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DR. RAUL SERGIO MADRIGAL MD
NPI 1821581042
Psychiatry & Neurology - Psychiatry in New York, NY

Active since June 12, 2018PECOS EnrolledAccepts Medicare Assignment
1901 1ST AVE, NEW YORK, NY 10029(212) 423-6271 Get Directions Write a Review

NPPES record last updated: May 27, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: May 27, 2022, Jun 12, 2018 (2 updates tracked since 2018).

About Dr. Raul Sergio Madrigal Md NPPES

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

DR. RAUL SERGIO MADRIGAL MD (NPI 1821581042) is an individual psychiatry provider in New York, New York, licensed in New York (315306) and active in the NPI registry since June 2018. He is enrolled in Medicare PECOS, is affiliated with Metropolitan Hospital Center, and is a graduate of Other (2018).

NPPES Registry Identity

NPI1821581042
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameDR. RAUL SERGIO MADRIGALCredential: MD
Location Address1901 1ST AVENew York, NY 10029-7491
Mailing Address1901 1st AveNew York, NY 10029-7491 · (212) 423-6271
Phone(212) 423-6271
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJune 12, 2018
Last NPPES UpdateMay 27, 20222 updates tracked since enumeration
NPPES CertifiedMay 27, 2022
✔ NPI 1821581042 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
Licenses✔ Licensed in NY · 315306✔ Licensed in FL · ME155464
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1901 1ST AVE, New York, NY 10029
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc..Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Raul Sergio Madrigal Md 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 ID5991183071
PECOS Enrollment IDI20220608000695
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 Raul Madrigal reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Metropolitan Medical Practice Plan PC
Same address
General Practice
1901 1ST AVE
New York, NY 10029
  • Reassigned Medicare billing, New York enrollment
  • 623 clinicians in this Medicare group
NPI 1306138383 (212) 423-7337
Physician Affiliate Group Of New York PC
2.1 mi
Dietitian, Registered
506 LENOX AVE
New York, NY 10037
  • Reassigned Medicare billing, New York enrollment
  • 2,094 clinicians in this Medicare group
NPI 1013375526 (212) 939-2467
Mccd Psychiatry Services PLLC
3.7 mi
Psychiatry
109 W 27TH ST # 5S
New York, NY 10001
  • Reassigned Medicare billing, Florida and New York enrollments
  • 48 clinicians in this Medicare group
NPI 1033750823 (917) 634-5311
Mccd Fl Psychiatry Services PA
841 mi
Psychiatry
1301 RIVERPLACE BLVD STE 800
Jacksonville, FL 32207
  • Reassigned Medicare billing, Florida enrollment
  • 247 clinicians in this Medicare group
NPI 1659003457 (833) 351-8255

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

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
48 services17 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Metropolitan Hospital Center

Acute Care Hospitals · New York, NY
1/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number330199
Location1901 First AvenueNew York, NY 10029 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10029 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
$198.19 typical visit price
range $65.69 – $198.19
Typical copayment $49.54 (range $16.42 – $49.54)
Most-billed visit code 99205
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.

KENNETH BOMPAROLA PA
Physician Assistant
1901 1ST AVE
NEW YORK, NY 10029
New York County (212) 423-6262
ESEOGHENE INYANG AKAMUNE PHARMD
Pharmacist (Pharmacotherapy)
1901 1ST AVE
NEW YORK, NY 10029
New York County (212) 423-6262
JONATHAN CHABON MD
Emergency Medicine
1901 1ST AVE
NEW YORK, NY 10029
New York County (212) 423-6684
KRITI BHANDARI MD
Student in an Organized Health Care Education/Training Program
1901 1ST AVE
NEW YORK, NY 10029
New York County (646) 988-5168
SEBASTIAN MARK MENDEZ
Psychiatry & Neurology (Psychiatry)
1901 1ST AVE
NEW YORK, NY 10029
New York County (646) 672-3143
KYRA QUYNN MANAYAN-LEONARD MD
Student in an Organized Health Care Education/Training Program
1901 1ST AVE
NEW YORK, NY 10029
New York County (844) 692-4692
ELENA ALAYETO LCSW
Social Worker (Clinical)
1901 1ST AVE
NEW YORK, NY 10029
New York County (212) 423-8633
BEATA EDYTA POPIS-MATEJAK MD
Internal Medicine (Critical Care Medicine)
1901 1ST AVE
NEW YORK, NY 10029
New York County (212) 423-6771

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 Raul Madrigal's NPI number?

The NPI number for Raul Madrigal is 1821581042. It was assigned to this individual provider in the NPPES registry on June 12, 2018.

Where is Raul Madrigal located?

Raul Madrigal practices at 1901 1st Ave, New York, NY 10029. The listed phone number is (212) 423-6271.

What is Raul Madrigal's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Raul Madrigal enrolled in Medicare?

Yes. Raul Madrigal 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.

Which organizations bill Medicare for Raul Madrigal's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Raul Madrigal reassigns Medicare benefits to 4 organizations: Metropolitan Medical Practice Plan PC (New York, NY), Physician Affiliate Group Of New York PC (New York, NY), Mccd Psychiatry Services PLLC (New York, NY) and Mccd Fl Psychiatry Services PA (Jacksonville, 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 Raul Madrigal's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Raul Madrigal accept?

Health plans from Cigna HealthCare of Florida, Inc. and Cigna Healthcare list Raul Madrigal 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.

Is Raul Madrigal affiliated with any hospitals?

According to CMS data, Raul Madrigal is affiliated with Metropolitan Hospital Center.

When was this NPI record last updated?

The NPPES record for Raul Madrigal was last updated on May 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.