NPIMap

Individual provider Active NPI

Jorge Alberto Guzman, MD

  • Internal Medicine Physician
  • Detroit, MI
National Provider Identifier
1770520694
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301062656 Issued in MI
Practice address
Harper Hospital 3 Hudson
3990 John R
Detroit, MI 48201
Phone
(313) 745-0559
NPI assigned
May 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 4301062656 MI Primary

Addresses

Primary practice location

Harper Hospital 3 Hudson
3990 John R
Detroit, MI 48201

Mailing address

3800 Woodward Ave
Suite 600
Detroit, MI 48201-2061

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20070827000266 OH Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 5799797049 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301062656MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physician Group Internal Medicine Past Accepting new patients

Ownership & related parties

All facility ownership & control disclosures 20

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
South Pointe HospitalWarrensville Heights, OH, CCN 360144 Hospital Corporate Officer
Corporate Director		 Jul 1, 2024
Jul 1, 2024
Hillcrest HospitalMayfield HTS, OH, CCN 360230 Hospital Corporate Director Jul 1, 2024
Euclid HospitalEuclid, OH, CCN 360082 Hospital Corporate Director Jul 1, 2024
Lutheran HospitalCleveland, OH, CCN 360087 Hospital Corporate Director Jul 1, 2024
Fairview HospitalCleveland, OH, CCN 360077 Hospital Corporate Director Jul 1, 2024
Akron General Medical CenterAkron, OH, CCN 360027 Hospital Corporate Director Jul 1, 2024
Akron General Medical CenterAkron, OH, CCN 36S027 Hospital Corporate Director Jul 1, 2024
Mercy Medical CenterCanton, OH, CCN 360070 Hospital Corporate Director Jul 1, 2024
Lodi Community HospitalLodi, OH, CCN 361303 Hospital Corporate Director Jul 1, 2024
Mercy Medical CenterCanton, OH, CCN 36T070 Hospital Corporate Officer Jul 1, 2024
Euclid HospitalEuclid, OH, CCN 36S082 Hospital Corporate Director Jul 1, 2024
Cleveland ClinicMedina, OH, CCN 360091 Hospital Corporate Officer
Corporate Director		 Jul 1, 2024
Jul 1, 2024
Cleveland ClinicCleveland, OH, CCN 360180 Hospital Corporate Officer Jul 1, 2024
Marymount Hospital IncGarfield Heights, OH, CCN 360143 Hospital Corporate Director Jul 1, 2024
Marymount Hospital IncGarfield Heights, OH, CCN 36S143 Hospital Corporate Officer
Corporate Director		 Jul 1, 2024
Jul 1, 2024
Cleveland Clinic Union HospitalDover, OH, CCN 360010 Hospital Corporate Director Jul 1, 2024
Lutheran HospitalCleveland, OH, CCN 36S087 Hospital Corporate Director Jul 1, 2024
Cleveland Clinic Avon HospitalAvon, OH, CCN 360364 Hospital Corporate Director Jul 1, 2024
Lodi Community HospitalLodi, OH, CCN 36Z303 Hospital Corporate Director Jul 1, 2024
Cleveland Clinic Foundation Cleveland Clinic Home CareIndependence, OH, CCN 367142 Home health agency Corporate Officer
Corporate Director		 Jun 11, 2024
Jun 11, 2024

Owned or controlled facilities with NPI records 20

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

View all 20

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1770520694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 WOODWARD AVE",
            "address_2": "SUITE 600",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012061"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "HARPER HOSPITAL 3 HUDSON",
            "address_2": "3990 JOHN R",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "48201",
            "telephone_number": "313-745-0559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUZMAN",
        "first_name": "JORGE",
        "middle_name": "ALBERTO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301062656",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Detroit, MI

Sources for this page

Verify at the official NPI Registry.