Dr Carlos Rios, MD - Medicare Internal Medicine in New York, NY

Dr Carlos Rios, MD is a medicare enrolled "Internal Medicine" physician in New York, New York. He went to Icahn School Of Medicine At Mount Sinai and graduated in 2005 and has 19 years of diverse experience with area of expertise as Internal Medicine. He is a member of the group practice Icahn School Of Medicine At Mount Sinai and his current practice location is 234 E 85th St, New York, New York. You can reach out to his office (for appointments etc.) via phone at (212) 241-6585.

Dr Carlos Rios is licensed to practice in New York (license number 246298) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1255540456.

Contact Information

Dr Carlos Rios, MD
234 E 85th St,
New York, NY 10028-3001
(212) 241-6585
Not Available

Map and Direction




Physician's Profile

Full NameDr Carlos Rios
GenderMale
SpecialityInternal Medicine
Experience19 Years
Location234 E 85th St, New York, New York
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Carlos Rios attended and graduated from Icahn School Of Medicine At Mount Sinai in 2005
  NPI Data:
  • NPI Number: 1255540456
  • Provider Enumeration Date: 05/22/2007
  • Last Update Date: 02/22/2019
  Medicare PECOS Information:
  • PECOS PAC ID: 1052466406
  • Enrollment ID: I20090908000592

Medical Identifiers

Medical identifiers for Dr Carlos Rios such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1255540456NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
208000000XPediatrics 246298 (New York)Secondary
207R00000XInternal Medicine 246298 (New York)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Vns Of Ny Home Care ChhaNew york, NYHome health agency
Mount Sinai HospitalNew york, NYHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Icahn School Of Medicine At Mount Sinai22646910702323

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. Dr Carlos Rios allows following entities to bill medicare on his behalf.
Entity NameIcahn School Of Medicine At Mount Sinai
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1124550280
PECOS PAC ID: 2264691070
Enrollment ID: O20121227000330

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. Dr Carlos Rios 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
Dr Carlos Rios, MD
1 Gustave L Levy Pl, Box 3000,
New York, NY 10029-6500

Ph: (212) 987-3100
Dr Carlos Rios, MD
234 E 85th St,
New York, NY 10028-3001

Ph: (212) 241-6585

Reviews and Comments


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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.