Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Douglas Craig Distefano, MD

Individual provider Cardiovascular Disease Physician · NPI 1487795225

Dr. Douglas Craig Distefano, MD is registered under Cardiovascular Disease (Cardiology) in New York, New York. Graduated from New York University School of Medicine in 1974, 52 years ago. Practices with Icahn School of Medicine at Mount Sinai, a 2,791-clinician group, works from 3 locations and accepts Medicare assignment. Licensed in New York.

Years since qualifying
52
Trained at
New York University School of Medicine
Licensed in
NY
In the registry since
2007
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1190 5th Ave
New York, NY 10029-6503
Phone: (212) 427-1540
Fax: (212) 410-7196
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1 Gustave L Levy Pl, New York, NY 10029-6504 — (212) 427-1540
  • 1185 Park Ave Apt 1l, New York, NY 10128-1307 — (212) 427-6101

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 127858 (NY)

Record details

NPI number1487795225
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedFebruary 12, 2007
Last updated in NPPESMay 5, 2021
Certification dateMay 5, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCARDIOVASCULAR DISEASE (CARDIOLOGY)
Medical schoolNEW YORK UNIVERSITY SCHOOL OF MEDICINE
Graduated 1974 (52 years in practice)
Group practice Icahn School Of Medicine At Mount Sinai — 2791 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients808
Services billed 2,244 a service is one billed item, such as a visit, a test or a procedure
Average patient age76

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Practises at

Facilities the CMS Facility Affiliation file lists for this clinician.

Colleagues at Icahn School of Medicine at Mount Sinai

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 2791 clinicians in the practice; 12 are shown here.

Other providers in New York