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ISMAEL SEPULVEDA M.D.
NPI 1043364227
Family Medicine in Mayaguez, PR

Active since January 23, 2007PECOS Enrolled
392 CALLE POST S, MAYAGUEZ, PR 00680(787) 805-2900 Get Directions Write a Review

NPPES record last updated: September 9, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Ismael Sepulveda M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ISMAEL SEPULVEDA M.D. (NPI 1043364227) is an individual family medicine provider in Mayaguez, Puerto Rico, licensed in Puerto Rico (5854) and active in the NPI registry since January 2007. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1043364227
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameISMAEL SEPULVEDACredential: M.D.
Location Address392 CALLE POST SMayaguez, PR 00680-1700
Mailing Address457 Calle Almirante, Alturas De MayaguezMayaguez, PR 00682-6239 · (787) 265-1955
Phone(787) 805-2900
Sole ProprietorNo
Enumeration DateJanuary 23, 2007
Last NPPES UpdateSeptember 9, 2015
✔ NPI 1043364227 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PR · 5854
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedSpecialistTaxonomy 174400000X · License 5854 (PR)
392 CALLE POST S, Mayaguez, PR 00680
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Other Identifiers 1

Medicare UPINE01281PR

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Ismael Sepulveda M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Ismael Sepulveda reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Migrant Health Center Western Region, Inc.
Federally Qualified Health Center (FQHC)
180 RES CANDELARIA # 186
Mayaguez, PR 00682
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 129 clinicians in this Medicare group
NPI 1104544378 (787) 908-1342

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00680 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
Established Patient
$100.24 typical visit price
range $18.24 – $140.44
Typical copayment $25.06 (range $4.56 – $35.11)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. LILLIAN I TORRES R.PH.
Pharmacist
392 CALLE POST S
MAYAGUEZ, PR 00680
Mayagüez Municipio (787) 805-4707
MRS. JULIANA TORRES R.PH.
Pharmacist
392 CALLE POST S
MAYAGUEZ, PR 00680
Mayagüez Municipio (787) 805-4707

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ismael Sepulveda's NPI number?

The NPI number for Ismael Sepulveda is 1043364227. It was assigned to this individual provider in the NPPES registry on January 23, 2007.

Where is Ismael Sepulveda located?

Ismael Sepulveda practices at 392 Calle Post S, Mayaguez, PR 00680. The listed phone number is (787) 805-2900.

What is Ismael Sepulveda's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Ismael Sepulveda enrolled in Medicare?

Yes. Ismael Sepulveda is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Ismael Sepulveda's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ismael Sepulveda reassigns Medicare benefits to Migrant Health Center Western Region, Inc. (Mayaguez, PR). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Ismael Sepulveda's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Ismael Sepulveda was last updated on September 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.