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DR. GUSTAVO A. CARDENAS M.D.
NPI 1578611737
Internal Medicine in Patchogue, NY

Active since January 06, 2007PECOS Enrolled
74 E WOODSIDE AVE, PATCHOGUE, NY 11772(631) 654-1749(631) 654-1790 Get Directions Write a Review

NPPES record last updated: October 25, 2013. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Gustavo A. Cardenas M.d. NPPES

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

DR. GUSTAVO A. CARDENAS M.D. (NPI 1578611737) is an individual internal medicine provider in Patchogue, New York, licensed in New York (112984) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1578611737
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. GUSTAVO A. CARDENASCredential: M.D.
Location Address74 E WOODSIDE AVEPatchogue, NY 11772-1314
Mailing Address74 E Woodside AvePatchogue, NY 11772-1314 · (631) 654-1749 · Fax (631) 654-1790
Phone(631) 654-1749
Fax(631) 654-1790
Sole ProprietorYes
Enumeration DateJanuary 6, 2007
Last NPPES UpdateOctober 25, 2013
✔ NPI 1578611737 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 · 112984
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.
74 E WOODSIDE AVE, Patchogue, NY 11772
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Other Identifiers 10

Other0082356NY · Ghi
Other11-2432871NY · Tax Id
Other431247NY · United Healthcare
OtherP1233307NY · Oxford Freedom Plan
Other226752PNY · Hip
Other2375NY · Vytra
Other20502NY · Aetna
Medicare ID-Type Unspecified662481NY · Mcare
Other1000015665NY · Affinity
Medicare UPINB17710NY

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Gustavo A. Cardenas M.d. 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11772 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.

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 Gustavo Cardenas's NPI number?

The NPI number for Gustavo Cardenas is 1578611737. It was assigned to this individual provider in the NPPES registry on January 6, 2007.

Where is Gustavo Cardenas located?

Gustavo Cardenas practices at 74 E Woodside Ave, Patchogue, NY 11772. The listed phone number is (631) 654-1749.

What is Gustavo Cardenas's specialty?

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

Is Gustavo Cardenas enrolled in Medicare?

Yes. Gustavo Cardenas is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Gustavo Cardenas was last updated on October 25, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.