DR. SHEILA MERCADO M.D.
NPI 1073947834
Internal Medicine - Endocrinology, Diabetes & Metabolism in Manati, PR

Active since August 29, 2013PECOS EnrolledAccepts Medicare Assignment
SUITE 213 MMC PROFESSIONAL PLAZA, 200 CALLE HERNANDEZ CARRION, MANATI, PR 00674(787) 621-4828 Get Directions Write a Review

NPPES record last updated: October 31, 2019. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Oct 31, 2019, Aug 11, 2019, Mar 12, 2018 (3 updates tracked since 2018).

About Dr. Sheila Mercado M.d. NPPES

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

DR. SHEILA MERCADO M.D. (NPI 1073947834) is an individual endocrinology, diabetes & metabolism provider in Manati, Puerto Rico, licensed in Puerto Rico (19658) and active in the NPI registry since August 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1073947834
Entity TypeIndividualFemale
Primary Taxonomy207RE0101X
Provider Legal NameDR. SHEILA MERCADOCredential: M.D.
Location AddressSUITE 213 MMC PROFESSIONAL PLAZA, 200 CALLE HERNANDEZ CARRIONManati, PR 00674
Mailing AddressHc 8 Box 84612San Sebastian, PR 00685-8726 · (787) 245-6859
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateAugust 29, 2013
Last NPPES UpdateOctober 31, 20193 updates tracked since enumeration
NPI 1073947834 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Endocrinology, Diabetes & MetabolismAllopathic & Osteopathic Physicians
Taxonomy Code207RE0101X
License Licensed in PR · 19658
Definition
An internist who concentrates on disorders of the internal (endocrine) glands such as the thyroid and adrenal glands. This specialist also deals with disorders such as diabetes, metabolic and nutritional disorders, obesity, pituitary diseases and menstrual and sexual problems.
Also ListedInternal MedicineTaxonomy 207R00000X · License 19658 (PR)

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. Sheila Mercado 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 ID5890021943
PECOS Enrollment IDI20190726000435
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

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.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
54 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00674 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
$130.65 typical visit price
range $56.86 – $172.44
Typical copayment $32.66 (range $14.21 – $43.11)
Most-billed visit code 99204
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers21 claims21 services$185.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Sheila Mercado's NPI number?

The NPI number for Sheila Mercado is 1073947834. It was assigned to this individual provider in the NPPES registry on August 29, 2013.

Where is Sheila Mercado located?

Sheila Mercado practices at Suite 213 Mmc Professional Plaza 200 Calle Hernandez Carrion, Manati, PR 00674. The listed phone number is (787) 621-4828.

What is Sheila Mercado's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Endocrinology, Diabetes & Metabolism, with taxonomy code 207RE0101X.

Is Sheila Mercado enrolled in Medicare?

Yes. Sheila Mercado 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.

When was this NPI record last updated?

The NPPES record for Sheila Mercado was last updated on October 31, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.