DR. RAUL J. MADRID-ZEPEDA M.D.
NPI 1053725887
Internal Medicine in Boston, MA

Active since June 19, 2014PECOS EnrolledAccepts Medicare Assignment
75 FRANCIS ST, BOSTON, MA 02115(617) 732-5500 Get Directions Write a Review

NPPES record last updated: March 17, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 17, 2018, Nov 8, 2017 (2 updates tracked since 2017).

About Dr. Raul J. Madrid-zepeda M.d. NPPES

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

DR. RAUL J. MADRID-ZEPEDA M.D. (NPI 1053725887) is an individual internal medicine provider in Boston, Massachusetts, licensed in Massachusetts (270599) and active in the NPI registry since June 2014. He is enrolled in Medicare PECOS, is affiliated with St Francis Hospital - The Heart Center, and maintains a secondary practice location in Bronx.

NPPES Registry Identity

NPI1053725887
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. RAUL J. MADRID-ZEPEDACredential: M.D.
Location Address75 FRANCIS STBoston, MA 02115-6110
Mailing Address75 Francis StBoston, MA 02115-6110 · (617) 732-5500
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateJune 19, 2014
Last NPPES UpdateMarch 17, 20182 updates tracked since enumeration
NPI 1053725887 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in MA · 270599
Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 15125 (ZZ)
75 FRANCIS ST, Boston, MA 02115

Secondary Practice Location 1

Location 14422 3rd Ave, Mills Bldg, Department of Internal MedicineBronx, NY 10457-2545 · Phone (832) 274-8729

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Raul J. Madrid-zepeda M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1355608639
PECOS Enrollment IDI20181109001459
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.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
1,299 services438 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
309 services297 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
106 services106 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
94 services80 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
57 services57 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02115 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
$144.11 typical visit price
range $63.72 – $189.86
Typical copayment $36.02 (range $15.93 – $47.46)
Most-billed visit code 99204
Established Patient
$111.18 typical visit price
range $21.07 – $155.29
Typical copayment $27.79 (range $5.26 – $38.82)
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 20

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

Internal Medicine (Pulmonary Disease)
75 FRANCIS ST, BRIGHAM & WOMEN'S HOSPITAL, PULMONARY & CRITICAL CARE
BOSTON, MA 02115
Anesthesiology
75 FRANCIS ST, DEPARTMENT OF ANESTHESIOLOGY CWN L2
BOSTON, MA 02115
Physician Assistant
75 FRANCIS ST
BOSTON, MA 02115
Radiology (Diagnostic Radiology)
75 FRANCIS ST
BOSTON, MA 02115
Radiology (Diagnostic Radiology)
75 FRANCIS ST, RADIOLOGY, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Internal Medicine (Pulmonary Disease)
75 FRANCIS ST, PULMONARY DIVISION BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Obstetrics & Gynecology (Gynecologic Oncology)
75 FRANCIS ST, BRIGHAM AND WOMEN'S HOSPITAL
BOSTON, MA 02115
Thoracic Surgery (Cardiothoracic Vascular Surgery)
75 FRANCIS ST
BOSTON, MA 02115

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 Raul Madrid-zepeda's NPI number?

The NPI number for Raul Madrid-zepeda is 1053725887. It was assigned to this individual provider in the NPPES registry on June 19, 2014.

Where is Raul Madrid-zepeda located?

Raul Madrid-zepeda practices at 75 Francis St, Boston, MA 02115. The listed phone number is (617) 732-5500.

What is Raul Madrid-zepeda's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Raul Madrid-zepeda enrolled in Medicare?

Yes. Raul Madrid-zepeda is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Raul Madrid-zepeda affiliated with any hospitals?

According to CMS data, Raul Madrid-zepeda is affiliated with St Francis Hospital - The Heart Center.

When was this NPI record last updated?

The NPPES record for Raul Madrid-zepeda was last updated on March 17, 2018. NPI Profile syncs with the weekly NPPES data releases published by CMS.