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DR. NELIO GUZMAN AGUAYO M.D.
NPI 1124266184
Internal Medicine - Nephrology in Spokane, WA

Active since January 29, 2009PECOS EnrolledAccepts Medicare Assignment
105 W 8TH AVE, SUITE 7060, SPOKANE, WA 99204(509) 747-2054(509) 747-2054 Get Directions Write a Review

NPPES record last updated: May 25, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 25, 2021, Apr 13, 2019 (2 updates tracked since 2019).

About Dr. Nelio Guzman Aguayo M.d. NPPES

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

DR. NELIO GUZMAN AGUAYO M.D. (NPI 1124266184) is an individual nephrology provider in Spokane, Washington, licensed in Washington (MD60321439) and active in the NPI registry since January 2009. He is enrolled in Medicare PECOS, is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp., and is a graduate of Other (2003).

NPPES Registry Identity

NPI1124266184
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. NELIO GUZMAN AGUAYOCredential: M.D.
Location Address105 W 8TH AVE, SUITE 7060Spokane, WA 99204-2302
Mailing AddressPo Box 421Liberty Lake, WA 99019-0421 · (509) 474-2072
Phone(509) 747-2054
Fax(509) 747-2054
Sole ProprietorYes
Medical School CMSOtherGraduated 2003
Enumeration DateJanuary 29, 2009
Last NPPES UpdateMay 25, 20212 updates tracked since enumeration
NPPES CertifiedMay 25, 2021
✔ NPI 1124266184 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Licenses✔ Licensed in WA · MD60321439✔ Licensed in TX · P0396
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Also ListedPediatrics · Pediatric NephrologyTaxonomy 2080P0210X · License MD60321439 (WA), P0396 (TX)
105 W 8TH AVE, Spokane, WA 99204
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

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. Nelio Guzman Aguayo 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 ID5092959106
PECOS Enrollment IDI20130911000330
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.

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.
264 services158 patients
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.
204 services71 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
42 services20 patients
New patient office or other outpatient visit with a high level of medical decision making, if using time, 60 minutes or more 99205
This is a first-time patient visit where a healthcare professional spends 60-74 minutes with you. It involves a comprehensive evaluation, including your medical history and current health condition. They'll also advise on preventive health measures and formulate a treatment plan if needed.
39 services39 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
20 services20 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
18 services16 patients

Hospital Affiliations CMS Care Compare 5

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

Prov Sacred Hrt Med Ctr & Childs Hosp.

Acute Care Hospitals · Spokane, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number500054
Location101 West 8th AvenueSpokane, WA 99204 · Spokane County
Emergency services Birthing friendly

Providence Holy Family Hospital

Acute Care Hospitals · Spokane, WA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number500077
Location5633 North LidgerwoodSpokane, WA 99208 · Spokane County
Emergency services Birthing friendly

Lincoln Hospital

Critical Access Hospitals · Davenport, WA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number501305
Location10 Nichols StreetDavenport, WA 99122 · Lincoln County
Emergency services

Providence St Joseph Hospital

Critical Access Hospitals · Chewelah, WA
OwnershipVoluntary non-profit - Church
CMS Certification Number501309
Location500 East WebsterChewelah, WA 99109 · Stevens County
Emergency services

Providence Mount Carmel Hospital

Critical Access Hospitals · Colville, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number501326
Location982 East ColumbiaColville, WA 99114 · Stevens County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 99204 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
$130.99 typical visit price
range $57.27 – $172.80
Typical copayment $32.74 (range $14.31 – $43.20)
Most-billed visit code 99204
Established Patient
$100.78 typical visit price
range $18.56 – $141.11
Typical copayment $25.19 (range $4.64 – $35.27)
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.

LISA M KOCH PH.D.
Psychologist
105 W 8TH AVE, SUITE 450E
SPOKANE, WA 99204
Spokane County (509) 474-6920
DR. ROBERT D MARTZ M.D.
Neurological Surgery
105 W 8TH AVE, STE 200
SPOKANE, WA 99204
Spokane County (509) 624-9112
SURGICAL SPECIALISTS OF SPOKANE
Surgery
105 W 8TH AVE, STE 7060
SPOKANE, WA 99204
Spokane County (509) 747-6194
MICHAEL F. KESTELL M.D.
Internal Medicine (Gastroenterology)
105 W 8TH AVE, SUITE 6010
SPOKANE, WA 99204
Spokane County (509) 838-5950
JANET S ABADIR MD
Surgery
105 W 8TH AVE, STE 7010
SPOKANE, WA 99204
Spokane County (509) 747-6194
DR. LEE JAYSON STONE MD
Internal Medicine (Gastroenterology)
105 W 8TH AVE, SUITE 6010
SPOKANE, WA 99204
Spokane County (509) 838-5950
MRS. KELLY JULENE ANDERSON MSN, ARNP-C
Nurse Practitioner (Family)
105 W 8TH AVE
SPOKANE, WA 99204
Spokane County (509) 474-6960
DR. ANISHA MARIE BOETEL M.D.
Psychiatry & Neurology (Psychiatry)
105 W 8TH AVE, SUITE 450E
SPOKANE, WA 99204
Spokane County (509) 474-6920

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 Nelio Guzman Aguayo's NPI number?

The NPI number for Nelio Guzman Aguayo is 1124266184. It was assigned to this individual provider in the NPPES registry on January 29, 2009.

Where is Nelio Guzman Aguayo located?

Nelio Guzman Aguayo practices at 105 W 8th Ave Suite 7060, Spokane, WA 99204. The listed phone number is (509) 747-2054.

What is Nelio Guzman Aguayo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Nelio Guzman Aguayo enrolled in Medicare?

Yes. Nelio Guzman Aguayo 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.

What insurance does Nelio Guzman Aguayo accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Nelio Guzman Aguayo 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 Nelio Guzman Aguayo affiliated with any hospitals?

According to CMS data, Nelio Guzman Aguayo is affiliated with Prov Sacred Hrt Med Ctr & Childs Hosp., Providence Holy Family Hospital, Lincoln Hospital, Providence St Joseph Hospital and Providence Mount Carmel Hospital.

When was this NPI record last updated?

The NPPES record for Nelio Guzman Aguayo was last updated on May 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.