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LUIS JAVIER TOUS M.D.
NPI 1912108465
Colon & Rectal Surgery in San Juan, PR

Active since May 31, 2007PECOS EnrolledAccepts Medicare Assignment
400 AVE FD ROOSEVELT, STE 202, SAN JUAN, PR 00918(787) 724-9595(787) 724-9494 Get Directions Write a Review

NPPES record last updated: March 3, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Luis Javier Tous M.d. NPPES

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

LUIS JAVIER TOUS M.D. (NPI 1912108465) is an individual colon & rectal surgery provider in San Juan, Puerto Rico, licensed in Puerto Rico (17606) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Presbyterian Community Hosp, and is a graduate of University Of Puerto Rico School Of Medicine (2003).

NPPES Registry Identity

NPI1912108465
Entity TypeIndividualMale
Primary Taxonomy208C00000X
Provider Legal NameLUIS JAVIER TOUSCredential: M.D.
Location Address400 AVE FD ROOSEVELT, STE 202San Juan, PR 00918-2129
Mailing AddressPo Box 2528Guaynabo, PR 00970-2528 · (787) 957-6262 · Fax (888) 373-4866
Phone(787) 724-9595
Fax(787) 724-9494
Sole ProprietorYes
Medical School CMSUniversity Of Puerto Rico School Of MedicineGraduated 2003
Enumeration DateMay 31, 2007
Last NPPES UpdateMarch 3, 2021
NPPES CertifiedMarch 3, 2021
✔ NPI 1912108465 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyColon & Rectal SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208C00000X
License✔ Licensed in PR · 17606
Definition
A colon and rectal surgeon is trained to diagnose and treat various diseases of the intestinal tract, colon, rectum, anal canal and perianal area by medical and surgical means. This specialist also deals with other organs and tissues (such as the liver, urinary and female reproductive system) involved with primary intestinal disease.
Also ListedSurgeryTaxonomy 208600000X · License 26222-R (PR)

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Luis Javier Tous 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 ID5496882227
PECOS Enrollment IDI20100427000260
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.

Areas of Expertise CMS Part B claims 5

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 moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
47 services36 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
31 services31 patients
Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes 99152
This procedure involves a doctor administering a medication to reduce your consciousness during a procedure. This helps in managing discomfort and anxiety. The initial application lasts for 15 minutes and is for individuals aged 5 years or older.
21 services21 patients
Use of a drug to induce depression of consciousness by physician performing a procedure, each additional 15 minutes 99153
This service involves a physician administering medication to lower your consciousness during a procedure. It's done for your comfort and safety. The drug's effects last about 15 minutes, so additional doses may be given as needed.
21 services21 patients
Diagnostic exam of large bowel using a flexible endoscope 45378
This procedure, known as a colonoscopy, involves using a flexible tube with a light and camera to examine the large intestine. It helps detect any abnormalities such as polyps or inflammation. It's a standard procedure to ensure gut health.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Presbyterian Community Hosp

Acute Care Hospitals · San Juan, PR
OwnershipVoluntary non-profit - Private
CMS Certification Number400001
Location1451 Ashford AvenueSan Juan, PR 00907 · San Juan County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 00918 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
$70.88 typical visit price
range $18.24 – $140.44
Typical copayment $17.72 (range $4.56 – $35.11)
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 20

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

PHILADELPHIA PARTNERS, PSC
Urology
400 AVE FD ROOSEVELT, SUITE 306
SAN JUAN, PR 00918
San Juan Municipio (787) 756-5200
TOME & UBINAS RADIO ONCOLOGY CENTER
Clinic/Center (Oncology, Radiation)
400 AVE FD ROOSEVELT, SUITE 109
SAN JUAN, PR 00918
San Juan Municipio (787) 764-5666
LUIS A ARTURI MD
Internal Medicine (Gastroenterology)
400 AVE FD ROOSEVELT
SAN JUAN, PR 00918
San Juan Municipio (787) 764-8787
IRMA MICHELLE LORENZI DMD
Dentist
400 AVE FD ROOSEVELT
SAN JUAN, PR 00918
San Juan Municipio (787) 250-5055
JOSE S. REYES TORRES
Colon & Rectal Surgery
400 AVE FD ROOSEVELT, STE 202
SAN JUAN, PR 00918
San Juan Municipio (787) 621-3700
LABORATORIO CLINICO C L A INC
Clinical Medical Laboratory
400 AVE FD ROOSEVELT, SUITE 201
SAN JUAN, PR 00918
San Juan Municipio (787) 744-0330
DR. RICARDO H BRAU M.D.
Neurological Surgery
400 AVE FD ROOSEVELT, SUITE 511
SAN JUAN, PR 00918
San Juan Municipio (787) 763-1310
ORLANDO CANIZARES ROSARIO M.D.
Surgery (Plastic and Reconstructive Surgery)
400 AVE FD ROOSEVELT, SUITE 412
SAN JUAN, PR 00918
San Juan Municipio (787) 949-5027

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 Tous's NPI number?

The NPI number for Luis Tous is 1912108465. It was assigned to this individual provider in the NPPES registry on May 31, 2007.

Where is Luis Tous located?

Luis Tous practices at 400 Ave Fd Roosevelt Ste 202, San Juan, PR 00918. The listed phone number is (787) 724-9595.

What is Luis Tous's specialty?

The primary specialty registered for this NPI is Colon & Rectal Surgery with taxonomy code 208C00000X.

Is Luis Tous enrolled in Medicare?

Yes. Luis Tous 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.

Is Luis Tous affiliated with any hospitals?

According to CMS data, Luis Tous is affiliated with Presbyterian Community Hosp.

When was this NPI record last updated?

The NPPES record for Luis Tous was last updated on March 3, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.