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DR. CARLOS MEDINA M.D.
NPI 1730227125
Urology - Pediatric Urology in New York, NY

Active since February 01, 2007PECOS Enrolled
525 E 68TH ST # 94, DEPARTMENT OF PEDIATRIC UROLOGY, NEW YORK, NY 10065(212) 746-5361(121) 746-8065 Get Directions Write a Review

NPPES record last updated: December 18, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Carlos Medina M.d. NPPES

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

DR. CARLOS MEDINA M.D. (NPI 1730227125) is an individual pediatric urology provider in New York, New York, licensed in New York (247542) and active in the NPI registry since February 2007. He is enrolled in Medicare PECOS and maintains a secondary practice location in Hartford.

NPPES Registry Identity

NPI1730227125
Entity TypeIndividualMale
Primary Taxonomy2088P0231X
Provider Legal NameDR. CARLOS MEDINACredential: M.D.
Location Address525 E 68TH ST # 94, DEPARTMENT OF PEDIATRIC UROLOGYNew York, NY 10065-4870
Mailing Address525 E 68th St # 94, Department Of Pediatric UrologyNew York, NY 10065-4870 · (212) 746-5361 · Fax (121) 746-8065
Phone(212) 746-5361
Fax(121) 746-8065
Sole ProprietorNo
Enumeration DateFebruary 1, 2007
Last NPPES UpdateDecember 18, 2023
NPPES CertifiedDecember 18, 2023
✔ NPI 1730227125 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyUrology · Pediatric UrologyAllopathic & Osteopathic Physicians
Taxonomy Code2088P0231X
License✔ Licensed in NY · 247542
Definition
Surgeons who can diagnose, treat, and manage children's urinary and genital problems. A pediatric urologist devotes a minimum of 50% of his or her practice to the urologic problems of infants, children, and adolescents. Pediatric urologists generally provide the following services: the evaluation and management of voiding disorders; vesicoureteral reflux, and urinary tract infections that require surgery; surgical reconstruction of the urinary tract (kidneys, ureters, and bladder) including genital abnormalities, hypospadias, and intersex conditions; surgery for groin conditions in childhood and adolescence (undescended testes, hydrocele/hernia, varicocele).
Also ListedUrologyTaxonomy 208800000X · License MD429306 (PA), 247542-1 (NY)
525 E 68TH ST # 94, New York, NY 10065
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Secondary Practice Location 1

Location 1282 Washington StHartford, CT 06106-3322 · Phone (860) 545-9000

Other Identifiers 1

MedicaidPENDINGPA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Carlos Medina 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.

Medicare Billing Reassignments

4

Medicare enrollment records show Carlos Medina reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

University Physician Associates Of New Jersey Inc
13 mi
Pediatrics
90 BERGEN ST
Newark, NJ 07103
  • Reassigned Medicare billing, New Jersey enrollment
  • 61 clinicians in this Medicare group
NPI 1679583272 (973) 972-2100
Barnabas Health Medical Group PC
15 mi
Specialist
225 WILLIAMSON ST
Elizabeth, NJ 07202
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,894 clinicians in this Medicare group
NPI 1841557246 (888) 724-7123
Rwjbh Observation Associates LLC
18 mi
Emergency Medicine
94 OLD SHORT HILLS RD
Livingston, NJ 07039
  • Reassigned Medicare billing, New Jersey enrollment
  • 1,913 clinicians in this Medicare group
NPI 1760095806 (888) 724-7123
New York University
1,041 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

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 3

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

DR. MICHAEL PAUL HERMAN M.D.
Urology
525 E 68TH ST # 94
NEW YORK, NY 10065
New York County (212) 746-5455
WEILL CORNELL MEDICAL COLLEGE-UROLOGY TESE
Urology
525 E 68TH ST # 94
NEW YORK, NY 10065
New York County (212) 746-5465
DR. LARISSA V. RODRIGUEZ MD
Urology (Urogynecology and Reconstructive Pelvic Surgery)
525 E 68TH ST # 94
NEW YORK, NY 10065
New York County (646) 962-7170

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 Carlos Medina's NPI number?

The NPI number for Carlos Medina is 1730227125. It was assigned to this individual provider in the NPPES registry on February 1, 2007.

Where is Carlos Medina located?

Carlos Medina practices at 525 E 68th St # 94 Department Of Pediatric Urology, New York, NY 10065. The listed phone number is (212) 746-5361.

What is Carlos Medina's specialty?

The primary specialty registered for this NPI is Urology, specializing in Pediatric Urology, with taxonomy code 2088P0231X.

Is Carlos Medina enrolled in Medicare?

Yes. Carlos Medina is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Carlos Medina's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carlos Medina reassigns Medicare benefits to 4 organizations: University Physician Associates Of New Jersey Inc (Newark, NJ), Barnabas Health Medical Group PC (Elizabeth, NJ), Rwjbh Observation Associates LLC (Livingston, NJ) and New York University (Boynton Beach, FL). 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 Carlos Medina's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carlos Medina accept?

Health plans from Ambetter Health, Ambetter Health of Delaware and Oscar Health list Carlos Medina as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Carlos Medina was last updated on December 18, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.