Individual provider Active NPI

Pablo M Guala, M.D.

  • Cardiovascular Disease Physician
  • Hialeah, FL
National Provider Identifier
1407953482
Registry record updated Feb 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME97042 Issued in FL
Practice address
4811 W 4TH Ave
Hialeah, FL 33012-3939
Phone
(305) 822-0068
Fax
(305) 819-4445
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 28, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME97042 FL Primary
Interventional Cardiology Physician 207RI0011X ME97042 FL
Vascular & Interventional Radiology Physician 2085R0204X ME97042 FL

Addresses

Primary practice location

4811 W 4TH Ave
Hialeah, FL 33012-3939

Mailing address

4811 W 4TH Ave
Hialeah, FL 33012-3939
Phone (305) 822-0668

Other identifiers 1

IdentifierTypeStateIssuer
276796100MedicaidFL

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
I20070828000843 FL Practitioner - Peripheral Vascular DiseasePractitioner - General PracticePractitioner - Cardiovascular Disease (Cardiology)Practitioner - Vascular Surgery 9931291465 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Peripheral Vascular DiseaseAlso: Cardiovascular Disease (Cardiology), Vascular Surgery
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sunlite Medical Associates IncGroup PAC ID 0042302572, 3 clinicians

Practice addresses (Care Compare)

4811 W 4TH Ave
Hialeah, FL 33012-3939
Phone (305) 822-0068

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal20
Leg revascularization (restoring blood flow)605

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sunlite Medical Associates Inc Cardiovascular Disease CurrentSince Nov 3, 2006 Accepting new patients

Locations

4811 W 4th Ave
Hialeah, FL 33012
Phone (305) 822-0068

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1488240000000",
    "number": "1407953482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4811 W 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123939",
            "telephone_number": "305-822-0668",
            "fax_number": "305-819-4445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4811 W 4TH AVE",
            "city": "HIALEAH",
            "state": "FL",
            "postal_code": "330123939",
            "telephone_number": "305-822-0068",
            "fax_number": "305-819-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUALA",
        "first_name": "PABLO",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2017-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME97042",
            "primary": true
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "FL",
            "license": "ME97042",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "FL",
            "license": "ME97042",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276796100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hialeah, FL

Sources for this page

Verify at the official NPI Registry.