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DR. LEONARDO FABIO HOLGUIN M.D.
NPI 1154632701
Internal Medicine in Red Bank, NJ

Active since June 29, 2010PECOS EnrolledAccepts Medicare Assignment
80.17/100
CMS Quality Rating
157 BROAD ST, SUITE 317, RED BANK, NJ 07701(732) 530-2960(732) 530-7446 Get Directions Write a Review

NPPES record last updated: November 17, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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

NPI1154632701
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. LEONARDO FABIO HOLGUINCredential: M.D.
Location Address157 BROAD ST, SUITE 317Red Bank, NJ 07701-2028
Mailing Address157 Broad St, Suite 317Red Bank, NJ 07701-2028 · (732) 530-2960 · Fax (732) 530-7446
Phone(732) 530-2960
Fax(732) 530-7446
Sole ProprietorNo
Medical School CMSOtherGraduated 2006
Enumeration DateJune 29, 2010
Last NPPES UpdateNovember 17, 2011
✔ NPI 1154632701 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in NJ · 25MA08777200
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
157 BROAD ST, Red Bank, NJ 07701
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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. 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.

PECOS PAC ID1850589292
PECOS Enrollment IDI20101229000295
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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
1,108 services477 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.
946 services367 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.
122 services122 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
78 services77 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
40 services20 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.
19 services12 patients

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, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

Jersey Shore University Medical Center

Acute Care Hospitals · Neptune, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310073
Location1945 State Route 33Neptune, NJ 07753 · Monmouth County
Emergency services Birthing friendly

Jfk Medical Center

Acute Care Hospitals · Edison, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310108
Location65 James StreetEdison, NJ 08820 · Middlesex County
Emergency services Birthing friendly

Physician 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.

New Patient
$140.34 typical visit price
range $61.59 – $185.05
Typical copayment $35.08 (range $15.39 – $46.26)
Most-billed visit code 99204
Established Patient
$107.94 typical visit price
range $20.08 – $150.98
Typical copayment $26.98 (range $5.02 – $37.74)
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.

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.

80.17/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality72.76
Improvement Activities40

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.

DR. EMILY R FELZENBERG D.O.
Internal Medicine
157 BROAD ST, SUITE 317
RED BANK, NJ 07701
Monmouth County (732) 530-2960
MRS. ANCA MARIE SALARU MD
Internal Medicine
157 BROAD ST, SUITE 317
RED BANK, NJ 07701
Monmouth County (732) 530-2960
DR. CAROL E ASH DO
Internal Medicine (Critical Care Medicine)
157 BROAD ST, SUITE 206
RED BANK, NJ 07701
Monmouth County (732) 530-2960
DR. BRIAN R INCREMONA M.D.
Internal Medicine
157 BROAD ST, SUITE 317
RED BANK, NJ 07701
Monmouth County (732) 530-2960

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.

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.