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ENRIQUE PELAYO MD
NPI 1932135100
Internal Medicine in Miami, FL

Active since June 22, 2006PECOS EnrolledAccepts Medicare Assignment
8780 SW 8TH ST, MIAMI, FL 33174(305) 554-6198(305) 554-6199 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 26, 2022, Jan 11, 2017 (2 updates tracked since 2017).

About Enrique Pelayo Md NPPES

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

ENRIQUE PELAYO MD (NPI 1932135100) is an individual internal medicine provider in Miami, Florida, licensed in Florida (ME94616) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1932135100
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameENRIQUE PELAYOCredential: MD
Location Address8780 SW 8TH STMiami, FL 33174-3201
Mailing Address8780 Sw 8th StMiami, FL 33174-3201 · (305) 554-6198 · Fax (305) 554-6199
Phone(305) 554-6198
Fax(305) 554-6199
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateJune 22, 2006
Last NPPES UpdateOctober 26, 20222 updates tracked since enumeration
NPPES CertifiedOctober 26, 2022
✔ NPI 1932135100 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME94616
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.
8780 SW 8TH ST, Miami, FL 33174
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Other Identifiers 1

Medicaid277574300FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Cigna Healthcare, Cigna HealthCare of Florida, Inc., Florida Blue (BlueCross BlueShield FL) 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

Enrique Pelayo 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 ID7416971585
PECOS Enrollment IDI20060117000756
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 Enrique Pelayo reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Enrique Pelayo MD PA
Same address
Internal Medicine
8780 SW 8TH ST
Miami, FL 33174
  • Reassigned Medicare billing, Florida enrollment
NPI 1851582670 (305) 554-6198

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 33174 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

Referred Medical Equipment & Supplies CMS DME claims 5

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims341 services$4.62 avg. paid by Medicare
Enteral formula, nutritionally complete, hydrolyzed proteins (amino acids and peptide chain), includes fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4153
Other-Enteral and Parenteral · category OB006N
1 supplier11 claims7,964 services$1.08 avg. paid by Medicare
Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$15.77 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
1 supplier12 claims12 services$78.83 avg. paid by Medicare
Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
1 supplier12 claims12 services$215.65 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

ENRIQUE PELAYO MD PA
Internal Medicine
8780 SW 8TH ST
MIAMI, FL 33174
Miami-Dade County (305) 554-6198

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 Enrique Pelayo's NPI number?

The NPI number for Enrique Pelayo is 1932135100. It was assigned to this individual provider in the NPPES registry on June 22, 2006.

Where is Enrique Pelayo located?

Enrique Pelayo practices at 8780 SW 8th St, Miami, FL 33174. The listed phone number is (305) 554-6198.

What is Enrique Pelayo's specialty?

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

Is Enrique Pelayo enrolled in Medicare?

Yes. Enrique Pelayo 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 Enrique Pelayo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Enrique Pelayo reassigns Medicare benefits to Enrique Pelayo MD PA (Miami, FL). 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 Enrique Pelayo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Enrique Pelayo accept?

Health plans from Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Oscar Health Maintenance Organization of Florida and 1 other insurer list Enrique Pelayo 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 Enrique Pelayo was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.