DR. RENE S MEDIAVILLO M.D.
NPI 1376622019
Specialist in Ozone Park, NY

Active since November 03, 2006PECOS EnrolledAccepts Medicare Assignment
9202 LIBERTY AVE, OZONE PARK, NY 11417(718) 835-9729(718) 925-9817 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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

NPI1376622019
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. RENE S MEDIAVILLOCredential: M.D.
Location Address9202 LIBERTY AVEOzone Park, NY 11417-1526
Mailing Address9202 Liberty AveOzone Park, NY 11417-1526 · (718) 835-9729 · Fax (718) 925-9817
Fax(718) 925-9817
Sole ProprietorNo
Medical School CMSOtherGraduated 1973
Enumeration DateNovember 3, 2006
Last NPPES UpdateJuly 9, 2007
NPI 1376622019 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in NY · 136585
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
9202 LIBERTY AVE, Ozone Park, NY 11417

Other Identifiers 2

Other136585NY · License
Medicaid00589464NY

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. 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.

PECOS PAC ID6507039997
PECOS Enrollment IDI20111031000564
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.

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.

Ct guidance for insertion of radiation therapy fields 77014
CT guidance for insertion of radiation therapy fields involves using a CT scan to accurately map the area of your body where radiation will be applied. This ensures the radiation targets only the necessary area, minimizing impact to healthy tissues.
550 services22 patients
Intensity modulated treatment delivery, single or multiple fields/arcs,via narrow spatially and temporally modulated beams, binary, dynamic mlc, per treatment session G6015
Intensity-modulated radiation therapy (IMRT) is a type of cancer treatment. It uses advanced technology to manipulate photon beams of radiation to conform to the shape of a tumor. IMRT allows for the radiation dose to conform more precisely to the three-dimensional shape of the tumor by modulating—or controlling—the intensity of the radiation beam. This can result in better tumor control and less harm to healthy tissue.
470 services18 patients
X-ray during radiation therapy 77417
An X-ray during radiation therapy is a medical process that helps in tracking the progress of your treatment. It uses small amounts of radiation to create images of your body's internal structure. This aids in ensuring the therapy is accurately targeting the problem area and not harming healthy tissues.
315 services22 patients
Continuing radiation therapy consultation per week 77336
Continuing radiation therapy consultation per week involves regular meetings with your healthcare team. These sessions help monitor your progress, manage side effects, and adjust your treatment plan if necessary. It's a key part of ensuring the effectiveness of your radiation therapy.
115 services21 patients
Radiation treatment management, 5 treatment sessions 77427
Radiation treatment management involves a series of 5 sessions where targeted radiation is used to destroy or shrink cancer cells in your body. Each session is carefully planned to maximize effectiveness while minimizing harm to healthy tissues. You may experience side effects which will be closely monitored and managed for your comfort.
111 services21 patients
Design and construction of complex radiation treatment device 77334
The design and construction of a complex radiation treatment device is a process where a specialized instrument is created. This device targets harmful cells with high-energy rays to destroy or damage them, while minimizing impact on healthy cells. This aids in treating conditions like cancer.
80 services25 patients

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.

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.