Rene Mediavillo, M.D.
NPI 1376622019 · Specialist · Ozone Park, NY
Enrolled with Medicare as Practitioner - Radiation Oncology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Rene Mediavillo, M.D. is a Specialist provider in Ozone Park, NY (NPI 1376622019).
Provider details
- NPI number
- 1376622019
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 136585 (NY)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
1,928 Medicare services, 2024 (ranked within specialty)
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 methodology.
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) |
|---|---|---|
| Ct Guidance for Insertion of Radiation Therapy Fields77014 | 550 | $137 |
| Intensity Modulated Treatment Delivery, Single Or Multiple Fields/Arcs,via Narrow Spatially and Temporally Modulated Beams, Binary, Dynamic Mlc, Per Treatment SessionG6015 | 470 | $418 |
| X-Ray During Radiation Therapy77417 | 315 | $18 |
| Continuing Radiation Therapy Consultation Per Week77336 | 115 | $105 |
| Radiation Treatment Management, 5 Treatment Sessions77427 | 111 | $211 |
| Design and Construction of Complex Radiation Treatment Device77334 | 80 | $143 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-11-03
- Last updated
- 2007-07-09
Frequently asked questions
- What is Rene Mediavillo's NPI number?
- Rene Mediavillo's National Provider Identifier (NPI) is 1376622019, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Rene Mediavillo's specialty?
- Rene Mediavillo is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Rene Mediavillo located?
- Rene Mediavillo's practice location on file with NPPES is 9202 Liberty Ave, Ozone Park, NY 11417-1526.
- What is Rene Mediavillo's phone number?
- The practice phone number listed in the NPPES registry for Rene Mediavillo is (718) 835-9729.
- Does Rene Mediavillo accept Medicare?
- Rene Mediavillo is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Rene Mediavillo's NPI active?
- Yes — Rene Mediavillo's NPI (1376622019) is active in the NPPES registry as of the last update on 2007-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.