NPPES

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

MIRNEL CARIDAD AZCONA (NPI 1295222370) is an individual pediatrics provider in New York, New York, licensed in New York (312113) and active in the NPI registry since April 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1295222370
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMIRNEL CARIDAD AZCONA
Location Address4250 BROADWAY RM 1CNew York, NY 10033-3768
Mailing Address4250 Broadway Rm 1cNew York, NY 10033-3768 · (212) 740-3900 · Fax (212) 740-8232
Phone(212) 740-3900
Fax(212) 740-8232
Sole ProprietorNo
Enumeration DateApril 16, 2018
Last NPPES UpdateApril 28, 20222 updates tracked since enumeration
NPPES CertifiedApril 28, 2022
✔ NPI 1295222370 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 312113
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
4250 BROADWAY RM 1C, New York, NY 10033
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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 (PECOS)

Mirnel Caridad Azcona 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 Mirnel Azcona reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Montefiore Medical Center
3.6 mi
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

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 10033 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 4

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

JOSE FRANCISCO PEREZ M.D.
Pediatrics
4250 BROADWAY RM 1C
NEW YORK, NY 10033
New York County (212) 740-3900
MISS GABRIELLE MORAN PENA PA-C
Physician Assistant
4250 BROADWAY RM 1C
NEW YORK, NY 10033
New York County (212) 740-3900
JOSE M. VILLARIN M.D.
Pediatrics
4250 BROADWAY RM 1C
NEW YORK, NY 10033
New York County (212) 740-3900
DR. CARMEN MARIANA ZUNIGA MD
Pediatrics
4250 BROADWAY RM 1C
NEW YORK, NY 10033
New York County (212) 740-3900

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 Mirnel Azcona's NPI number?

The NPI number for Mirnel Azcona is 1295222370. It was assigned to this individual provider in the NPPES registry on April 16, 2018.

Where is Mirnel Azcona located?

Mirnel Azcona practices at 4250 Broadway Rm 1C, New York, NY 10033. The listed phone number is (212) 740-3900.

What is Mirnel Azcona's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Mirnel Azcona enrolled in Medicare?

Yes. Mirnel Azcona is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mirnel Azcona's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mirnel Azcona reassigns Medicare benefits to Montefiore Medical Center (Bronx, 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 Mirnel Azcona'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 Mirnel Azcona was last updated on April 28, 2022. 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.