1. Home
  2. Directory
  3. Pennsylvania
  4. Philadelphia
  5. Internal Medicine
  6. NPI Profile

JERALD LALAGUNA PELAYO MD
NPI 1942861026
Internal Medicine in Philadelphia, PA

Active since June 27, 2019PECOS Enrolled
5501 OLD YORK RD STE 1, PHILADELPHIA, PA 19141(215) 456-8520 Get Directions Write a Review

NPPES record last updated: November 10, 2022. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Jerald Lalaguna Pelayo Md NPPES

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

JERALD LALAGUNA PELAYO MD (NPI 1942861026) is an individual internal medicine provider in Philadelphia, Pennsylvania, licensed in California (A176490) and active in the NPI registry since June 2019. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1942861026
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameJERALD LALAGUNA PELAYOCredential: MD
Location Address5501 OLD YORK RD STE 1Philadelphia, PA 19141-3098
Mailing Address5501 Old York Rd Ste 1Philadelphia, PA 19141-3098 · (215) 456-8520
Phone(215) 456-8520
Sole ProprietorNo
Enumeration DateJune 27, 2019
Last NPPES UpdateNovember 10, 2022
NPPES CertifiedNovember 10, 2022
✔ NPI 1942861026 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A176490
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.
5501 OLD YORK RD STE 1, Philadelphia, PA 19141
Open in Google Maps ↗

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jerald Lalaguna Pelayo Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Jerald Pelayo reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Galen Inpatient Physicians Inc.
2,310 mi
Internal Medicine
1150 N INDIAN CANYON DR
Palm Springs, CA 92262
  • Reassigned Medicare billing, California enrollment
  • 962 clinicians in this Medicare group
NPI 1316037021 (760) 323-6511
Reedley Community Hospital
2,394 mi
General Acute Care Hospital
372 W. CYPRESS AVE
Reedley, CA 93654
  • Reassigned Medicare billing, California enrollment
  • 315 clinicians in this Medicare group
NPI 1336167550 (559) 638-8155

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 19141 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
$137.17 typical visit price
range $59.88 – $180.99
Typical copayment $34.29 (range $14.97 – $45.24)
Most-billed visit code 99204
Established Patient
$105.21 typical visit price
range $19.30 – $147.29
Typical copayment $26.30 (range $4.82 – $36.82)
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.

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.

GREGORY JOHNSON MD
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
DR. JULIE MINJU GANG DMD
Dentist (General Practice)
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7130
ALINE A IANNONI DE MORAES
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-8520
DR. BRIANA M CALDERON PARKER MD
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
ASHMIN SINGH
Internal Medicine
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6629
ALEXANDER JAMES RAZIN MD
Internal Medicine
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-6500
NEETHU KANJINGAT NANDAN MBBS
Psychiatry & Neurology (Psychiatry)
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 456-7890
EMILY ELIZABETH MESSINA
Student in an Organized Health Care Education/Training Program
5501 OLD YORK RD STE 1
PHILADELPHIA, PA 19141
Philadelphia County (215) 457-4444

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 Jerald Pelayo's NPI number?

The NPI number for Jerald Pelayo is 1942861026. It was assigned to this individual provider in the NPPES registry on June 27, 2019.

Where is Jerald Pelayo located?

Jerald Pelayo practices at 5501 Old York Rd Ste 1, Philadelphia, PA 19141. The listed phone number is (215) 456-8520.

What is Jerald Pelayo's specialty?

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

Is Jerald Pelayo enrolled in Medicare?

Yes. Jerald Pelayo is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Jerald Pelayo's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jerald Pelayo reassigns Medicare benefits to 2 organizations: Galen Inpatient Physicians Inc. (Palm Springs, CA) and Reedley Community Hospital (Reedley, CA). 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 Jerald Pelayo's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jerald Pelayo was last updated on November 10, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.