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DR. MICHAEL ALEXANDER MEDEROS
NPI 1821529611
Surgery in New York, NY

Active since March 23, 2017PECOS Enrolled
1275 YORK AVE, NEW YORK, NY 10065(212) 639-2000 Get Directions Write a Review

NPPES record last updated: June 30, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Michael Alexander Mederos NPPES

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

DR. MICHAEL ALEXANDER MEDEROS (NPI 1821529611) is an individual surgery provider in New York, New York, licensed in Texas (W4153) and active in the NPI registry since March 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1821529611
Entity TypeIndividualMale
Primary Taxonomy208600000X
Provider Legal NameDR. MICHAEL ALEXANDER MEDEROS
Location Address1275 YORK AVENew York, NY 10065-6007
Mailing Address1275 York AveNew York, NY 10065-6007
Phone(212) 639-2000
Sole ProprietorNo
Enumeration DateMarch 23, 2017
Last NPPES UpdateJune 30, 2026
NPPES CertifiedJune 30, 2026
✔ NPI 1821529611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
License✔ Licensed in TX · W4153
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
1275 YORK AVE, New York, NY 10065
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Michael Alexander Mederos 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 Michael Mederos reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The University Of Texas Southwestern Medical Center At Dallas
1,317 mi
Physical Medicine & Rehabilitation
1000 S BECKHAM AVE
Tyler, TX 75701
  • Reassigned Medicare billing, Texas enrollment
  • 5,299 clinicians in this Medicare group
NPI 1417099599 (214) 645-0624

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 10065 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
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$81.44 typical visit price
range $21.20 – $160.66
Typical copayment $20.36 (range $5.30 – $40.16)
Most-billed visit code 99213
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 20

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

MRS. ZANA CORREA NP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
New York County (646) 422-4450
MS. NICOLE NOELLE REYNOLDS NP
Nurse Practitioner (Acute Care)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 682-7326
MRS. SHARLENE SEECHARRAN RN, NP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-2203
CHRISTINA MADINABEITIA DURNEY
Nurse Practitioner (Pediatrics)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-5164
ALISON GAIL MASSEY ANP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-2000
MICHAEL SCORDO
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10065
New York County (212) 639-2000
AMPARO G CAMACHO NP
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
New York County (646) 422-4417
DR. INES NIKOLOVSKI MBBS
Special Hospital
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTRE
NEW YORK, NY 10065
New York County (212) 639-2000

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 Michael Mederos's NPI number?

The NPI number for Michael Mederos is 1821529611. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Where is Michael Mederos located?

Michael Mederos practices at 1275 York Ave, New York, NY 10065. The listed phone number is (212) 639-2000.

What is Michael Mederos's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Michael Mederos enrolled in Medicare?

Yes. Michael Mederos is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Michael Mederos's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Michael Mederos reassigns Medicare benefits to The University Of Texas Southwestern Medical Center At Dallas (Tyler, TX). 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 Michael Mederos'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 Michael Mederos was last updated on June 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.