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DR. MARIANO MEDEROS M.D
NPI 1598743007
Internal Medicine in Ridgewood, NY

Active since January 04, 2006PECOS EnrolledAccepts Medicare Assignment
311 SAINT NICHOLAS AVE STE E, RIDGEWOOD, NY 11385(718) 894-2500(718) 417-4535 Get Directions Write a Review

NPPES record last updated: June 6, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Dr. Mariano Mederos M.d NPPES

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

DR. MARIANO MEDEROS M.D (NPI 1598743007) is an individual internal medicine provider in Ridgewood, New York, licensed in New York (156182) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1981).

NPPES Registry Identity

NPI1598743007
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MARIANO MEDEROSCredential: M.D
Location Address311 SAINT NICHOLAS AVE STE ERidgewood, NY 11385-2296
Mailing Address311 Saint Nicholas Ave Ste ERidgewood, NY 11385-2296 · (718) 894-2500 · Fax (718) 417-4535
Phone(718) 894-2500
Fax(718) 417-4535
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateJanuary 4, 2006
Last NPPES UpdateJune 6, 2016
✔ NPI 1598743007 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 · 156182
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.
311 SAINT NICHOLAS AVE STE E, Ridgewood, NY 11385
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Other Identifiers 3

Medicaid00947791NY
Medicare ID-Type Unspecified66D802NY
Medicare UPINA63694NY

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. Mariano Mederos 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 ID8224295316
PECOS Enrollment IDI20120201000236
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 11385 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
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
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 2

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

COMPLETE CARE MEDICAL OF N.Y. P.C.
Internal Medicine
311 SAINT NICHOLAS AVE STE E
RIDGEWOOD, NY 11385
Queens County (718) 894-2500
SONORA JOY BRIOSO DPT
Physical Therapist
311 SAINT NICHOLAS AVE STE E
RIDGEWOOD, NY 11385
Queens County (718) 509-9888

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 Mariano Mederos's NPI number?

The NPI number for Mariano Mederos is 1598743007. It was assigned to this individual provider in the NPPES registry on January 4, 2006.

Where is Mariano Mederos located?

Mariano Mederos practices at 311 Saint Nicholas Ave Ste E, Ridgewood, NY 11385. The listed phone number is (718) 894-2500.

What is Mariano Mederos's specialty?

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

Is Mariano Mederos enrolled in Medicare?

Yes. Mariano Mederos 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.

When was this NPI record last updated?

The NPPES record for Mariano Mederos was last updated on June 6, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.