Individual provider Active NPI

Gabriel Nicolas Guzman, MD

  • Internal Medicine Physician
  • Saint Paul, MN
National Provider Identifier
1720576127
Registry record updated Sep 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
68990 Issued in MN
Practice address
640 Jackson St
Saint Paul, MN 55101-2502
Phone
(651) 254-0063
Fax
(651) 254-5535
NPI assigned
May 1, 2018
Last updated
Sep 1, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 68990 MN Primary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 68990 MN
Hospitalist Physician 208M00000X A195798 CA

Addresses

Primary practice location

640 Jackson St
Saint Paul, MN 55101-2502

Mailing address

3400 Data Dr
Attention: Credentialing/Payer Enrollment Department
Rancho Cordova, CA 95670

Other practice location 1

420 Delaware Street SE
MMC 284
Minneapolis, MN 55455
Phone (612) 626-5454

Other practice location 2

1595 Soquel Dr Ste 230
Santa Cruz, CA 95065-1721
Phone (831) 226-3225

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20220602000120 MN Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - Critical Care (Intensivists) 0840535621 Reassigns benefits to 4 organizations
I20240806004291 CA Practitioner - Pulmonary Disease 0840535621 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary Disease
Education
George Washington University School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Muir Pulmonary Critical CareGroup PAC ID 3476449943, 13 clinicians

Practice addresses (Care Compare)

2700 Ygnacio Valley Rd
Suite 100
Walnut Creek, CA 94598-3462
Phone (925) 939-3050

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
98.62 of 100Reported as group
Quality
100
Promoting interoperability
100
Improvement activities
40
Cost
70.52

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
68990MNMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fairview Health Services Current Accepting new patients
Fairview Express Care Current Accepting new patients
Fairview Clinics CurrentSince May 29, 2023 Accepting new patients
Muir Pulmonary Critical Care Critical Care Medicine CurrentSince Sep 1, 2024 Accepting new patients
Fairview Clinics Current Accepting new patients
Fairview Clinics CurrentSince May 29, 2023 Accepting new patients
Healtheast Medical Research Institute Internal Medicine CurrentSince May 29, 2023 Accepting new patients
Fairview Express Care CurrentSince May 29, 2023 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Fairview Health Services CurrentSince May 29, 2023 Accepting new patients
Healtheast Medical Research Institute CurrentSince May 29, 2023 Accepting new patients
Fairview Health Services Internal Medicine CurrentSince May 29, 2023 Accepting new patients
Fairview Express Care CurrentSince May 29, 2023 Accepting new patients

Locations

2700 Ygnacio Valley Rd
Ste 100
Walnut Creek, CA 94598
Phone (925) 939-3050

13819 Hanson Blvd NW
Andover, MN 55304
Phone (763) 572-5700

1440 Duckwood Dr
Eagan, MN 55122
Phone (651) 406-8860

2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838

420 Delaware St SE
Ste MMC284
Minneapolis, MN 55455
Phone (612) 625-5454

717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617

911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313

1575 Beam Ave
Saint Paul, MN 55109
Phone (651) 232-7000

1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273

45 10th St W
Saint Paul, MN 55102
Phone (651) 232-3000

1925 Woodwinds Dr
Woodbury, MN 55125
Phone (651) 232-0100

Interoperability endpoints

  • Direct secure messaging: gguzman171556@ehr.johnmuirhealth.com

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 2

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": "1525132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788220800000",
    "number": "1720576127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 DATA DR",
            "address_2": "ATTENTION: CREDENTIALING/PAYER ENROLLMENT DEPARTMENT",
            "city": "RANCHO CORDOVA",
            "state": "CA",
            "postal_code": "95670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "640 JACKSON ST",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551012502",
            "telephone_number": "651-254-0063",
            "fax_number": "651-254-5535"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "420 Delaware Street SE",
            "address_2": "MMC 284",
            "address_purpose": "LOCATION",
            "city": "Minneapolis",
            "state": "MN",
            "postal_code": "55455",
            "country_code": "US",
            "telephone_number": "612-626-5454",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1595 Soquel Dr Ste 230",
            "address_purpose": "LOCATION",
            "city": "Santa Cruz",
            "state": "CA",
            "postal_code": "950651721",
            "country_code": "US",
            "telephone_number": "831-226-3225",
            "fax_number": "831-423-7579",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "GABRIEL",
        "middle_name": "NICOLAS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-01",
        "last_updated": "2026-09-01",
        "certification_date": "2026-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MN",
            "license": "68990",
            "primary": true
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "MN",
            "license": "68990",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "A195798",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Paul, MN

Sources for this page

Verify at the official NPI Registry.