LUIS RENE DELGADO DMD
NPI 1700135076
Dentist - Oral and Maxillofacial Surgery in Bronx, NY

Active since September 02, 2012PECOS Enrolled
1940 GRAND CONCOURSE, BRONX, NY 10457(718) 583-6347(718) 583-8047 Get Directions Write a Review

NPPES record last updated: November 21, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Luis Rene Delgado Dmd NPPES

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

LUIS RENE DELGADO DMD (NPI 1700135076) is an individual oral and maxillofacial surgery provider in Bronx, New York, licensed in New York (056374) and active in the NPI registry since September 2012. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1700135076
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameLUIS RENE DELGADOCredential: DMD
Location Address1940 GRAND CONCOURSEBronx, NY 10457-5221
Mailing Address5665 Kennedy Blvd, Apt 419North Bergen, NJ 07047-3223 · (787) 378-9360
Fax(718) 583-8047
Sole ProprietorYes
Medical School CMSOtherGraduated 2008
Enumeration DateSeptember 2, 2012
Last NPPES UpdateNovember 21, 2012
NPI 1700135076 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License Licensed in NY · 056374
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
1940 GRAND CONCOURSE, Bronx, NY 10457

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Luis Rene Delgado Dmd is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6406119718
PECOS Enrollment IDI20180420000104
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10457 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
$105.06 typical visit price
range $67.40 – $203.53
Typical copayment $26.26 (range $16.85 – $50.88)
Most-billed visit code 99203
Established Patient
$83.44 typical visit price
range $21.66 – $164.45
Typical copayment $20.86 (range $5.41 – $41.11)
Most-billed visit code 99213
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 5

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

Dentist (Oral and Maxillofacial Surgery)
1940 GRAND CONCOURSE
BRONX, NY 10457
Dentist (Oral and Maxillofacial Surgery)
1940 GRAND CONCOURSE
BRONX, NY 10457
Dentist (Oral and Maxillofacial Surgery)
1940 GRAND CONCOURSE
BRONX, NY 10457
Dentist (Oral and Maxillofacial Surgery)
1940 GRAND CONCOURSE
BRONX, NY 10457
Dentist (Oral and Maxillofacial Surgery)
1940 GRAND CONCOURSE
BRONX, NY 10457

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 Luis Delgado's NPI number?

The NPI number for Luis Delgado is 1700135076. It was assigned to this individual provider in the NPPES registry on September 2, 2012.

Where is Luis Delgado located?

Luis Delgado practices at 1940 Grand Concourse, Bronx, NY 10457. The listed phone number is (718) 583-6347.

What is Luis Delgado's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Luis Delgado enrolled in Medicare?

Yes. Luis Delgado is registered in the Medicare PECOS enrollment system.

What insurance does Luis Delgado accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Humana list Luis Delgado 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 Luis Delgado was last updated on November 21, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.