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DR. EDGARDO ISAAC BAEZ AYALA M.D.
NPI 1609967140
Internal Medicine in Sabana Grande, PR

Active since September 28, 2006PECOS EnrolledAccepts Medicare Assignment
CARR. 365 KM 0.8 BO. MACHUCHAL, PLAZA ISABELLA LOCAL 2, SABANA GRANDE, PR 00637(939) 717-9840(787) 978-7196 Get Directions Write a Review

NPPES record last updated: December 11, 2014. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Dr. Edgardo Isaac Baez Ayala M.d. NPPES

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

DR. EDGARDO ISAAC BAEZ AYALA M.D. (NPI 1609967140) is an individual internal medicine provider in Sabana Grande, Puerto Rico, licensed in Puerto Rico (15719) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, is affiliated with Hospital De La Concepcion, and is a graduate of Other (2003).

NPPES Registry Identity

NPI1609967140
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. EDGARDO ISAAC BAEZ AYALACredential: M.D.
Location AddressCARR. 365 KM 0.8 BO. MACHUCHAL, PLAZA ISABELLA LOCAL 2Sabana Grande, PR 00637-0000
Mailing AddressPraderas De Rio Flores 113Sabana Grande, PUERTO RICO 00637 · (939) 717-9840 · Fax (787) 978-7196
Phone(939) 717-9840
Fax(787) 978-7196
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateSeptember 28, 2006
Last NPPES UpdateDecember 11, 2014
✔ NPI 1609967140 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 · 15719
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.
CARR. 365 KM 0.8 BO. MACHUCHAL, Sabana Grande, PR 00637
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Other Identifiers 1

Other22869BAPR · Triple - S

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. Edgardo Isaac Baez Ayala 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 ID7012930589
PECOS Enrollment IDI20060111000016
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 Edgardo Baez Ayala reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Primary Internal Care Psc
0.5 mi
Internal Medicine
PLAZA ISABELLA LOCAL 2 BO MACHUCHAL
Sabana Grande, PR 00637
  • Reassigned Medicare billing, Puerto Rico enrollment
NPI 1801134978 (939) 717-9840
Primary & Internal Medicine
Corporate Health
30 CALLE BETANCES
Santa Isabel, PR 00757
  • Reassigned Medicare billing, Puerto Rico enrollment
  • 3 clinicians in this Medicare group
NPI 1275693582 (787) 845-3649

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 low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
57 services23 patients

Hospital Affiliations CMS Care Compare

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

Hospital De La Concepcion

Acute Care Hospitals · San German, PR
2/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number400021
LocationRoad Number 2 Km 173.4 Cain AltoSan German, PR 00683 · San German County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00637 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.

Standard wheelchair K0001
DME-Wheelchairs · category DD000N
1 supplier11 claims11 services$27.97 avg. paid by Medicare
Elevating leg rests, pair (for use with capped rental wheelchair base) K0195
DME-Wheelchairs · category DD021N
1 supplier11 claims11 services$11.92 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 Edgardo Baez Ayala's NPI number?

The NPI number for Edgardo Baez Ayala is 1609967140. It was assigned to this individual provider in the NPPES registry on September 28, 2006.

Where is Edgardo Baez Ayala located?

Edgardo Baez Ayala practices at Carr. 365 Km 0.8 Bo. Machuchal Plaza Isabella Local 2, Sabana Grande, PR 00637. The listed phone number is (939) 717-9840.

What is Edgardo Baez Ayala's specialty?

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

Is Edgardo Baez Ayala enrolled in Medicare?

Yes. Edgardo Baez 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.

Which organizations bill Medicare for Edgardo Baez Ayala's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Edgardo Baez Ayala reassigns Medicare benefits to 2 organizations: Primary Internal Care Psc (Sabana Grande, PR) and Primary & Internal Medicine (Santa Isabel, PR). 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 Edgardo Baez Ayala's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Edgardo Baez Ayala affiliated with any hospitals?

According to CMS data, Edgardo Baez Ayala is affiliated with Hospital De La Concepcion.

When was this NPI record last updated?

The NPPES record for Edgardo Baez Ayala was last updated on December 11, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.