Dr Roy T Avalos, MD - Medicare Cardiovascular Disease (cardiology) in Encinitas, CA

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Dr Roy T Avalos, MD is a medicare enrolled "Internal Medicine - Cardiovascular Disease" physician in Encinitas, California. He went to University Of California, Geffen School Of Medicine and graduated in 1997 and has 27 years of diverse experience with area of expertise as Cardiovascular Disease (cardiology). He is a member of the group practice San Diego Cardiovascular Associates Medical Group Inc, Scripps Cardiology Medical Group, Inc. and his current practice location is 320 Santa Fe Dr, Suite 204, Encinitas, California. You can reach out to his office (for appointments etc.) via phone at (760) 944-7300.

Dr Roy T Avalos is licensed to practice in California (license number A68893) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1154399632.

Contact Information

Dr Roy T Avalos, MD
320 Santa Fe Dr, Suite 204,
Encinitas, CA 92024-5138
(760) 944-7300
(760) 634-6564

Map and Direction




Physician's Profile

Full NameDr Roy T Avalos
GenderMale
SpecialityCardiovascular Disease (cardiology)
Experience27 Years
Location320 Santa Fe Dr, Encinitas, California
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Roy T Avalos attended and graduated from University Of California, Geffen School Of Medicine in 1997
  NPI Data:
  • NPI Number: 1154399632
  • Provider Enumeration Date: 03/09/2006
  • Last Update Date: 03/09/2017
  Medicare PECOS Information:
  • PECOS PAC ID: 7214900265
  • Enrollment ID: I20040817001152

Medical Identifiers

Medical identifiers for Dr Roy T Avalos such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1154399632NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207RC0000XInternal Medicine - Cardiovascular Disease A68893 (California)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Scripps Memorial Hospital - EncinitasEncinitas, CAHospital
Scripps Memorial Hospital La JollaLa jolla, CAHospital

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
San Diego Cardiovascular Associates Medical Group Inc084027075715
Scripps Cardiology Medical Group, Inc.397154795119

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Roy T Avalos allows following entities to bill medicare on his behalf.
Entity NameScripps Health
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1275899072
PECOS PAC ID: 9234033853
Enrollment ID: O20031124000822
Entity NameSan Diego Cardiovascular Associates Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1427069103
PECOS PAC ID: 0840270757
Enrollment ID: O20040721001638
Entity NameEmergency And Acute Care Medical Corporation
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1437103942
PECOS PAC ID: 9537108279
Enrollment ID: O20050502000734
Entity NameScripps Cardiology Medical Group, Inc.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1851481121
PECOS PAC ID: 3971547951
Enrollment ID: O20050610000908
Entity NameSan Diego Cardiovascular Associates Medical Group Inc
Entity TypePart B Supplier - Intensive Cardiac Rehabilitation
Entity IdentifiersNPI Number: 1427069103
PECOS PAC ID: 0840270757
Enrollment ID: O20231208000504

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Roy T Avalos is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Roy T Avalos, MD
320 Santa Fe Dr, Ste 204,
Encinitas, CA 92024-5179

Ph: (760) 944-7300		Dr Roy T Avalos, MD
320 Santa Fe Dr, Suite 204,
Encinitas, CA 92024-5138

Ph: (760) 944-7300

Reviews and Comments


Internal Medicine Doctors in Encinitas, CA

Alberto Bessudo, M.D.
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Phone: 760-452-3340    Fax: 760-452-3344
Dr. Gordon L. Kim, M.D.
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Phone: 760-230-2251    Fax: 760-230-2253
Batyrjan Bulibek, M.D.
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Phone: 760-944-7300    Fax: 760-633-3949
Dr. Gay Mcmanus Walker, M.D.
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Medicare: Accepting Medicare Assignments
Practice Location: 477 N El Camino Real, Suite 208a, Encinitas, CA 92024
Phone: 760-479-3900    Fax: 760-479-3923
Dr. Richard Michael Jacoby, MD
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Medicare: May Accept Medicare Assignments
Practice Location: 700 Garden View Ct Ste 204, Encinitas, CA 92024
Phone: 760-452-6334    Fax: 760-349-9755
Dr. Anjali Anil Bharne, M.D
Cardiovascular Disease
Medicare: Accepting Medicare Assignments
Practice Location: 1200 Garden View Rd, Suite 200, Encinitas, CA 92024
Phone: 760-536-7700    Fax: 760-536-7710

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

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