DR. JESUEL PADRO-GUZMAN M.D. NPI 1003005372

Physical Medicine & Rehabilitation in New York, NY

NPI 1003005372 Individual Male Years of Experience 15 Physical Medicine & Rehabilitation PECOS Enrolled Accepts Medicare Approved Payment

About JESUEL PADRO-GUZMAN

Jesuel Padro-guzman is a provider established in New York, New York and his medical specialization is physical medicine & rehabilitation with more than 15 years of experience. He graduated from University Central Del Caribe Escuela De Medicina in 2007. The NPI number of Jesuel Padro-guzman is 1003005372 and was assigned on October 2007. The practitioner's primary taxonomy code is 208100000X with license number 266227 (NY). The provider is registered as an individual and his NPI record was last updated 5 years ago.

Jesuel Padro-guzman is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Jesuel Padro-guzman is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data he has hospital affiliations with .

NPI

1003005372

Provider NameDR. JESUEL PADRO-GUZMAN M.D.
Provider Location Address525 E 68TH ST # F-16 BOX 142 NEW YORK, NY 10065
Provider Mailing Address525 E 68TH ST BOX 142 NEW YORK, NY 10065
GenderMale
NPI Entity TypeIndividual
Medical School NameUNIVERSITY CENTRAL DEL CARIBE ESCUELA DE MEDICINA
Graduation Year2007
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date10-23-2007
Last Update Date04-05-2016


Primary Taxonomy

Taxonomy Code208100000X
ClassificationPhysical Medicine & Rehabilitation
TypeAllopathic & Osteopathic Physicians
License No.266227
License StateNY
Taxonomy DescriptionPhysical medicine and rehabilitation, also referred to as rehabilitation medicine, is the medical specialty concerned with diagnosing, evaluating, and treating patients with physical disabilities. These disabilities may arise from conditions affecting the musculoskeletal system such as neck and back pain, sports injuries, or other painful conditions affecting the limbs, such as carpal tunnel syndrome. Alternatively, the disabilities may result from neurological trauma or disease such as spinal cord injury, head injury or stroke. A physician certified in physical medicine and rehabilitation is often called a physiatrist. The primary goal of the physiatrist is to achieve maximal restoration of physical, psychological, social and vocational function through comprehensive rehabilitation. Pain management is often an important part of the role of the physiatrist. For diagnosis and evaluation, a physiatrist may include the techniques of electromyography to supplement the standard history, physical, x-ray and laboratory examinations. The physiatrist has expertise in the appropriate use of therapeutic exercise, prosthetics (artificial limbs), orthotics and mechanical and electrical devices.

Business Address

DR. JESUEL PADRO-GUZMAN M.D.
525 E 68TH ST # F-16
BOX 142
NEW YORK, NY
ZIP 10065
Phone: (212) 746-1500

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Mailing Address

DR. JESUEL PADRO-GUZMAN M.D.
525 E 68TH ST
BOX 142
NEW YORK, NY
ZIP 10065
Phone: (212) 746-1500



Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID4082803564
PECOS Enrollment IDI20130719000055
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 130Injection, triamcinolone acetonide, not otherwise specified, 10 mg (HCPCS:J3301)
  • 33Aspiration and/or injection of large joint or joint capsule (HCPCS:20610)

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.