Karen Aviles, M.D.
NPI 1104358431 · Hospitalist Physician · Manhasset, NY
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Karen Aviles, M.D. is a Hospitalist Physician provider in Manhasset, NY (NPI 1104358431).
Provider details
- NPI number
- 1104358431
- Entity type
- Individual
- Primary specialty
- Hospitalist PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- License
- 305690 (NY)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
9 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
478 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 226 | $131 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 159 | $87 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 51 | $127 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 24 | $192 |
| Advance Care Planning, First 30 Minutes99497 | 18 | $84 |
Typical Medicare-allowed amounts for these services range $84–$192 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$36 across 1 record (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Registry dates
- Enumerated
- 2017-03-27
- Last updated
- 2020-06-23
- Certified
- 2020-06-23
Frequently asked questions
- What is Karen Aviles's NPI number?
- Karen Aviles's National Provider Identifier (NPI) is 1104358431, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Karen Aviles's specialty?
- Karen Aviles is listed in the NPPES registry with a primary specialty of Hospitalist Physician (Allopathic & Osteopathic Physicians).
- Where is Karen Aviles located?
- Karen Aviles's practice location on file with NPPES is 300 Community Dr, Manhasset, NY 11030-3816.
- What is Karen Aviles's phone number?
- The practice phone number listed in the NPPES registry for Karen Aviles is (516) 562-0100.
- Does Karen Aviles accept Medicare?
- Karen Aviles is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Karen Aviles's NPI active?
- Yes — Karen Aviles's NPI (1104358431) is active in the NPPES registry as of the last update on 2020-06-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.