DR. JUAN PABLO BLUM GUZMAN M.D.
NPI 1104056860
Internal Medicine - Gastroenterology in Hialeah, FL
About Dr. Juan Pablo Blum Guzman M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JUAN PABLO BLUM GUZMAN M.D. (NPI 1104056860) is an individual gastroenterology provider in Hialeah, Florida, licensed in Florida (ME116607) and active in the NPI registry since July 2009. He is enrolled in Medicare PECOS, is affiliated with Memorial Hospital Miramar, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Dr. Juan Pablo Blum Guzman 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.
Medicare Billing Reassignment
Medicare enrollment records show Juan Blum Guzman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Hialeah, FL 33016
- Reassigned Medicare billing, Florida enrollment
- 20 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Memorial Hospital Miramar
Acute Care Hospitals · Miramar, FLPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 33016 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 16
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
HIALEAH, FL 33016
HIALEAH, FL 33016
HIALEAH, FL 33016
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 Juan Blum Guzman's NPI number?
The NPI number for Juan Blum Guzman is 1104056860. It was assigned to this individual provider in the NPPES registry on July 15, 2009.
Where is Juan Blum Guzman located?
Juan Blum Guzman practices at 2140 W 68th St Ste 300, Hialeah, FL 33016. The listed phone number is (305) 822-4107.
What is Juan Blum Guzman's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.
Is Juan Blum Guzman enrolled in Medicare?
Yes. Juan Blum Guzman 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.
Which organization bills Medicare for Juan Blum Guzman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Juan Blum Guzman reassigns Medicare benefits to Digestive Medicine Associates (Hialeah, FL). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Juan Blum Guzman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Juan Blum Guzman accept?
Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 5 other insurers list Juan Blum Guzman as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
Is Juan Blum Guzman affiliated with any hospitals?
According to CMS data, Juan Blum Guzman is affiliated with Memorial Hospital Miramar.
When was this NPI record last updated?
The NPPES record for Juan Blum Guzman was last updated on January 20, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.