DR. EDWIN RAPHAEL GUZMAN M.D.
NPI 1154387637
Obstetrics & Gynecology - Maternal & Fetal Medicine in Phoenix, AZ

Q: What is Edwin Guzman's NPI number?

The NPI number for Edwin Guzman is 1154387637. It was assigned to this individual provider in the NPPES registry on April 25, 2006.

Q: What is Edwin Guzman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Maternal & Fetal Medicine, with taxonomy code 207VM0101X.

Q: When was this NPI record last updated?

The NPPES record for Edwin Guzman was last updated on July 25, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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 April 25, 2006PECOS EnrolledAccepts Medicare Assignment

500 W THOMAS RD STE 700, PHOENIX, AZ 85013(602) 406-7048(602) 406-7650 Get Directions Write a Review

NPPES record last updated: July 25, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 25, 2019, Feb 24, 2019 (2 updates tracked since 2019).

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About Dr. Edwin Raphael Guzman M.d. NPPES

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

DR. EDWIN RAPHAEL GUZMAN M.D. (NPI 1154387637) is an individual maternal & fetal medicine provider in Phoenix, Arizona, licensed in Arizona (57123) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (1980).

NPPES Registry Identity

NPI1154387637

Entity TypeIndividualMale

Primary Taxonomy207VM0101X

Provider Legal NameDR. EDWIN RAPHAEL GUZMANCredential: M.D.

Location Address500 W THOMAS RD STE 700Phoenix, AZ 85013-4295

Mailing Address3030 N Central Ave Ste 1001Phoenix, AZ 85012-2716 · (602) 406-4786 · Fax (916) 636-4358

Phone(602) 406-7048

Fax(602) 406-7650

Sole ProprietorNo

Medical School CMSNew York Medical CollegeGraduated 1980

Enumeration DateApril 25, 2006

Last NPPES UpdateJuly 25, 20192 updates tracked since enumeration

✔ NPI 1154387637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & Gynecology · Maternal & Fetal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207VM0101X

Licenses✔ Licensed in AZ · 57123✔ Licensed in NJ · MA53823✔ Licensed in NY · 150128

Definition

An obstetrician/gynecologist who cares for, or provides consultation on, patients with complications of pregnancy. This specialist has advanced knowledge of the obstetrical, medical and surgical complications of pregnancy and their effect on both the mother and the fetus. The specialist also possesses expertise in the most current diagnostic and treatment modalities used in the care of patients with complicated pregnancies.

500 W THOMAS RD STE 700, Phoenix, AZ 85013

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Other Identifiers 1

Medicaid0992500NJ

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. Edwin Raphael 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.

PECOS PAC ID6406843267

PECOS Enrollment IDI20040426001317

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 Reassignments

Medicare enrollment records show Edwin Guzman reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wellspan Medical Group

1,936 mi

Family Medicine

2 KEEFER DR
Mercersburg, PA 17236

Reassigned Medicare billing, Pennsylvania enrollment
3,080 clinicians in this Medicare group

NPI 1407568298 (717) 328-2119

Maternal Fetal Medicine Of Practice Associates, PA

2,120 mi

Maternal & Fetal Medicine

100 MADISON AVE, PHYSICIAN SHARED SERVICES BOX 68
Morristown, NJ 07960

Reassigned Medicare billing, New Jersey enrollment
17 clinicians in this Medicare group

NPI 1578613840 (973) 971-7185

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 85013 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

$127.71 typical visit price

range $55.44 – $168.60

Typical copayment $31.92 (range $13.86 – $42.15)

Most-billed visit code 99204

Established Patient

$69.24 typical visit price

range $17.72 – $137.41

Typical copayment $17.31 (range $4.43 – $34.35)

Most-billed visit code 99213

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 12

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

CAMILLE BROWN M.S., CGC

Genetic Counselor, MS