1. Home
  2. Directory
  3. Illinois
  4. Chicago
  5. Hospitalist
  6. NPI Profile

DR. DORIAN F GUERRA M.D.
NPI 1053590430
Hospitalist in Chicago, IL

Active since November 01, 2007PECOS EnrolledAccepts Medicare Assignment
1753 W CONGRESS PKWY, CHICAGO, IL 60612(312) 942-4200(312) 942-3568 Get Directions Write a Review

NPPES record last updated: May 24, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Dorian F Guerra M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. DORIAN F GUERRA M.D. (NPI 1053590430) is an individual hospitalist provider in Chicago, Illinois, licensed in Illinois (036.120724) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Rush University Medical Center, and is a graduate of Other (2005).

NPPES Registry Identity

NPI1053590430
Entity TypeIndividualMale
Primary Taxonomy208M00000X
Provider Legal NameDR. DORIAN F GUERRACredential: M.D.
Location Address1753 W CONGRESS PKWYChicago, IL 60612-3838
Mailing Address1700 W Van Buren St, Suite 500Chicago, IL 60612-5500
Phone(312) 942-4200
Fax(312) 942-3568
Sole ProprietorNo
Medical School CMSOtherGraduated 2005
Enumeration DateNovember 1, 2007
Last NPPES UpdateMay 24, 2022
NPPES CertifiedMay 24, 2022
✔ NPI 1053590430 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyHospitalistAllopathic & Osteopathic Physicians
Taxonomy Code208M00000X
License✔ Licensed in IL · 036.120724
Definition
Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Also ListedInternal MedicineTaxonomy 207R00000X · License 036.120724 (IL)
1753 W CONGRESS PKWY, Chicago, IL 60612
Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Dorian F Guerra M.d. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID648338343
PECOS Enrollment IDI20081028000552
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 6

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
454 services172 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
184 services72 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
46 services46 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
42 services40 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
30 services29 patients
Automated urinalysis test 81003
An automated urinalysis test is a routine examination that checks your urine for various substances. It can help identify potential health issues such as kidney problems or diabetes. The test uses a machine to analyze a small urine sample, providing quick and accurate results.
23 services23 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Rush University Medical Center

Acute Care Hospitals · Chicago, IL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140119
Location1653 West Congress ParkwayChicago, IL 60612 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60612 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KATHERINE B KABAKER M.D.
Internal Medicine (Medical Oncology)
1753 W CONGRESS PKWY, JONES BLDG SUITE 301
CHICAGO, IL 60612
Cook County (312) 942-6600

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Dorian Guerra's NPI number?

The NPI number for Dorian Guerra is 1053590430. It was assigned to this individual provider in the NPPES registry on November 1, 2007.

Where is Dorian Guerra located?

Dorian Guerra practices at 1753 W Congress Pkwy, Chicago, IL 60612. The listed phone number is (312) 942-4200.

What is Dorian Guerra's specialty?

The primary specialty registered for this NPI is Hospitalist with taxonomy code 208M00000X.

Is Dorian Guerra enrolled in Medicare?

Yes. Dorian Guerra is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Dorian Guerra affiliated with any hospitals?

According to CMS data, Dorian Guerra is affiliated with Rush University Medical Center.

When was this NPI record last updated?

The NPPES record for Dorian Guerra was last updated on May 24, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.