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DR. DOUGLAS CRAIG DISTEFANO M.D.
NPI 1487795225
Internal Medicine - Cardiovascular Disease in New York, NY

Active since February 12, 2007PECOS EnrolledAccepts Medicare Assignment
1190 5TH AVE, NEW YORK, NY 10029(212) 427-1540(212) 410-7196 Get Directions Write a Review

NPPES record last updated: May 5, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Douglas Craig Distefano M.d. NPPES

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

DR. DOUGLAS CRAIG DISTEFANO M.D. (NPI 1487795225) is an individual cardiovascular disease provider in New York, New York, licensed in New York (127858) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS, is affiliated with Mount Sinai Hospital, and is a graduate of New York University School Of Medicine (1974).

NPPES Registry Identity

NPI1487795225
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NameDR. DOUGLAS CRAIG DISTEFANOCredential: M.D.
Location Address1190 5TH AVENew York, NY 10029-6503
Mailing Address1185 Park Ave Apt 1lNew York, NY 10128-1307 · (212) 427-6101 · Fax (212) 427-6128
Phone(212) 427-1540
Fax(212) 410-7196
Sole ProprietorNo
Medical School CMSNew York University School Of MedicineGraduated 1974
Enumeration DateFebruary 12, 2007
Last NPPES UpdateMay 5, 2021
NPPES CertifiedMay 5, 2021
✔ NPI 1487795225 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NY · 127858
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
1190 5TH AVE, New York, NY 10029
Open in Google Maps ↗

Other Identifiers 1

Medicaid00349606NY

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. Douglas Craig Distefano 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 ID4880661875
PECOS Enrollment IDI20040910000126
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 7

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.

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
1,268 services785 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.
840 services422 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
45 services21 patients
Heart rhythm review, and interpretation of continous external ekg over more than 48 hours up to 7 days 93244
A heart rhythm review involves monitoring your heart's electrical activity for more than 48 hours up to 7 days. Using a device called an external EKG, doctors can track your heartbeats to detect irregularities and help diagnose heart conditions.
25 services25 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
13 services13 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
13 services12 patients

Hospital Affiliations CMS Care Compare

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

Mount Sinai Hospital

Acute Care Hospitals · New York, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330024
LocationOne Gustave L Levy PlaceNew York, NY 10029 · New York County
Emergency services Birthing friendly

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
$150.24 typical visit price
range $65.69 – $198.19
Typical copayment $37.56 (range $16.42 – $49.54)
Most-billed visit code 99204
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims22 services$6.96 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

AKOSUA AFUMWAA FRIMPONG
Student in an Organized Health Care Education/Training Program
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 659-6864
OMAR AL DHAYBI M.D.
Internal Medicine (Nephrology)
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 427-1540
PETER FARIES M.D.
Surgery (Vascular Surgery)
1190 5TH AVE, GP1 1ST FLOOR
NEW YORK, NY 10029
New York County (212) 241-5386
SHREYANS PATEL
Internal Medicine (Cardiovascular Disease)
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 427-1540
STAMATIOS LERAKIS MD
Internal Medicine (Cardiovascular Disease)
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 427-1540
DR. ANTHONY JOSEPH SOCHAN MD
Student in an Organized Health Care Education/Training Program
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 241-6500
MELISSA YEEN FONG LING
Physician Assistant
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 241-7114
ANNA GARINO NP
Nurse Practitioner (Acute Care)
1190 5TH AVE
NEW YORK, NY 10029
New York County (212) 241-1000

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 Douglas Distefano's NPI number?

The NPI number for Douglas Distefano is 1487795225. It was assigned to this individual provider in the NPPES registry on February 12, 2007.

Where is Douglas Distefano located?

Douglas Distefano practices at 1190 5th Ave, New York, NY 10029. The listed phone number is (212) 427-1540.

What is Douglas Distefano's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Douglas Distefano enrolled in Medicare?

Yes. Douglas Distefano 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 Douglas Distefano affiliated with any hospitals?

According to CMS data, Douglas Distefano is affiliated with Mount Sinai Hospital.

When was this NPI record last updated?

The NPPES record for Douglas Distefano was last updated on May 5, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.