ILEANA EILEEN OCASIO MELENDEZ M.D. NPI 1013140292

Internal Medicine (Nephrology) in Dorado, PR

NPI 1013140292 Individual Female Years of Experience 17 Internal Medicine Nephrology PECOS Enrolled Accepts Medicare Approved Payment

About ILEANA OCASIO MELENDEZ

Ileana Ocasio Melendez is an internal medicine provider established in Dorado, Puerto Rico and her medical specialization is internal medicine (nephrology) with more than 17 years of experience. She graduated from University Of Puerto Rico School Of Medicine in 2005. The NPI number of Ileana Ocasio Melendez is 1013140292 and was assigned on September 2009. The practitioner's primary taxonomy code is 207RN0300X with license number 18534 (PR). The provider is registered as an individual and her NPI record was last updated 7 years ago.

An internist like Ileana Eileen Ocasio Melendez M.d. is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Ileana Ocasio Melendez is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Ileana Ocasio Melendez is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Hospital Universitario De Adulto and Hospital Upr, Dr Federico Trilla.

NPI

1013140292

Provider Name ILEANA EILEEN OCASIO MELENDEZ M.D.
Provider Location AddressCARR 693 DOCTORS CENTER CLINIC, PLAZA DORADA 24 DORADO, PR 00646
Provider Mailing AddressE14 ST 1 ALTOS DE LA FUENTE CAGUAS, PR 00727
GenderFemale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY OF PUERTO RICO SCHOOL OF MEDICINE
Graduation Year2005
Is Sole Proprietor?Yes
Is Organization Subpart?N/A
Enumeration Date09-03-2009
Last Update Date12-23-2014


Primary Taxonomy

Taxonomy Code207RN0300X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationNephrology
License No.18534
License StatePR
Taxonomy DescriptionAn internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Business Address

ILEANA EILEEN OCASIO MELENDEZ M.D.
CARR 693
DOCTORS CENTER CLINIC, PLAZA DORADA 24
DORADO, PR
ZIP 00646
Phone: (787) 665-2222
Fax: (787) 665-0101

Get Directions


Mailing Address

ILEANA EILEEN OCASIO MELENDEZ M.D.
E14 ST 1
ALTOS DE LA FUENTE
CAGUAS, PR
ZIP 00727
Phone: (787) 665-0101



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID6608096011
PECOS Enrollment IDI20141007002311
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 65Hemodialysis procedure with one physician evaluation (HCPCS:90935)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Ileana Ocasio Melendez is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
HOSPITAL UNIVERSITARIO DE ADULTOBARRIO MONACILLOS CENTROMEDICO
RIO PIEDRAS, PR 927
(787) 754-0101Acute Care Hospitals400061
HOSPITAL UPR, DR FEDERICO TRILLACARR 3 KM 8 3 AVE 65TH INFANTERIA BOX 6021
CAROLINA, PR 984
(787) 757-1800Acute Care Hospitals400112

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.