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RAUL MELENDEZ AYALA
NPI 1528155363
Internal Medicine in Dorado, PR

Active since October 05, 2006PECOS EnrolledAccepts Medicare Assignment
URB SABANERA DE DORADO 401 CAMINO DE LOS JOBANES, DORADO, PR 00646(787) 798-0043 Get Directions Write a Review

NPPES record last updated: January 22, 2019. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Raul Melendez Ayala NPPES

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

RAUL MELENDEZ AYALA (NPI 1528155363) is an individual internal medicine provider in Dorado, Puerto Rico, licensed in Puerto Rico (14175) and active in the NPI registry since October 2006. He is enrolled in Medicare PECOS, is affiliated with Hima San Pablo Bayamon, and is a graduate of Other (1998).

NPPES Registry Identity

NPI1528155363
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRAUL MELENDEZ AYALA
Location AddressURB SABANERA DE DORADO 401 CAMINO DE LOS JOBANESDorado, PR 00646
Mailing AddressCond. Paseo Abril, Apat. 604Toa Baja, PR 00949
Phone(787) 798-0043
Sole ProprietorYes
Medical School CMSOtherGraduated 1998
Enumeration DateOctober 5, 2006
Last NPPES UpdateJanuary 22, 2019
✔ NPI 1528155363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in PR · 14175
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Raul Melendez Ayala 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 ID3173417599
PECOS Enrollment IDI20040209000378
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.

Areas of Expertise CMS Part B claims 5

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.
122 services40 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.
47 services13 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000
An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.
45 services30 patients
Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only 93010
A routine electrocardiogram (ECG) with 12 leads is a simple, non-invasive test that records the electrical activity of your heart. It helps in identifying heart conditions by detecting irregularities in your heart rhythms. The results are interpreted and a report is provided.
14 services11 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.
14 services11 patients

Hospital Affiliations CMS Care Compare

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

Hima San Pablo Bayamon

Acute Care Hospitals · Bayamon, PR
1/5 CMS rating
OwnershipProprietary
CMS Certification Number400109
Location70 Calle Santa CruzBayamon, PR 00961 · Bayamon County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00646 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 3

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

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers23 claims96 services$7.23 avg. paid by Medicare
Normal, low and high calibrator solution / chips A4256
DME-Other DME · category DE000N
2 suppliers23 claims23 services$2.94 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
2 suppliers23 claims48 services$1.24 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 Raul Melendez Ayala's NPI number?

The NPI number for Raul Melendez Ayala is 1528155363. It was assigned to this individual provider in the NPPES registry on October 5, 2006.

Where is Raul Melendez Ayala located?

Raul Melendez Ayala practices at Urb Sabanera De Dorado 401 Camino De Los Jobanes, Dorado, PR 00646. The listed phone number is (787) 798-0043.

What is Raul Melendez Ayala's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Raul Melendez Ayala enrolled in Medicare?

Yes. Raul Melendez Ayala 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.

Is Raul Melendez Ayala affiliated with any hospitals?

According to CMS data, Raul Melendez Ayala is affiliated with Hima San Pablo Bayamon.

When was this NPI record last updated?

The NPPES record for Raul Melendez Ayala was last updated on January 22, 2019. 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.