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JUAN CARLOS CONDE SAN MIGUEL M.D
NPI 1407238900
Hospitalist in Ponce, PR

Active since June 22, 2015PECOS EnrolledAccepts Medicare Assignment
2225 PONCE BYPASS SUITE 407, HOSPITAL DAMAS, PONCE, PR 00717(787) 840-8686 Get Directions Write a Review

NPPES record last updated: July 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Juan Carlos Conde San Miguel M.d NPPES

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

JUAN CARLOS CONDE SAN MIGUEL M.D (NPI 1407238900) is an individual hospitalist provider in Ponce, Puerto Rico, licensed in District Of Columbia (MD600001828) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, maintains a secondary practice location in Washington, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1407238900
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameJUAN CARLOS CONDE SAN MIGUELCredential: M.D
Location Address2225 PONCE BYPASS SUITE 407, HOSPITAL DAMASPonce, PR 00717-1318
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (410) 933-0000
Phone(787) 840-8686
Sole ProprietorNo
Medical School CMSOtherGraduated 2014
Enumeration DateJune 22, 2015
Last NPPES UpdateJuly 30, 2025
NPPES CertifiedJuly 30, 2025
✔ NPI 1407238900 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in DC · MD600001828
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 58887 (TN), MD600001828 (DC)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 31,659-R (PR)

Secondary Practice Location 1

Location 15255 Loughboro Rd NWWashington, DC 20016-2633 · Phone (202) 537-4000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Insurance Company.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

Juan Carlos Conde San Miguel 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 ID7517290059
PECOS Enrollment IDI20220502000016
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

4

Medicare enrollment records show Juan Conde San Miguel reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospital Medicine Services Of Tennessee PC
Hospitalist
600 WILSON CREEK RD
Lawrenceburg, IN 47025
  • Reassigned Medicare billing, Tennessee enrollment
  • 394 clinicians in this Medicare group
NPI 1528433802 (812) 537-1010
Johns Hopkins Community Physicians, Inc
Internal Medicine
600 N WOLFE ST
Baltimore, MD 21287
  • Reassigned Medicare billing, District of Columbia enrollment
  • 691 clinicians in this Medicare group
NPI 1255359972 (410) 502-2037
Usacs Integrated Acute Care Services Of Maryland, LLC
Internal Medicine
106 BOW ST
Elkton, MD 21921
  • Reassigned Medicare billing, District of Columbia enrollment
  • 347 clinicians in this Medicare group
NPI 1922598929 (330) 493-4443
Wellmed Networks, Inc.
Cardiovascular Disease
7622 LOUIS PASTEUR, SUITE 100
San Antonio, TX 78229
  • Reassigned Medicare billing, Texas enrollment
  • 233 clinicians in this Medicare group
NPI 1386948677 (210) 588-0122

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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
799 services269 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
146 services143 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
130 services77 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
13 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00717 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.

Referred Medical Equipment & Supplies CMS DME claims 2

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
2 suppliers14 claims14 services$14.46 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers14 claims14 services$69.44 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Juan Conde San Miguel's NPI number?

The NPI number for Juan Conde San Miguel is 1407238900. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Where is Juan Conde San Miguel located?

Juan Conde San Miguel practices at 2225 Ponce Bypass Suite 407 Hospital Damas, Ponce, PR 00717. The listed phone number is (787) 840-8686.

What is Juan Conde San Miguel's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Juan Conde San Miguel enrolled in Medicare?

Yes. Juan Conde San Miguel 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 Juan Conde San Miguel's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Conde San Miguel reassigns Medicare benefits to 4 organizations: Hospital Medicine Services Of Tennessee PC (Lawrenceburg, IN), Johns Hopkins Community Physicians, Inc (Baltimore, MD), Usacs Integrated Acute Care Services Of Maryland, LLC (Elkton, MD) and Wellmed Networks, Inc. (San Antonio, TX). 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 Juan Conde San Miguel's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Juan Conde San Miguel accept?

Health plans from Oscar Insurance Company list Juan Conde San Miguel 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 Juan Conde San Miguel was last updated on July 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.