DR. HIRAM JUDIEL JIMENEZ DAVILA MD
NPI 1356805105
Ophthalmology in San Juan, PR

Active since January 25, 2019PECOS EnrolledAccepts Medicare Assignment
DR. JOSE CELSO BALBOSA DRIVE, SAN JUAN, PR 00921(787) 758-2525 Get Directions Write a Review

NPPES record last updated: August 17, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 17, 2026, Nov 7, 2022, Jan 25, 2019 (3 updates tracked since 2019).

About Dr. Hiram Judiel Jimenez Davila Md NPPES

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

DR. HIRAM JUDIEL JIMENEZ DAVILA MD (NPI 1356805105) is an individual ophthalmology provider in San Juan, Puerto Rico, licensed in Georgia (111100) and active in the NPI registry since January 2019. He is enrolled in Medicare PECOS, is affiliated with Grady Memorial Hospital, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1356805105
Entity TypeIndividualMale
Primary Taxonomy207W00000X
Provider Legal NameDR. HIRAM JUDIEL JIMENEZ DAVILACredential: MD
Location AddressDR. JOSE CELSO BALBOSA DRIVESan Juan, PR 00921
Mailing AddressCondominio Parque Centro Edif Ceiba D10San Juan, PR 00918
Sole ProprietorYes
Medical School CMSOtherGraduated 2021
Enumeration DateJanuary 25, 2019
Last NPPES UpdateAugust 17, 20263 updates tracked since enumeration
NPPES CertifiedAugust 17, 2026
✔ NPI 1356805105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyOphthalmologyAllopathic & Osteopathic Physicians
Taxonomy Code207W00000X
Licenses✔ Licensed in GA · 111100✔ Licensed in PR · 16425-I
Definition
An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses.

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

Dr. Hiram Judiel Jimenez Davila 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 ID2062997406
PECOS Enrollment IDI20260402002204
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 Reassignments

2

Medicare enrollment records show Hiram Jimenez Davila reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
80 JESSE HILL JR DRIVE, EMCF
Atlanta, GA 30303
  • Reassigned Medicare billing, Georgia enrollment
  • 2,681 clinicians in this Medicare group
Internal Medicine
1365 CLIFTON RD NE
Atlanta, GA 30322
  • Reassigned Medicare billing, Georgia enrollment
  • 4,840 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.

Hospital Affiliations CMS Care Compare

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

Grady Memorial Hospital

Acute Care Hospitals · Atlanta, GA
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110079
Location80 Jesse Hill, Jr Drive SEAtlanta, GA 30303 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00921 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
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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 Hiram Jimenez Davila's NPI number?

The NPI number for Hiram Jimenez Davila is 1356805105. It was assigned to this individual provider in the NPPES registry on January 25, 2019.

Where is Hiram Jimenez Davila located?

Hiram Jimenez Davila practices at Dr. Jose Celso Balbosa Drive, San Juan, PR 00921. The listed phone number is (787) 758-2525.

What is Hiram Jimenez Davila's specialty?

The primary specialty registered for this NPI is Ophthalmology with taxonomy code 207W00000X.

Is Hiram Jimenez Davila enrolled in Medicare?

Yes. Hiram Jimenez Davila 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 Hiram Jimenez Davila's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hiram Jimenez Davila reassigns Medicare benefits to 2 organizations: Emory Medical Care Foundation Inc (Atlanta, GA) and The Emory Clinic Inc (Atlanta, GA). 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 Hiram Jimenez Davila's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hiram Jimenez Davila accept?

Health plans from Oscar Health list Hiram Jimenez Davila 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.

Is Hiram Jimenez Davila affiliated with any hospitals?

According to CMS data, Hiram Jimenez Davila is affiliated with Grady Memorial Hospital.

When was this NPI record last updated?

The NPPES record for Hiram Jimenez Davila was last updated on August 17, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.