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MARILYN HUAMANTLA MD
NPI 1720607823
Pediatrics in Yonkers, NY

Active since April 09, 2020PECOS Enrolled
503 S BROADWAY STE 210, YONKERS, NY 10705(914) 965-9783 Get Directions Write a Review

NPPES record last updated: June 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Jun 20, 2023, Apr 9, 2020 (2 updates tracked since 2020).

About Marilyn Huamantla Md NPPES

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

MARILYN HUAMANTLA MD (NPI 1720607823) is an individual pediatrics provider in Yonkers, New York, licensed in New York (322259) and active in the NPI registry since April 2020. She is enrolled in Medicare PECOS and maintains a secondary practice location in Valhalla.

NPPES Registry Identity

NPI1720607823
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameMARILYN HUAMANTLACredential: MD
Location Address503 S BROADWAY STE 210Yonkers, NY 10705-6202
Mailing Address503 S Broadway Ste 210Yonkers, NY 10705-6202 · (914) 965-9783
Phone(914) 965-9783
Sole ProprietorNo
Enumeration DateApril 9, 2020
Last NPPES UpdateJune 28, 20232 updates tracked since enumeration
NPPES CertifiedJune 28, 2023
✔ NPI 1720607823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NY · 322259
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
503 S BROADWAY STE 210, Yonkers, NY 10705
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Secondary Practice Location 1

Location 1100 Woods RdValhalla, NY 10595-1530 · Phone (914) 493-6668

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Marilyn Huamantla 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 Reassignments

2

Medicare enrollment records show Marilyn Huamantla reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sun River Health Inc
5.1 mi
Adult Day Care
1543-1545 INWOOD AVENUE, HUDSON RIVER HEALTHCARE ADULT DAY PROGRAM
Bronx, NY 10452
  • Reassigned Medicare billing, New York enrollment
  • 683 clinicians in this Medicare group
NPI 1740763275 (855) 681-8700
Maimonides Faculty Practice Plan
20 mi
Internal Medicine
4802 10TH AVE
Brooklyn, NY 11219
  • Reassigned Medicare billing, New York enrollment
  • 1,177 clinicians in this Medicare group
NPI 1053344846 (718) 283-8700

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10705 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
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.

Other Providers at the Same Location NPPES 7

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

DR. DANIEL MILLER MD
Family Medicine
503 S BROADWAY STE 210, HUDSON RIVER HEALTHCARE, INC.
YONKERS, NY 10705
Westchester County (914) 965-9771
CARMEN C ESPINAL
Dental Hygienist
503 S BROADWAY STE 210
YONKERS, NY 10705
Westchester County (914) 965-9771
BATEEL ALAMOUSH MD
Pediatrics
503 S BROADWAY STE 210
YONKERS, NY 10705
Westchester County (914) 965-9771
HEATHER WEN JAO DO
Pediatrics
503 S BROADWAY STE 210
YONKERS, NY 10705
Westchester County (914) 965-9771
SUN RIVER HEALTH INC
Clinic/Center (Federally Qualified Health Center (FQHC))
503 S BROADWAY STE 210
YONKERS, NY 10705
Westchester County (914) 965-9771
DR. SADREDINE SHADMAN DMD
Dentist
503 S BROADWAY STE 210
YONKERS, NY 10705
Westchester County (914) 965-9771
DANNA M. GARCIA-SEDIGH LCSWR
Social Worker (Clinical)
503 S BROADWAY STE 210, HUDSON RIVER HEALTHCARE, INC.
YONKERS, NY 10705
Westchester County (914) 965-9771

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 Marilyn Huamantla's NPI number?

The NPI number for Marilyn Huamantla is 1720607823. It was assigned to this individual provider in the NPPES registry on April 9, 2020.

Where is Marilyn Huamantla located?

Marilyn Huamantla practices at 503 S Broadway Ste 210, Yonkers, NY 10705. The listed phone number is (914) 965-9783.

What is Marilyn Huamantla's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Marilyn Huamantla enrolled in Medicare?

Yes. Marilyn Huamantla is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Marilyn Huamantla's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Marilyn Huamantla reassigns Medicare benefits to 2 organizations: Sun River Health Inc (Bronx, NY) and Maimonides Faculty Practice Plan (Brooklyn, NY). Each 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 Marilyn Huamantla'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 Marilyn Huamantla was last updated on June 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.