NPIMap

Individual provider Active NPI

Pedro Guzman, MD

  • Internal Medicine Physician
  • Hazleton, PA
National Provider Identifier
1174858104
Registry record updated Feb 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
60-255127 Issued in NY
Practice address
141 N Cedar St
Hazleton, PA 18201-5580
Phone
(570) 497-4419
Fax
(570) 497-4420
NPI assigned
Oct 8, 2009
Last updated
Feb 14, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 60-255127 NY Primary

Addresses

Primary practice location

141 N Cedar St
Hazleton, PA 18201-5580

Mailing address

141 N Cedar St
Hazleton, PA 18201-5580
Phone (570) 497-4419

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20111006000689 PA Practitioner - Internal MedicinePractitioner - Surgical Oncology 3274677679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

141 N Cedar St
Hazleton, PA 18201-5580
Phone (570) 497-4419

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
60-255127NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hazleton Medical Practice LLC Internal Medicine CurrentSince Dec 15, 2014 Accepting new patients

Locations

141 N Cedar St
Hazleton, PA 18201
Phone (570) 497-4419

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIEADA/Endpoint/AIEADA

Organizations & group practices 1

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.

Hospital & facility affiliations 48

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

View all 48

NPI Registry JSON

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581638400000",
    "number": "1174858104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "141 N CEDAR ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015580",
            "telephone_number": "570-497-4419",
            "fax_number": "570-497-4420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "141 N CEDAR ST",
            "city": "HAZLETON",
            "state": "PA",
            "postal_code": "182015580",
            "telephone_number": "570-497-4419",
            "fax_number": "570-497-4420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "PEDRO",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-10-08",
        "last_updated": "2020-02-14",
        "certification_date": "2020-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "60-255127",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazleton, PA

Sources for this page

Verify at the official NPI Registry.