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JOSE R DE JESUS MELENDEZ MD
NPI 1225271612
Pathology - Anatomic Pathology in San Juan, PR

Active since April 14, 2009PECOS EnrolledAccepts Medicare Assignment
75.59/100
CMS Quality Rating
UNIVERSITY SCIENCE CAMPUS, RCM PO 365067, SAN JUAN, PR 00936(787) 758-2525 Get Directions Write a Review

NPPES record last updated: May 14, 2009. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jose R De Jesus Melendez Md NPPES

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

JOSE R DE JESUS MELENDEZ MD (NPI 1225271612) is an individual anatomic pathology provider in San Juan, Puerto Rico, licensed in Puerto Rico (17551) and active in the NPI registry since April 2009. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Community Hosp, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1225271612
Entity TypeIndividualMale
Primary Taxonomy207ZP0101X
Provider Legal NameJOSE R DE JESUS MELENDEZCredential: MD
Location AddressUNIVERSITY SCIENCE CAMPUS, RCM PO 365067San Juan, PR 00936-5067
Mailing AddressUniversity Science Campus, Rcm Po 365067San Juan, PR 00936-5067 · (787) 758-2525
Phone(787) 758-2525
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateApril 14, 2009
Last NPPES UpdateMay 14, 2009
✔ NPI 1225271612 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Anatomic PathologyAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0101X
License✔ Licensed in PR · 17551
Definition
A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.
UNIVERSITY SCIENCE CAMPUS, San Juan, PR 00936
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Other Names 1

Former Name (1)Jose R De Jesus Melendez Md

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jose R De Jesus Melendez Md 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 ID5294985586
PECOS Enrollment IDI20121023000074
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 Jose De Jesus Melendez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Hato Rey Pathology Associates Inc
Clinical Medical Laboratory
300 -302 AVE DOMENECH, URB BALDRICH
San Juan, PR 00918
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 23 clinicians in this Medicare group
NPI 1740460583 (787) 765-7320

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

Areas of Expertise CMS Part B claims 2

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.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
43 services33 patients
Pathology examination of tissue using a microscope, intermediate complexity 88305
A pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
34 services21 patients

Hospital Affiliations CMS Care Compare 3

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

Presbyterian Community Hosp

Acute Care Hospitals · San Juan, PR
OwnershipVoluntary non-profit - Private
CMS Certification Number400001
Location1451 Ashford AvenueSan Juan, PR 00907 · San Juan County
Emergency services

Hospital Pavia Santurce

Acute Care Hospitals · San Juan, PR
OwnershipVoluntary non-profit - Private
CMS Certification Number400019
LocationStreet Profesor Augusto Rodriguez #1462San Juan, PR 00910 · San Juan County
Emergency services

Hospital Del Centro Comprensivo De Cancer

Acute Care Hospitals · San Juan, PR
OwnershipGovernment - State
CMS Certification Number400135
LocationPr 21 Int Pr 18 Bo Monacillos UrbanoSan Juan, PR 00927 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00936 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.

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.

75.59/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality71.29
Improvement Activities40

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 Jose De Jesus Melendez's NPI number?

The NPI number for Jose De Jesus Melendez is 1225271612. It was assigned to this individual provider in the NPPES registry on April 14, 2009. The provider is also known as Jose R De Jesus Melendez MD.

Where is Jose De Jesus Melendez located?

Jose De Jesus Melendez practices at University Science Campus Rcm PO 365067, San Juan, PR 00936. The listed phone number is (787) 758-2525.

What is Jose De Jesus Melendez's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology, with taxonomy code 207ZP0101X.

Is Jose De Jesus Melendez enrolled in Medicare?

Yes. Jose De Jesus Melendez 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.

Which organization bills Medicare for Jose De Jesus Melendez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jose De Jesus Melendez reassigns Medicare benefits to Hato Rey Pathology Associates Inc (San Juan, 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 Jose De Jesus Melendez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Jose De Jesus Melendez affiliated with any hospitals?

According to CMS data, Jose De Jesus Melendez is affiliated with Presbyterian Community Hosp, Hospital Pavia Santurce and Hospital Del Centro Comprensivo De Cancer.

When was this NPI record last updated?

The NPPES record for Jose De Jesus Melendez was last updated on May 14, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.