PEDRO GIRO
NPI 1932592524
Internal Medicine - Cardiovascular Disease in Newark, NJ

Active since March 06, 2015PECOS Enrolled
31.16/100
CMS Quality Rating
140 BERGEN ST # F, NEWARK, NJ 07103(973) 972-8914 Get Directions Write a Review

NPPES record last updated: August 7, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 7, 2026, Jun 25, 2023, Jun 14, 2023 and 3 more (6 updates tracked since 2016).

About Pedro Giro NPPES

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

PEDRO GIRO (NPI 1932592524) is an individual cardiovascular disease provider in Newark, New Jersey, licensed in New Jersey (25MA13066800) and active in the NPI registry since March 2015. He is enrolled in Medicare PECOS and is a graduate of Northwestern University Feinberg Medical School (2017).

NPPES Registry Identity

NPI1932592524
Entity TypeIndividualMale
Primary Taxonomy207RC0000X
Provider Legal NamePEDRO GIRO
Location Address140 BERGEN ST # FNewark, NJ 07103-2425
Mailing Address140 Bergen St # FNewark, NJ 07103-2425
Sole ProprietorNo
Medical School CMSNorthwestern University Feinberg Medical SchoolGraduated 2017
Enumeration DateMarch 6, 2015
Last NPPES UpdateAugust 7, 20266 updates tracked since enumeration
NPPES CertifiedAugust 7, 2026
✔ NPI 1932592524 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License✔ Licensed in NJ · 25MA13066800
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
140 BERGEN ST # F, Newark, NJ 07103

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Pedro Giro is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2466725965
PECOS Enrollment IDI20260731000826
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 Pedro Giro reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
140 BERGEN ST
Newark, NJ 07103
  • Reassigned Medicare billing, New Jersey enrollment
  • 173 clinicians in this Medicare group

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 07103 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
$144.86 typical visit price
range $63.84 – $190.92
Typical copayment $36.21 (range $15.96 – $47.73)
Most-billed visit code 99204
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
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.

31.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality18.99
Promoting Interoperability0
Improvement Activities20
Cost59.89

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 Pedro Giro's NPI number?

The NPI number for Pedro Giro is 1932592524. It was assigned to this individual provider in the NPPES registry on March 6, 2015.

Where is Pedro Giro located?

Pedro Giro practices at 140 Bergen St # F, Newark, NJ 07103. The listed phone number is (973) 972-8914.

What is Pedro Giro's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

Is Pedro Giro enrolled in Medicare?

Yes. Pedro Giro is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Pedro Giro's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pedro Giro reassigns Medicare benefits to University Physician Associates Of New Jersey Inc (Newark, NJ). 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 Pedro Giro's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Pedro Giro accept?

Health plans from Oscar Health list Pedro Giro 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 Pedro Giro was last updated on August 7, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.