PEDRO PABLO DEL TORO BAEZ M.D.
NPI 1700106143
Internal Medicine in Jackson Heights, NY

Q: What is Pedro Del Toro Baez's NPI number?

The NPI number for Pedro Del Toro Baez is 1700106143. It was assigned to this individual provider in the NPPES registry on June 8, 2010.

Q: What is Pedro Del Toro Baez's specialty?

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

Active since June 08, 2010PECOS EnrolledAccepts Medicare Assignment

9317 ROOSEVELT AVE, JACKSON HEIGHTS, NY 11372(718) 899-0505(718) 899-0332 Get Directions Write a Review

NPPES record last updated: October 31, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Oct 31, 2023, Jan 20, 2016 (2 updates tracked since 2016).

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About Pedro Pablo Del Toro Baez M.d. NPPES

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

PEDRO PABLO DEL TORO BAEZ M.D. (NPI 1700106143) is an individual internal medicine provider in Jackson Heights, New York, licensed in Florida (107597) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Other (1988).

NPPES Registry Identity

NPI1700106143

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NamePEDRO PABLO DEL TORO BAEZCredential: M.D.

Location Address9317 ROOSEVELT AVEJackson Heights, NY 11372-7943

Mailing AddressJackson North Medical Center, 160 Nw 170th StNorth Miami Beach, FL 33169 · (305) 651-1100 · Fax (111) 111-1111

Phone(718) 899-0505

Fax(718) 899-0332

Sole ProprietorNo

Medical School CMSOtherGraduated 1988

Enumeration DateJune 8, 2010

Last NPPES UpdateOctober 31, 20232 updates tracked since enumeration

NPPES CertifiedOctober 30, 2023

✔ NPI 1700106143 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

Licenses✔ Licensed in FL · 107597✔ Licensed in NY · 277869

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.

9317 ROOSEVELT AVE, Jackson Heights, NY 11372

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Maintenance Organization of Florida, 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

Pedro Pablo Del Toro Baez 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 ID8325233018

PECOS Enrollment IDI20101108000680

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

Medicare enrollment records show Pedro Del Toro Baez reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Hospitalist Medicine Physicians Of New York, PLLC

6.5 mi

Emergency Medicine

2475 SAINT RAYMONDS AVE
Bronx, NY 10461

Reassigned Medicare billing, New York enrollment
244 clinicians in this Medicare group

NPI 1205944329 (718) 920-8543

North Shore - Lij Medical PC

8.5 mi

Internal Medicine

270-05 76TH AVE
New Hyde Park, NY 11040

Reassigned Medicare billing, New York enrollment
9,353 clinicians in this Medicare group

NPI 1790043479 (516) 465-8089

Cogent Medical Care PC

47 mi

Internal Medicine

101 HOSPITAL RD
East Patchogue, NY 11772

Reassigned Medicare billing, New York enrollment
640 clinicians in this Medicare group

NPI 1912941238 (631) 687-4131

First Docs PC

745 mi

Internal Medicine

1525 OXFORD LN
Naperville, IL 60565

Reassigned Medicare billing, Florida enrollment
390 clinicians in this Medicare group

NPI 1417655465 (702) 762-2485

Cogent Healthcare Of Pensacola LLC

837 mi

Internal Medicine

1350 13TH AVE S
Jacksonville Beach, FL 32250

Reassigned Medicare billing, Florida enrollment
335 clinicians in this Medicare group

NPI 1346287182 (904) 376-4182

Oak Grove Physician Services, P.A.

1,084 mi

Internal Medicine

160 NW 170TH ST
North Miami Beach, FL 33169

Reassigned Medicare billing, Florida enrollment
Medicare enrollment name: Oak Grove Physician Services PA
119 clinicians in this Medicare group

NPI 1689446700 (305) 651-1100

Hha Associates LLC

1,100 mi

Hospitalist

4960 SW 72ND AVE STE 301
Miami, FL 33155

Reassigned Medicare billing, Florida enrollment
224 clinicians in this Medicare group

NPI 1265073159 (877) 832-2652

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 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.

170 services73 patients

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.

74 services26 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.

26 services26 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.

11 services11 patients

Hospital Affiliations CMS Care Compare

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

Jackson Health System

Acute Care Hospitals · Miami, FL

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100022

Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11372 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

$153.13 typical visit price

range $67.00 – $201.98

Typical copayment $38.28 (range $16.75 – $50.49)

Most-billed visit code 99204

Established Patient

$116.96 typical visit price

range $21.62 – $163.52

Typical copayment $29.24 (range $5.40 – $40.88)

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.

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PEDRO PABLO DEL TORO BAEZ M.D., P.C.

Internal Medicine

9317 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372

Queens County (718) 899-0505

MR. ALBERT CASTRO MARCANO NP

Nurse Practitioner (Primary Care)

9317 ROOSEVELT AVE, 2ND FLOOR
JACKSON HEIGHTS, NY 11372

Queens County (718) 424-1557

9317 MEDICAL OFFICE PC

Internal Medicine

9317 ROOSEVELT AVE
JACKSON HEIGHTS, NY 11372

Queens County (718) 446-0270

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 Pedro Del Toro Baez's NPI number?

The NPI number for Pedro Del Toro Baez is 1700106143. It was assigned to this individual provider in the NPPES registry on June 8, 2010.

Where is Pedro Del Toro Baez located?

Pedro Del Toro Baez practices at 9317 Roosevelt Ave, Jackson Heights, NY 11372. The listed phone number is (718) 899-0505.

What is Pedro Del Toro Baez's specialty?

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

Is Pedro Del Toro Baez enrolled in Medicare?

Yes. Pedro Del Toro Baez 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 Pedro Del Toro Baez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pedro Del Toro Baez reassigns Medicare benefits to 7 organizations: Hospitalist Medicine Physicians Of New York, PLLC (Bronx, NY), North Shore - Lij Medical PC (New Hyde Park, NY), Cogent Medical Care PC (East Patchogue, NY), First Docs PC (Naperville, IL), Cogent Healthcare Of Pensacola LLC (Jacksonville Beach, FL) and 2 more organizations, listed in the Medicare section above. 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 Pedro Del Toro Baez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pedro Del Toro Baez accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Pedro Del Toro Baez 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 Pedro Del Toro Baez affiliated with any hospitals?

According to CMS data, Pedro Del Toro Baez is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Pedro Del Toro Baez was last updated on October 31, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.