1. Home
  2. Directory
  3. New York
  4. Bronx
  5. Internal Medicine
  6. NPI Profile

DR. SANDRA NATHALY CORDOVA MD
NPI 1407596646
Internal Medicine in Bronx, NY

Active since March 29, 2022PECOS EnrolledAccepts Medicare Assignment
111 E 210TH ST, BRONX, NY 10467(718) 920-4417(718) 920-8375 Get Directions Write a Review

NPPES record last updated: July 10, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Sandra Nathaly Cordova Md NPPES

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

DR. SANDRA NATHALY CORDOVA MD (NPI 1407596646) is an individual internal medicine provider in Bronx, New York, licensed in Florida (ME170899) and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS, is affiliated with Adventhealth Orlando, and is a graduate of Other (2013).

NPPES Registry Identity

NPI1407596646
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. SANDRA NATHALY CORDOVACredential: MD
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 920-4417 · Fax (718) 920-8375
Phone(718) 920-4417
Fax(718) 920-8375
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateMarch 29, 2022
Last NPPES UpdateJuly 10, 2025
NPPES CertifiedJuly 10, 2025
✔ NPI 1407596646 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME170899
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.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
111 E 210TH ST, Bronx, NY 10467
Open in Google Maps ↗

Other Names 1

Other Name (5)Dr. Sandra Nathaly Cordova-madera

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.Insurance ›

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. Sandra Nathaly Cordova 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 ID5991211922
PECOS Enrollment IDI20250717003772
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 Sandra Cordova reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Lake Wales Physician Services, LLC
996 mi
Hospitalist
410 S 11TH ST
Lake Wales, FL 33853
  • Reassigned Medicare billing, Florida enrollment
  • 96 clinicians in this Medicare group
NPI 1164902797 (863) 676-1433

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Adventhealth Orlando

Acute Care Hospitals · Orlando, FL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100007
Location601 E Rollins StOrlando, FL 32803 · Orange County
Emergency services Birthing friendly

Adventhealth Lake Wales

Acute Care Hospitals · Lake Wales, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100099
Location410 S 11th StLake Wales, FL 33853 · Polk County
Emergency services

Adventhealth Heart Of Florida

Acute Care Hospitals · Davenport, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100137
Location40100 Hwy 27Davenport, FL 33837 · Polk County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 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
$154.28 typical visit price
range $67.40 – $203.53
Typical copayment $38.57 (range $16.85 – $50.88)
Most-billed visit code 99204
Established Patient
$117.62 typical visit price
range $21.66 – $164.45
Typical copayment $29.40 (range $5.41 – $41.11)
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 20

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

HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
MS. JOHANNA SHEA-FEN TAN
Student in an Organized Health Care Education/Training Program
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
JACK DANIEL HALLIGAN MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

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 Sandra Cordova's NPI number?

The NPI number for Sandra Cordova is 1407596646. It was assigned to this individual provider in the NPPES registry on March 29, 2022. The provider is also known as Dr. Sandra Nathaly Cordova-Madera.

Where is Sandra Cordova located?

Sandra Cordova practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-4417.

What is Sandra Cordova's specialty?

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

Is Sandra Cordova enrolled in Medicare?

Yes. Sandra Cordova 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 Sandra Cordova's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sandra Cordova reassigns Medicare benefits to Lake Wales Physician Services, LLC (Lake Wales, FL). 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 Sandra Cordova's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sandra Cordova accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Sandra Cordova 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.

Is Sandra Cordova affiliated with any hospitals?

According to CMS data, Sandra Cordova is affiliated with Adventhealth Orlando, Adventhealth Lake Wales and Adventhealth Heart Of Florida.

When was this NPI record last updated?

The NPPES record for Sandra Cordova was last updated on July 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 months 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.