DR. RENE S MEDIAVILLO M.D.
NPI 1376622019
Specialist in Ozone Park, NY
About Dr. Rene S Mediavillo M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. RENE S MEDIAVILLO M.D. (NPI 1376622019) is an individual specialist in Ozone Park, New York, licensed in New York (136585) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1973).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 2
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. Rene S Mediavillo 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.
Medicare Billing Reassignment
Medicare enrollment records show Rene Mediavillo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Ozone Park, NY 11417
- Reassigned Medicare billing, New York enrollment
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 14
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.
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 Rene Mediavillo's NPI number?
The NPI number for Rene Mediavillo is 1376622019. It was assigned to this individual provider in the NPPES registry on November 3, 2006.
Where is Rene Mediavillo located?
Rene Mediavillo practices at 9202 Liberty Ave, Ozone Park, NY 11417. The listed phone number is (718) 835-9729.
What is Rene Mediavillo's specialty?
The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.
Is Rene Mediavillo enrolled in Medicare?
Yes. Rene Mediavillo 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 Rene Mediavillo's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Rene Mediavillo reassigns Medicare benefits to New York Radiation Oncology Associates, PC (Ozone Park, 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 Rene Mediavillo'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 Rene Mediavillo was last updated on July 9, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.