VILMARIS QUINONES CARDONA MD
NPI 1376954420
Pediatrics in Philadelphia, PA
About Vilmaris Quinones Cardona Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
VILMARIS QUINONES CARDONA MD (NPI 1376954420) is an individual pediatrics provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MD454925) and active in the NPI registry since May 2014. She is enrolled in Medicare PECOS and maintains a secondary practice location in Camden.
NPPES Registry Identity
Specialties & Licenses
Secondary Practice Location 1
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Vilmaris Quinones Cardona Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Vilmaris Quinones Cardona reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Philadelphia, PA 19134
- Reassigned Medicare billing, Pennsylvania enrollment
- 479 clinicians in this Medicare group
Phoenixville, PA 19460
- Reassigned Medicare billing, Pennsylvania enrollment
- 529 clinicians in this Medicare group
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 19134 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
PHILADELPHIA, PA 19134
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 Vilmaris Quinones Cardona's NPI number?
The NPI number for Vilmaris Quinones Cardona is 1376954420. It was assigned to this individual provider in the NPPES registry on May 12, 2014.
Where is Vilmaris Quinones Cardona located?
Vilmaris Quinones Cardona practices at 160 E Erie Ave, Philadelphia, PA 19134. The listed phone number is (215) 427-5202.
What is Vilmaris Quinones Cardona's specialty?
The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.
Is Vilmaris Quinones Cardona enrolled in Medicare?
Yes. Vilmaris Quinones Cardona is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Vilmaris Quinones Cardona's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Vilmaris Quinones Cardona reassigns Medicare benefits to 2 organizations: Stc Pediatrics LLC (Philadelphia, PA) and Phoenixville Clinic Company LLC (Phoenixville, PA). 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 Vilmaris Quinones Cardona's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Vilmaris Quinones Cardona accept?
Health plans from Ambetter Health, Ambetter Health of Delaware and Ambetter from Buckeye Health Plan list Vilmaris Quinones Cardona as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Vilmaris Quinones Cardona was last updated on January 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.
# Vilmaris Quinones Cardona, MD · NPI 1376954420
Pediatrics physician in Philadelphia, Pennsylvania. Individual provider, active in the CMS NPPES registry since May 12, 2014.
## Identity
- **NPI:** 1376954420 (Entity type: Individual)
- **Enumerated:** May 12, 2014
- **Primary specialty:** Pediatrics · taxonomy 208000000X
- **State license:** MD454925 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 160 E ERIE AVE, Philadelphia, PA 19134-1011
- **Phone:** (215) 427-5202
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Stc Pediatrics LLC (NPI 1346884574, Philadelphia, PA); Phoenixville Clinic Company LLC (NPI 1275173957, Phoenixville, PA) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** January 1, 2018
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Source: [NPI Profile](https://npiprofile.com/npi/1376954420) · Data from the CMS NPPES public registry.