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DR. ANDRES CRUZ ANTONIO MD
NPI 1437116746
Internal Medicine in Mt Vernon, NY

Active since April 28, 2006PECOS EnrolledAccepts Medicare Assignment
625 GRAMATAN AVENUE, MT VERNON, NY 10552(914) 668-9164(914) 664-2610 Get Directions Write a Review

NPPES record last updated: July 6, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Andres Cruz Antonio Md NPPES

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

DR. ANDRES CRUZ ANTONIO MD (NPI 1437116746) is an individual internal medicine provider in Mt Vernon, New York, licensed in New York (139555) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Other (1973).

NPPES Registry Identity

NPI1437116746
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. ANDRES CRUZ ANTONIOCredential: MD
Location Address625 GRAMATAN AVENUEMt Vernon, NY 10552
Mailing Address625 Gramatan AvenueMt Vernon, NY 10552 · (914) 668-9164 · Fax (914) 664-2610
Phone(914) 668-9164
Fax(914) 664-2610
Sole ProprietorYes
Medical School CMSOtherGraduated 1973
Enumeration DateApril 28, 2006
Last NPPES UpdateJuly 6, 2010
✔ NPI 1437116746 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NY · 139555
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.

625 GRAMATAN AVENUE, Mt Vernon, NY 10552
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Other Identifiers 3

Medicaid00599826NY
Medicare UPINA63909
Medicare ID-Type Unspecified71A131NY

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. Andres Cruz Antonio 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 ID1153504121
PECOS Enrollment IDI20110329000519
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 2

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
87 services16 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
66 services30 patients

Hospital Affiliations CMS Care Compare

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10552 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.

Referred Medical Equipment & Supplies CMS DME claims 7

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Sterile water/saline, 500 ml A4217
DME-Medical/Surgical Supplies · category DA000N
1 supplier11 claims396 services$2.58 avg. paid by Medicare
Tracheal suction catheter, closed system, each A4605
DME-Other DME · category DE000N
1 supplier11 claims231 services$15.87 avg. paid by Medicare
Tracheostomy, inner cannula A4623
DME-Orthotic Devices · category DF000N
1 supplier13 claims403 services$6.34 avg. paid by Medicare
Tubing, used with suction pump, each A7002
DME-Other DME · category DE000N
1 supplier11 claims44 services$3.36 avg. paid by Medicare
Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
2 suppliers13 claims390 services$4.21 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers12 claims5,292 services$0.27 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Andres Antonio's NPI number?

The NPI number for Andres Antonio is 1437116746. It was assigned to this individual provider in the NPPES registry on April 28, 2006.

Where is Andres Antonio located?

Andres Antonio practices at 625 Gramatan Avenue, Mt Vernon, NY 10552. The listed phone number is (914) 668-9164.

What is Andres Antonio's specialty?

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

Is Andres Antonio enrolled in Medicare?

Yes. Andres Antonio 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.

Is Andres Antonio affiliated with any hospitals?

According to CMS data, Andres Antonio is affiliated with New York-Presbyterian Hospital.

When was this NPI record last updated?

The NPPES record for Andres Antonio was last updated on July 6, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.