Carlos H Montoya-iraheta, MD - Medicare Pediatrics in Mineola, NY

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Carlos H Montoya-iraheta, MD is a medicare enrolled "Pediatrics - Pediatric Cardiology" physician in Mineola, New York. His current practice location is 120 Mineola Blvd, Suite 210, Mineola, New York. You can reach out to his office (for appointments etc.) via phone at (516) 663-4600.

Carlos H Montoya-iraheta is licensed to practice in New York (license number 188908) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1447292578.

Contact Information

Carlos H Montoya-iraheta, MD
120 Mineola Blvd, Suite 210,
Mineola, NY 11501-4073
(516) 663-4600
(516) 663-4473

Map and Direction




Physician's Profile

Full NameCarlos H Montoya-iraheta
GenderMale
SpecialityPediatrics - Pediatric Cardiology
Location120 Mineola Blvd, Mineola, New York
Accepts Medicare AssignmentsMedicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.
  NPI Data:
  • NPI Number: 1447292578
  • Provider Enumeration Date: 06/12/2006
  • Last Update Date: 11/13/2013
  Medicare PECOS Information:
  • PECOS PAC ID: 8224211743
  • Enrollment ID: I20110322000129

Medical Identifiers

Medical identifiers for Carlos H Montoya-iraheta such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1447292578NPI-NPPES
01344747MedicaidNY

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2080P0202XPediatrics - Pediatric Cardiology 188908 (New York)Primary
2080P0203XPediatrics - Pediatric Critical Care Medicine 188908 (New York)Secondary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Carlos H Montoya-iraheta allows following entities to bill medicare on his behalf.
Entity NameMount Sinai School Of Medicine
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1508127531
PECOS PAC ID: 6406096544
Enrollment ID: O20130712000368

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Carlos H Montoya-iraheta is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Carlos H Montoya-iraheta, MD
222 Station Plz N, Suite 611,
Mineola, NY 11501-3808

Ph: (516) 663-2532		Carlos H Montoya-iraheta, MD
120 Mineola Blvd, Suite 210,
Mineola, NY 11501-4073

Ph: (516) 663-4600

Reviews and Comments


Pediatrics Doctors in Mineola, NY

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Kaitlin Boehm, DO
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Dr. Julie Weiser-shlefstein, M.D.
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Phone: 516-227-9501    Fax: 517-227-9644
Rolando Capati Guevarra, M.D.
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Practice Location: 222 Station Plz N, Suite 408, Mineola, NY 11501
Phone: 516-663-8534    Fax: 516-663-8297

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.