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KELVYN RAFAEL HERNANDEZ TEJADA M.D
NPI 1780066126
Psychiatry & Neurology - Psychiatry in Bronx, NY

Active since June 22, 2015PECOS Enrolled
94.75/100
CMS Quality Rating
111 E 210TH ST, BRONX, NY 10467(718) 920-5488 Get Directions Write a Review

NPPES record last updated: January 27, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jan 27, 2020, Aug 29, 2019 (2 updates tracked since 2019).

About Kelvyn Rafael Hernandez Tejada M.d NPPES

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

KELVYN RAFAEL HERNANDEZ TEJADA M.D (NPI 1780066126) is an individual psychiatry provider in Bronx, New York, licensed in New York (297777) and active in the NPI registry since June 2015. He is enrolled in Medicare PECOS, is affiliated with Jamaica Hospital Medical Center, and is a graduate of Other (2002).

NPPES Registry Identity

NPI1780066126
Entity TypeIndividualMale
Primary Taxonomy2084P0800X
Provider Legal NameKELVYN RAFAEL HERNANDEZ TEJADACredential: M.D
Location Address111 E 210TH STBronx, NY 10467-2401
Mailing Address111 E 210th StBronx, NY 10467-2401 · (718) 920-4295
Phone(718) 920-5488
Sole ProprietorYes
Medical School CMSOtherGraduated 2002
Enumeration DateJune 22, 2015
Last NPPES UpdateJanuary 27, 20202 updates tracked since enumeration
✔ NPI 1780066126 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0800X
License✔ Licensed in NY · 297777
Definition
A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems.
111 E 210TH ST, Bronx, NY 10467
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kelvyn Rafael Hernandez Tejada M.d is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID1850725193
PECOS Enrollment IDI20191219002363
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 Kelvyn Hernandez Tejada reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Montefiore Medical Center
Same address
Anesthesiology
111 E 210TH ST
Bronx, NY 10467
  • Reassigned Medicare billing, New York enrollment
  • 5,251 clinicians in this Medicare group
NPI 1063525152 (914) 378-6021
Jamaica Psychiatric Services, PC
13 mi
Psychiatric Unit
8900 VAN WYCK EXPY
Jamaica, NY 11418
  • Reassigned Medicare billing, New York enrollment
  • 74 clinicians in this Medicare group
NPI 1427005065 (718) 206-7160

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.

Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
17 services17 patients

Hospital Affiliations CMS Care Compare 2

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

Jamaica Hospital Medical Center

Acute Care Hospitals · Jamaica, NY
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330014
Location89th Avenue And Van Wyck ExpresswayJamaica, NY 11418 · Queens County
Emergency services Birthing friendly

Montefiore Medical Center

Acute Care Hospitals · Bronx, NY
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330059
Location111 East 210th StreetBronx, NY 10467 · Bronx County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10467 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
$203.53 typical visit price
range $67.40 – $203.53
Typical copayment $50.88 (range $16.85 – $50.88)
Most-billed visit code 99205
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

94.75/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality79.04
Promoting Interoperability90
Improvement Activities40

Other Providers at the Same Location NPPES 20

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

DR. AMANDA MCNEAR JACOBS M.D.
Pediatrics (Adolescent Medicine)
111 E 210TH ST, DEPARTMENT OF PEDIATRICS
BRONX, NY 10467
Bronx County (718) 920-2306
HEATHER ROOT MD
Internal Medicine (Infectious Disease)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-8592
MICHAEL GOTTESMAN M.D.
Radiology (Diagnostic Neuroimaging)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-5506
JIAE LEE M.D.
Psychiatry & Neurology (Neurology)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
DR. MICHELLE DOMINIQUE PINTEA MD
Pediatrics
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
TELISHA MCLEAN
Nurse Practitioner (Family)
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
SHIVADITYA CHOUDHURY
Anesthesiology
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321
MS. JOHANNA SHEA-FEN TAN
Student in an Organized Health Care Education/Training Program
111 E 210TH ST
BRONX, NY 10467
Bronx County (718) 920-4321

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 Kelvyn Hernandez Tejada's NPI number?

The NPI number for Kelvyn Hernandez Tejada is 1780066126. It was assigned to this individual provider in the NPPES registry on June 22, 2015.

Where is Kelvyn Hernandez Tejada located?

Kelvyn Hernandez Tejada practices at 111 E 210th St, Bronx, NY 10467. The listed phone number is (718) 920-5488.

What is Kelvyn Hernandez Tejada's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Psychiatry, with taxonomy code 2084P0800X.

Is Kelvyn Hernandez Tejada enrolled in Medicare?

Yes. Kelvyn Hernandez Tejada is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Kelvyn Hernandez Tejada's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kelvyn Hernandez Tejada reassigns Medicare benefits to 2 organizations: Montefiore Medical Center (Bronx, NY) and Jamaica Psychiatric Services, PC (Jamaica, NY). 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 Kelvyn Hernandez Tejada's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Kelvyn Hernandez Tejada affiliated with any hospitals?

According to CMS data, Kelvyn Hernandez Tejada is affiliated with Jamaica Hospital Medical Center and Montefiore Medical Center.

When was this NPI record last updated?

The NPPES record for Kelvyn Hernandez Tejada was last updated on January 27, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.