Individual provider Active NPI

Eduardo Cadore Guzzo

  • Nephrology Physician
  • Anchorage, AK
National Provider Identifier
1053931717
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
242945 Issued in AK
Practice address
4015 Lake Otis Pkwy Ste 201
Anchorage, AK 99508-5235
Phone
(907) 375-5200
Fax
(907) 375-5203
NPI assigned
Apr 23, 2020
Reactivated
Feb 21, 2022
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 242945 AK Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 242945 AK

Addresses

Primary practice location

4015 Lake Otis Pkwy Ste 201
Anchorage, AK 99508-5235

Mailing address

4015 Lake Otis Pkwy Ste 201
Anchorage, AK 99508-5235
Phone (907) 375-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251014000002 AK Practitioner - Nephrology 6305202300 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Kidney and Hypertension Clinic of Alaska IncGroup PAC ID 0840299186, 14 clinicians

Practice addresses (Care Compare)

4015 Lake Otis Pkwy
Suite 201
Anchorage, AK 99508-5235
Phone (907) 375-5200

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
242945AKMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dialysis Associates of Alaska, LLC Nephrology CurrentSince Oct 1, 2025 Accepting new patients
Kidney and Hypertension Clinic of Alaska, Inc Nephrology CurrentSince Oct 1, 2025 Accepting new patients
Nephrology & Hypertension Associates of Alaska, PC Nephrology PastSince Oct 1, 2025 Accepting new patients

Locations

3260 Providence Dr
Ste C431
Anchorage, AK 99508
Phone (907) 212-4840

4015 Lake Otis Pkwy
Ste 101
Anchorage, AK 99508
Phone (907) 841-7535

4015 Lake Otis Pkwy
Ste 201
Anchorage, AK 99508
Phone (907) 771-3500

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/22880/brand/1/csg/1/fhir/r4

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1587600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1053931717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 LAKE OTIS PKWY STE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085235",
            "telephone_number": "907-375-5200",
            "fax_number": "907-375-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 LAKE OTIS PKWY STE 201",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085235",
            "telephone_number": "907-375-5200",
            "fax_number": "907-375-5203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CADORE GUZZO",
        "first_name": "EDUARDO",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-04-23",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "deactivation_date": "2022-01-10",
        "reactivation_date": "2022-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "AK",
            "license": "242945",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AK",
            "license": "242945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.