NPIMap

Individual provider Active NPI

Jorge Guerrero, M.D.

  • Pulmonary Disease Physician
  • Melbourne, FL
National Provider Identifier
1295924330
Registry record updated Jan 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME113775 Issued in FL
Practice address
1314 Oak St
Melbourne, FL 32901-3111
Phone
(407) 841-1100
Fax
(407) 649-8677
NPI assigned
Oct 15, 2007
Last updated
Jan 13, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME113775 FL
Pulmonary Disease Physician 207RP1001X ME113775 FL Primary
Internal Medicine Physician 207R00000X ME113775 FL

Addresses

Primary practice location

1314 Oak St
Melbourne, FL 32901-3111

Mailing address

1314 Oak St
Melbourne, FL 32901-3111
Phone (407) 841-1100

Other identifiers 1

IdentifierTypeStateIssuer
006575000MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120914000669 FL Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 0840448973 Reassigns benefits to 2 organizations
I20190913001344 VA Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 0840448973 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Independent Lung Associates, PAGroup PAC ID 4789665738, 18 clinicians
Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

1314 Oak St
Melbourne, FL 32901-3111
Phone 3217277992114

1350 Hickory St
Melbourne, FL 32901-3224
Phone (321) 434-1401

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
88 of 100Reported as group
Quality
74.04
Promoting interoperability
100
Improvement activities
40
Cost
70.96

Merit-based Incentive Payment System (MIPS)

Final score
93.35 of 100Reported as group
Quality
87.13
Promoting interoperability
100
Improvement activities
40
Cost
74.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME113775FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health First Medical Group, LLC CurrentSince Apr 13, 2021 Accepting new patients
Sound Physicians Intensivists of Virginia LLC Critical Care Medicine CurrentSince Oct 1, 2019 Accepting new patients
Independent Lung Associates, PA Pulmonary Disease CurrentSince Oct 1, 2018 Accepting new patients
Health First Medical Group, LLC Internal Medicine CurrentSince Apr 13, 2021 Accepting new patients

Locations

699 W Cocoa Beach Cswy
Ste 405
Cocoa Beach, FL 32931
Phone (321) 868-7272

1350 Hickory St
Melbourne, FL 32901
Phone (321) 434-1771

1314 Oak St
Melbourne, FL 32901
Phone (321) 610-3907

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

Interoperability endpoints

  • Direct secure messaging: jguerreroespinosa71564@epicdirect.hf.org

Organizations & group practices 4

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 6

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": "1192406400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736726400000",
    "number": "1295924330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1314 OAK ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013111",
            "telephone_number": "407-841-1100",
            "fax_number": "407-649-8677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1314 OAK ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329013111",
            "telephone_number": "407-841-1100",
            "fax_number": "407-649-8677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "JORGE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-10-15",
        "last_updated": "2025-01-13",
        "certification_date": "2025-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME113775",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME113775",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME113775",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006575000",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

Verify at the official NPI Registry.