Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. HELIO F PEDRO M.D.
NPI 1215983382
Internal Medicine in Newark, NJ

Active since May 26, 2006PECOS Enrolled
75.8/100
CMS Quality Rating
185 S ORANGE AVE, MSB F-653, NEWARK, NJ 07103(973) 972-4480 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 13, 2026, Sep 11, 2025 (2 updates tracked since 2025).

About Dr. Helio F Pedro M.d. NPPES

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

DR. HELIO F PEDRO M.D. (NPI 1215983382) is an individual internal medicine provider in Newark, New Jersey, licensed in New Jersey (MA069676) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (1995).

NPPES Registry Identity

NPI1215983382
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. HELIO F PEDROCredential: M.D.
Location Address185 S ORANGE AVE, MSB F-653Newark, NJ 07103-2757
Mailing Address185 S Orange Ave, Msb F-653Newark, NJ 07103-2757 · (973) 972-4480
Sole ProprietorNo
Medical School CMSOtherGraduated 1995
Enumeration DateMay 26, 2006
Last NPPES UpdateJuly 13, 20262 updates tracked since enumeration
NPI 1215983382 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in NJ · MA069676
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 ListedMedical Genetics · Clinical Genetics (M.D.)Taxonomy 207SG0201X · License MA069676 (NJ)
Also ListedMedical Genetics · Clinical Biochemical GeneticsTaxonomy 207SG0202X · License MA069676 (NJ)
Also ListedPediatricsTaxonomy 208000000X · License MA069676 (NJ)
185 S ORANGE AVE, Newark, NJ 07103

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. Helio F Pedro 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 ID5597723080
PECOS Enrollment IDI20041230000220
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.

Hospital Affiliations CMS Care Compare

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

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07103 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$111.57 typical visit price
range $20.97 – $155.92
Typical copayment $27.89 (range $5.24 – $38.98)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.8/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.65
Promoting Interoperability100
Improvement Activities40
Cost50.69

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.

Anesthesiology
185 S ORANGE AVE, MSB STE E547
NEWARK, NJ 07103
Internal Medicine (Endocrinology, Diabetes & Metabolism)
185 S ORANGE AVE, MSB I588
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
185 S ORANGE AVE
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
185 S ORANGE AVE
NEWARK, NJ 07103
Physician Assistant (Medical)
185 S ORANGE AVE
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
185 S ORANGE AVE
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
185 S ORANGE AVE
NEWARK, NJ 07103
Student in an Organized Health Care Education/Training Program
185 S ORANGE AVE
NEWARK, NJ 07103

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 Helio Pedro's NPI number?

The NPI number for Helio Pedro is 1215983382. It was assigned to this individual provider in the NPPES registry on May 26, 2006.

Where is Helio Pedro located?

Helio Pedro practices at 185 S Orange Ave Msb F-653, Newark, NJ 07103. The listed phone number is (973) 972-4480.

What is Helio Pedro's specialty?

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

Is Helio Pedro enrolled in Medicare?

Yes. Helio Pedro 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 Helio Pedro affiliated with any hospitals?

According to CMS data, Helio Pedro is affiliated with Hackensack University Medical Center.

When was this NPI record last updated?

The NPPES record for Helio Pedro was last updated on July 13, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 35 days 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.