SERGIO MAGANA AVILA MD
NPI 1881276400
Internal Medicine in Flushing, NY

Active since April 23, 2021PECOS EnrolledAccepts Medicare Assignment
4500 PARSONS BLVD, FLUSHING, NY 11355(442) 236-8969 Get Directions Write a Review

NPPES record last updated: July 17, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Jul 17, 2026, Jun 30, 2024, Apr 23, 2021 (3 updates tracked since 2021).

About Sergio Magana Avila Md NPPES

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

SERGIO MAGANA AVILA MD (NPI 1881276400) is an individual internal medicine provider in Flushing, New York, licensed in California (412787) and active in the NPI registry since April 2021. He is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1881276400
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameSERGIO MAGANA AVILACredential: MD
Location Address4500 PARSONS BLVDFlushing, NY 11355
Mailing Address12 E 2nd St # 25205Calexico, CA 92231-2618 · Fax (442) 268-1909
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateApril 23, 2021
Last NPPES UpdateJuly 17, 20263 updates tracked since enumeration
NPPES CertifiedJuly 17, 2026
✔ NPI 1881276400 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · 412787
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.
4500 PARSONS BLVD, Flushing, NY 11355

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

Sergio Magana Avila 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 ID8921544628
PECOS Enrollment IDI20240718000512
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 Sergio Magana Avila reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hospitalist
465 W PUTNAM AVE
Porterville, CA 93257
  • Reassigned Medicare billing, California enrollment
  • 159 clinicians in this Medicare group

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
108 services47 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
59 services28 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
45 services45 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
15 services15 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11355 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 20

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

Student in an Organized Health Care Education/Training Program
4500 PARSONS BLVD
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
4500 PARSONS BLVD
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
4500 PARSONS BLVD
FLUSHING, NY 11355
Anesthesiology
4500 PARSONS BLVD
FLUSHING, NY 11355
Psychiatry & Neurology (Psychiatry)
4500 PARSONS BLVD
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
4500 PARSONS BLVD
FLUSHING, NY 11355
Hospitalist
4500 PARSONS BLVD
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
4500 PARSONS BLVD
FLUSHING, NY 11355

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 Sergio Magana Avila's NPI number?

The NPI number for Sergio Magana Avila is 1881276400. It was assigned to this individual provider in the NPPES registry on April 23, 2021.

Where is Sergio Magana Avila located?

Sergio Magana Avila practices at 4500 Parsons Blvd, Flushing, NY 11355. The listed phone number is (442) 236-8969.

What is Sergio Magana Avila's specialty?

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

Is Sergio Magana Avila enrolled in Medicare?

Yes. Sergio Magana Avila 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 organization bills Medicare for Sergio Magana Avila's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sergio Magana Avila reassigns Medicare benefits to 24 On Physicians Of California, PC (Porterville, CA). 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 Sergio Magana Avila'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 Sergio Magana Avila was last updated on July 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.