DR. LEONARDO FABIO HOLGUIN M.D.
NPI 1154632701
Internal Medicine in Red Bank, NJ
About Dr. Leonardo Fabio Holguin M.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. LEONARDO FABIO HOLGUIN M.D. (NPI 1154632701) is an individual internal medicine provider in Red Bank, New Jersey, licensed in New Jersey (25MA08777200) and active in the NPI registry since June 2010. He is enrolled in Medicare PECOS, is affiliated with Riverview Medical Center, and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
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. Leonardo Fabio Holguin 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 Reassignments
7Medicare enrollment records show Leonardo Holguin reassigns Medicare billing to 7 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Middletown, NJ 07748
- Reassigned Medicare billing, New Jersey enrollment
- 464 clinicians in this Medicare group
Holmdel, NJ 07733
- Reassigned Medicare billing, New Jersey enrollment
- 80 clinicians in this Medicare group
Freehold, NJ 07728
- Reassigned Medicare billing, New Jersey enrollment
- 94 clinicians in this Medicare group
East Orange, NJ 07018
- Reassigned Medicare billing, New Jersey enrollment
- 125 clinicians in this Medicare group
Livingston, NJ 07039
- Reassigned Medicare billing, New Jersey enrollment
- Medicare enrollment name: Two River Physician Associates
- 60 clinicians in this Medicare group
Montclair, NJ 07042
- Reassigned Medicare billing, New Jersey enrollment
- 252 clinicians in this Medicare group
Cedar Grove, NJ 07009
- Reassigned Medicare billing, New Jersey enrollment
- 48 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 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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Riverview Medical Center
Acute Care Hospitals · Red Bank, NJJersey Shore University Medical Center
Acute Care Hospitals · Neptune, NJJfk Medical Center
Acute Care Hospitals · Edison, NJPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 07701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
RED BANK, NJ 07701
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 Leonardo Holguin's NPI number?
The NPI number for Leonardo Holguin is 1154632701. It was assigned to this individual provider in the NPPES registry on June 29, 2010.
Where is Leonardo Holguin located?
Leonardo Holguin practices at 157 Broad St Suite 317, Red Bank, NJ 07701. The listed phone number is (732) 530-2960.
What is Leonardo Holguin's specialty?
The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.
Is Leonardo Holguin enrolled in Medicare?
Yes. Leonardo Holguin 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 organizations bill Medicare for Leonardo Holguin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Leonardo Holguin reassigns Medicare benefits to 7 organizations: Msk Monmouth (Middletown, NJ), Liberty Med Associates LLC (Holmdel, NJ), Holmdel Physician Associates (Freehold, NJ), Nj Acute Care Specialists Professional Corporation (East Orange, NJ), Beacon Radiology Solutions LLC (Livingston, NJ) and 2 more organizations, listed in the Medicare section above. Each 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 Leonardo Holguin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Leonardo Holguin affiliated with any hospitals?
According to CMS data, Leonardo Holguin is affiliated with Riverview Medical Center, Jersey Shore University Medical Center and Jfk Medical Center.
When was this NPI record last updated?
The NPPES record for Leonardo Holguin was last updated on November 17, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.
# Dr. Leonardo Fabio Holguin, M.D. · NPI 1154632701
Internal Medicine physician in Red Bank, New Jersey. Individual provider, active in the CMS NPPES registry since June 29, 2010.
## Identity
- **NPI:** 1154632701 (Entity type: Individual)
- **Enumerated:** June 29, 2010
- **Primary specialty:** Internal Medicine · taxonomy 207R00000X
- **State license:** 25MA08777200 (New Jersey)
- **Sole proprietor:** No
## Practice location
- **Address:** 157 BROAD ST, SUITE 317, Red Bank, NJ 07701-2028
- **Phone:** (732) 530-2960 · **Fax:** (732) 530-7446
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 7 organizations under Medicare reassignment (form CMS-855R): Msk Monmouth (NPI 1922459163, Middletown, NJ); Liberty Med Associates LLC (NPI 1366983033, Holmdel, NJ); Holmdel Physician Associates (NPI 1346647328, Freehold, NJ); Nj Acute Care Specialists Professional Corporation (NPI 1073805917, East Orange, NJ); Beacon Radiology Solutions LLC (NPI 1417354333, Livingston, NJ); and 2 more · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** November 17, 2011
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Source: [NPI Profile](https://npiprofile.com/npi/1154632701) · Data from the CMS NPPES public registry.