1. Home
  2. Directory
  3. New York
  4. Brooklyn
  5. Pediatrics
  6. NPI Profile

MAYELA ANDREINA DUQUE BLANCO MD
NPI 1508351222
Pediatrics - Neonatal-Perinatal Medicine in Brooklyn, NY

Active since June 25, 2018PECOS Enrolled
760 BROADWAY, BROOKLYN, NY 11206(718) 963-7957(718) 963-7957 Get Directions Write a Review

NPPES record last updated: April 14, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mayela Andreina Duque Blanco Md NPPES

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

MAYELA ANDREINA DUQUE BLANCO MD (NPI 1508351222) is an individual neonatal-perinatal medicine provider in Brooklyn, New York, licensed in Illinois (036156130) and active in the NPI registry since June 2018. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1508351222
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameMAYELA ANDREINA DUQUE BLANCOCredential: MD
Location Address760 BROADWAYBrooklyn, NY 11206-5317
Mailing Address1740 W Taylor StChicago, IL 60612-7232
Phone(718) 963-7957
Fax(718) 963-7957
Sole ProprietorNo
Enumeration DateJune 25, 2018
Last NPPES UpdateApril 14, 2025
NPPES CertifiedApril 14, 2025
✔ NPI 1508351222 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in IL · 036156130
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
Also ListedPediatricsTaxonomy 208000000X · License 036156130 (IL)
760 BROADWAY, Brooklyn, NY 11206
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mayela Andreina Duque Blanco Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Mayela Duque Blanco reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Board Of Trustees Of The University Of Illinois
716 mi
Federally Qualified Health Center (FQHC)
2641 S CALUMET AVE
Chicago, IL 60616
  • Reassigned Medicare billing, Illinois enrollment
  • 2,127 clinicians in this Medicare group
NPI 1295751220 (312) 996-2000

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

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.

MIRIAM Y LITVINTCHOUK PA
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8000
SHAZA MOHAMMED ELHASSAN
Personal Emergency Response Attendant
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8430
MS. ABENA BANFUL
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8000
SHUJA AHMED SHAIK M.D.
Student in an Organized Health Care Education/Training Program
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-8779
DR. GERALDINE ORENDAIN M.D.
Psychiatry & Neurology (Psychiatry)
760 BROADWAY, WOODHULL MEDICAL AND MENTAL HEALTH CENTER
BROOKLYN, NY 11206
Kings County (718) 963-5793
MR. GUY KELLY P.A.
Physician Assistant (Medical)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-5735
MRS. VIRGINIA J PRYCE N.P.
Nurse Practitioner (Family)
760 BROADWAY
BROOKLYN, NY 11206
Kings County (718) 963-5735
DR. ROGER GRANNUM DDS
Dentist (Oral and Maxillofacial Surgery)
760 BROADWAY, ORAL SURGERY ROOM 2C320
BROOKLYN, NY 11206
Kings County (718) 963-8000

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 Mayela Duque Blanco's NPI number?

The NPI number for Mayela Duque Blanco is 1508351222. It was assigned to this individual provider in the NPPES registry on June 25, 2018.

Where is Mayela Duque Blanco located?

Mayela Duque Blanco practices at 760 Broadway, Brooklyn, NY 11206. The listed phone number is (718) 963-7957.

What is Mayela Duque Blanco's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Mayela Duque Blanco enrolled in Medicare?

Yes. Mayela Duque Blanco is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Mayela Duque Blanco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Mayela Duque Blanco reassigns Medicare benefits to The Board Of Trustees Of The University Of Illinois (Chicago, IL). 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 Mayela Duque Blanco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Mayela Duque Blanco was last updated on April 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.