Individual provider Active NPI

Juan Pablo Blum Guzman, M.D.

  • Gastroenterology Physician
  • Hialeah, FL
National Provider Identifier
1104056860
Registry record updated Jan 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
ME116607 Issued in FL
Practice address
2140 W 68TH St Ste 300
Hialeah, FL 33016-1815
Phone
(305) 822-4107
Fax
(305) 822-5086
NPI assigned
Jul 15, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X ME116607 FL Primary

Addresses

Primary practice location

2140 W 68TH St Ste 300
Hialeah, FL 33016-1815

Mailing address

2140 W 68TH St Ste 300
Hialeah, FL 33016-1815
Phone (305) 822-4107

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20160628001565 FL Practitioner - Gastroenterology 4183945025 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gastroenterology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Medicine AssociatesGroup PAC ID 3779510102, 17 clinicians

Practice addresses (Care Compare)

2140 W 68 St
Suite 300
Hialeah, FL 33016-1815
Phone (305) 822-4107

Hospital & facility affiliations

  • Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy19
Upper gastrointestinal (GI) endoscopy for acid reflux28

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME116607FLMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Medicine Associates Gastroenterology CurrentSince Mar 1, 2017 Accepting new patients
Jax Anesthesia Providers LLC PastSince Jun 12, 2006 Accepting new patients

Locations

3133 Ponce de Leon Blvd
Coral Gables, FL 33134

2140 W 68th St
Ste 300
Hialeah, FL 33016
Phone (305) 822-4107

11410 N Kendall Dr
Ste 311
Miami, FL 33176
Phone (866) 347-1821

18044 NW 6th St
Ste 104
Pembroke Pines, FL 33029
Phone (954) 431-8808

Interoperability endpoints

  • Direct secure messaging: juanblumguzman@dma.allscriptsdirect.net
  • Direct secure messaging: jblumguzman170111@mhsdirect.net

Organizations & group practices 2

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1247616000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1768867200000",
    "number": "1104056860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2140 W 68TH ST STE 300",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161815",
            "telephone_number": "305-822-4107",
            "fax_number": "305-822-5086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2140 W 68TH ST STE 300",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330161815",
            "telephone_number": "305-822-4107",
            "fax_number": "305-822-5086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLUM GUZMAN",
        "first_name": "JUAN",
        "middle_name": "PABLO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-07-15",
        "last_updated": "2026-01-20",
        "certification_date": "2026-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "ME116607",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.