DR. GUADALUPE IBANEZ DAVILA MD
NPI 1073196416
Pediatrics in Nogales, AZ

Q: What is Guadalupe Davila's NPI number?

The NPI number for Guadalupe Davila is 1073196416. It was assigned to this individual provider in the NPPES registry on May 4, 2021.

Q: What is Guadalupe Davila's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Guadalupe Davila was last updated on October 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since May 04, 2021PECOS Enrolled

1852 N MASTICK WAY, NOGALES, AZ 85621(520) 281-1550(520) 281-4487 Get Directions Write a Review

NPPES record last updated: October 31, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

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About Dr. Guadalupe Ibanez Davila Md NPPES

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

DR. GUADALUPE IBANEZ DAVILA MD (NPI 1073196416) is an individual pediatrics provider in Nogales, Arizona, licensed in Arizona (74010) and active in the NPI registry since May 2021. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073196416

Entity TypeIndividualFemale

Primary Taxonomy208000000X

Provider Legal NameDR. GUADALUPE IBANEZ DAVILACredential: MD

Location Address1852 N MASTICK WAYNogales, AZ 85621-1063

Mailing Address825 N Grand Ave Ste 100Nogales, AZ 85621-1061 · (520) 761-2128 · Fax (520) 281-1112

Phone(520) 281-1550

Fax(520) 281-4487

Sole ProprietorNo

Enumeration DateMay 4, 2021

Last NPPES UpdateOctober 31, 2024

NPPES CertifiedOctober 31, 2024

✔ NPI 1073196416 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in AZ · 74010

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

1852 N MASTICK WAY, Nogales, AZ 85621

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Blue Cross Blue Shield of Arizona and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Guadalupe Ibanez Davila Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Medicare Billing Reassignment

Medicare enrollment records show Guadalupe Davila reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mariposa Community Health Center, Inc

Same address

Federally Qualified Health Center (FQHC)

1852 N MASTICK WAY
Nogales, AZ 85621

Reassigned Medicare billing, Arizona enrollment
60 clinicians in this Medicare group

NPI 1417985474 (520) 281-1550

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85621 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

$85.89 typical visit price

range $55.44 – $168.60

Typical copayment $21.47 (range $13.86 – $42.15)

Most-billed visit code 99203

Established Patient

$98.00 typical visit price

range $17.72 – $137.41

Typical copayment $24.50 (range $4.43 – $34.35)

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 20

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

MARIPOSA COMMUNITY HEALTH CENTER, INC

Radiology (Diagnostic Radiology)