TATIANA REQUIJO
NPI 1447830856
Internal Medicine - Geriatric Medicine in New York, NY

Active since April 09, 2021PECOS Enrolled
17 E 102ND ST FL 4, NEW YORK, NY 10029(212) 659-8552(212) 860-9737 Get Directions Write a Review

NPPES record last updated: June 17, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tatiana Requijo NPPES

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

TATIANA REQUIJO (NPI 1447830856) is an individual geriatric medicine provider in New York, New York, licensed in New York (324657) and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS and is a graduate of Other (2021).

NPPES Registry Identity

NPI1447830856
Entity TypeIndividualFemale
Primary Taxonomy207RG0300X
Provider Legal NameTATIANA REQUIJO
Location Address17 E 102ND ST FL 4New York, NY 10029-5204
Mailing Address150 E 42nd St Fl 5New York, NY 10017-5612 · (212) 987-3100 · Fax (212) 731-5210
Fax(212) 860-9737
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateApril 9, 2021
Last NPPES UpdateJune 17, 2026
NPPES CertifiedJune 17, 2026
NPI 1447830856 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Geriatric MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RG0300X
License Licensed in NY · 324657
Definition
An internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital.
17 E 102ND ST FL 4, New York, NY 10029

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Tatiana Requijo is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6204308166
PECOS Enrollment IDI20260611003953
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
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 8

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

Internal Medicine (Hospice and Palliative Medicine)
17 E 102ND ST FL 4
NEW YORK, NY 10029
Internal Medicine (Nephrology)
17 E 102ND ST FL 4
NEW YORK, NY 10029
Internal Medicine (Geriatric Medicine)
17 E 102ND ST FL 4
NEW YORK, NY 10029
Social Worker (Clinical)
17 E 102ND ST FL 4
NEW YORK, NY 10029
Dermatology
17 E 102ND ST FL 4
NEW YORK, NY 10029
Nurse Practitioner (Adult Health)
17 E 102ND ST FL 4
NEW YORK, NY 10029
Psychologist (Clinical)
17 E 102ND ST FL 4
NEW YORK, NY 10029
Nurse Practitioner (Adult Health)
17 E 102ND ST FL 4
NEW YORK, NY 10029

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 Tatiana Requijo's NPI number?

The NPI number for Tatiana Requijo is 1447830856. It was assigned to this individual provider in the NPPES registry on April 9, 2021.

Where is Tatiana Requijo located?

Tatiana Requijo practices at 17 E 102nd St Fl 4, New York, NY 10029. The listed phone number is (212) 659-8552.

What is Tatiana Requijo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Geriatric Medicine, with taxonomy code 207RG0300X.

Is Tatiana Requijo enrolled in Medicare?

Yes. Tatiana Requijo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Tatiana Requijo was last updated on June 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 48 days 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.