JOSE M SAEZ D.O.
NPI 1316934417
Internal Medicine - Nephrology in Lewes, DE
About Jose M Saez D.o. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOSE M SAEZ D.O. (NPI 1316934417) is an individual nephrology provider in Lewes, Delaware, licensed in Delaware (C20005836) and active in the NPI registry since October 2005. He is enrolled in Medicare PECOS and is a graduate of Philadelphia College Of Osteopathic Medicine (1997).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted Insurance
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 M Saez D.o. 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.
Medicare Billing Reassignments
2Medicare enrollment records show Jose Saez reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Lewes, DE 19958
- Reassigned Medicare billing, Delaware enrollment
- 382 clinicians in this Medicare group
Milford, DE 19963
- Reassigned Medicare billing, Delaware enrollment
- 4 clinicians in this Medicare group
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 8
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 19958 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
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 Saez's NPI number?
The NPI number for Jose Saez is 1316934417. It was assigned to this individual provider in the NPPES registry on October 4, 2005.
Where is Jose Saez located?
Jose Saez practices at 36022 Tarpon Dr, Lewes, DE 19958. The listed phone number is (302) 430-0442.
What is Jose Saez's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.
Is Jose Saez enrolled in Medicare?
Yes. Jose Saez 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 organizations bill Medicare for Jose Saez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jose Saez reassigns Medicare benefits to 2 organizations: Beebe Physician Network, Inc. (Lewes, DE) and We Care Nephrology LLC (Milford, DE). Each 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 Saez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Jose Saez accept?
Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from NH Healthy Families, Ambetter from Sunflower Health Plan and AmeriHealth Caritas Next and 1 other insurer list Jose Saez as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Jose Saez was last updated on November 14, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.
# Jose M Saez, D.O. · NPI 1316934417
Nephrology physician in Lewes, Delaware. Individual provider, active in the CMS NPPES registry since October 4, 2005.
## Identity
- **NPI:** 1316934417 (Entity type: Individual)
- **Enumerated:** October 4, 2005
- **Primary specialty:** Internal Medicine - Nephrology · taxonomy 207RN0300X
- **State license:** C20005836 (Delaware)
- **Sole proprietor:** No
## Practice location
- **Address:** 36022 TARPON DR, Lewes, DE 19958-5058
- **Phone:** (302) 430-0442
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Beebe Physician Network, Inc. (NPI 1730133992, Lewes, DE); We Care Nephrology LLC (NPI 1013487032, Milford, DE) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Philadelphia College Of Osteopathic Medicine, class of 1997
## Record status
- **NPPES last updated:** November 14, 2018
- **Other identifiers:** Medicaid 1000016712 (DE)
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Source: [NPI Profile](https://npiprofile.com/npi/1316934417) · Data from the CMS NPPES public registry.