RAFAEL ANTONIO BURGOS CALDERON M.D
NPI 1376653162
Internal Medicine - Nephrology in Bayamon, PR

Active since August 30, 2006PECOS EnrolledAccepts Medicare Assignment
RIVER TOWN PLAZA LOCAL B, 50 AVE LOS FILTROS BO JUAN SANCHEZ, BAYAMON, PR 00959(787) 798-5090 Get Directions Write a Review

NPPES record last updated: February 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Rafael Antonio Burgos Calderon M.d NPPES

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

RAFAEL ANTONIO BURGOS CALDERON M.D (NPI 1376653162) is an individual nephrology provider in Bayamon, Puerto Rico, licensed in Puerto Rico (3098) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of University Of Puerto Rico School Of Medicine (1965).

NPPES Registry Identity

NPI1376653162
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameRAFAEL ANTONIO BURGOS CALDERONCredential: M.D
Location AddressRIVER TOWN PLAZA LOCAL B, 50 AVE LOS FILTROS BO JUAN SANCHEZBayamon, PR 00959
Mailing AddressUrb Los Frailes Norte, Calle 1 J 13Guaynabo, PR 00966-3512 · (787) 925-2024
Sole ProprietorNo
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 1965
Enumeration DateAugust 30, 2006
Last NPPES UpdateFebruary 7, 2025
NPPES CertifiedFebruary 4, 2025
✔ NPI 1376653162 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in PR · 3098
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

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

Rafael Antonio Burgos Calderon 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 ID9133215171
PECOS Enrollment IDI20071022000577
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 Rafael Burgos Calderon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Multi-Specialty
RIVER TOWN PLAZA, 50 AVE LOS FILTROS, BO. JUAN SANCHEZ
Bayamon, PR 00969
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 11 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

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
31 services18 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00959 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.

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 Rafael Burgos Calderon's NPI number?

The NPI number for Rafael Burgos Calderon is 1376653162. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Rafael Burgos Calderon located?

Rafael Burgos Calderon practices at River Town Plaza Local B 50 Ave Los Filtros Bo Juan Sanchez, Bayamon, PR 00959. The listed phone number is (787) 798-5090.

What is Rafael Burgos Calderon's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Rafael Burgos Calderon enrolled in Medicare?

Yes. Rafael Burgos Calderon 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 Rafael Burgos Calderon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rafael Burgos Calderon reassigns Medicare benefits to Corredor Azul Integral LLC (Bayamon, 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 Rafael Burgos Calderon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Rafael Burgos Calderon was last updated on February 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.