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JUAN R JIMENEZ MD
NPI 1861400715
Pediatrics in Cobo Rojo, PR

Active since August 04, 2006PECOS EnrolledAccepts Medicare Assignment
48 CALLE HENNA, URB EL CIBAO, COBO ROJO, PR 00623(787) 254-3925(787) 254-3925 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Juan R Jimenez Md NPPES

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

JUAN R JIMENEZ MD (NPI 1861400715) is an individual pediatrics provider in Cobo Rojo, Puerto Rico, licensed in Puerto Rico (13535) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1998).

NPPES Registry Identity

NPI1861400715
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameJUAN R JIMENEZCredential: MD
Location Address48 CALLE HENNA, URB EL CIBAOCobo Rojo, PR 00623
Mailing Address2000 Calle Iris, Urb BuenaventuraMayaguez, PR 00682-1269 · (787) 254-3925 · Fax (787) 254-3925
Phone(787) 254-3925
Fax(787) 254-3925
Sole ProprietorNo
Medical School CMSOtherGraduated 1998
Enumeration DateAugust 4, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1861400715 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in PR · 13535
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
48 CALLE HENNA, Cobo Rojo, PR 00623
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Other Identifiers 5

Other100317Cruz Azul
Other203668Prefered Health
OtherPE4244Panamerican
Other7874International Medical Car
Other20701JITriple S

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Avera Health Plans, Oscar Insurance Company, Sanford Health Plan and more.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

Juan R Jimenez Md 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 ID9638318314
PECOS Enrollment IDI20130611000306
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 Reassignment

Medicare enrollment records show Juan Jimenez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Great Plains Tribal Chairmen's Health Board
2,754 mi
Pharmacy
3200 CANYON LAKE DR
Rapid City, SD 57702
  • Reassigned Medicare billing, Texas enrollment
  • 119 clinicians in this Medicare group
NPI 1376105452 (605) 721-1922

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00623 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
$88.07 typical visit price
range $56.86 – $172.44
Typical copayment $22.01 (range $14.21 – $43.11)
Most-billed visit code 99203
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.

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 Juan Jimenez's NPI number?

The NPI number for Juan Jimenez is 1861400715. It was assigned to this individual provider in the NPPES registry on August 4, 2006.

Where is Juan Jimenez located?

Juan Jimenez practices at 48 Calle Henna Urb El Cibao, Cobo Rojo, PR 00623. The listed phone number is (787) 254-3925.

What is Juan Jimenez's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Juan Jimenez enrolled in Medicare?

Yes. Juan Jimenez 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 organization bills Medicare for Juan Jimenez's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Juan Jimenez reassigns Medicare benefits to Great Plains Tribal Chairmen's Health Board (Rapid City, SD). The 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 Juan Jimenez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Juan Jimenez accept?

Health plans from Avera Health Plans, Oscar Insurance Company, Sanford Health Plan, UnitedHealthcare and Wellmark of South Dakota, Inc. list Juan Jimenez 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 Juan Jimenez was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.