GUILLERMINA NAVA MD
NPI 1164631024
Plastic Surgery in Detroit, MI

Q: What is Guillermina Nava's NPI number?

The NPI number for Guillermina Nava is 1164631024. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Q: What is Guillermina Nava's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Q: When was this NPI record last updated?

The NPPES record for Guillermina Nava was last updated on September 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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 May 21, 2007PECOS EnrolledAccepts Medicare Assignment

4160 JOHN R ST, SUITE 615, DETROIT, MI 48201(313) 745-4195(313) 993-8669 Get Directions Write a Review

NPPES record last updated: September 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Guillermina Nava Md NPPES

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

GUILLERMINA NAVA MD (NPI 1164631024) is an individual plastic surgery provider in Detroit, Michigan, licensed in Michigan (4301093488) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS, is affiliated with Harper University Hospital, and is a graduate of University Of Rochester School Of Medicine And Dentistry (2001).

NPPES Registry Identity

NPI1164631024

Entity TypeIndividualFemale

Primary Taxonomy208200000X

Provider Legal NameGUILLERMINA NAVACredential: MD

Location Address4160 JOHN R ST, SUITE 615Detroit, MI 48201-2020

Mailing Address1560 E Maple Rd, Suite 400 - CredentialingTroy, MI 48083-1189 · (248) 581-5974 · Fax (248) 581-5640

Phone(313) 745-4195

Fax(313) 993-8669

Sole ProprietorNo

Medical School CMSUniversity Of Rochester School Of Medicine And DentistryGraduated 2001

Enumeration DateMay 21, 2007

Last NPPES UpdateSeptember 29, 2015

✔ NPI 1164631024 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPlastic SurgeryAllopathic & Osteopathic Physicians

Taxonomy Code208200000X

Licenses✔ Licensed in MI · 4301093488✔ Licensed in OH · 35-089408

Definition

A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external genitalia or cosmetic enhancement of these areas of the body. Cosmetic surgery is an essential component of plastic surgery. The plastic surgeon uses cosmetic surgical principles to both improve overall appearance and to optimize the outcome of reconstructive procedures. The surgeon uses aesthetic surgical principles not only to improve undesirable qualities of normal structures but in all reconstructive procedures as well.

4160 JOHN R ST, Detroit, MI 48201

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Other Identifiers 1

Medicare PIN0P30630594MI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.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

Guillermina Nava Md 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 ID6709977275

PECOS Enrollment IDI20090116000457

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.

Hospital Affiliations CMS Care Compare 2

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

Harper University Hospital

Acute Care Hospitals · Detroit, MI

1/5 CMS rating

OwnershipProprietary

CMS Certification Number230104

Location3990 John R StreetDetroit, MI 48201 · Wayne County

Emergency services Birthing friendly

Karmanos Cancer Center

Acute Care Hospitals · Detroit, MI

3/5 CMS rating

OwnershipProprietary

CMS Certification Number230297

Location4100 John RDetroit, MI 48201 · Wayne County

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 48201 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

$90.76 typical visit price

range $58.04 – $177.36

Typical copayment $22.69 (range $14.51 – $44.34)

Most-billed visit code 99203

Established Patient

$72.38 typical visit price

range $18.32 – $143.49

Typical copayment $18.09 (range $4.58 – $35.87)

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 20

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

ASHRAF ELSDEEK MOHAMED M.D.

Psychiatry & Neurology (Neurology)

4160 JOHN R ST
DETROIT, MI 48201

Wayne County (313) 833-8467

CHARLES EDWARD LUCAS MD

Surgery

4160 JOHN R ST, SUITE 615
DETROIT, MI 48201

Wayne County (313) 745-4195

DR. JOYA A GANGULY MD

Internal Medicine (Clinical Cardiac Electrophysiology)

4160 JOHN R ST, SUITE 510
DETROIT, MI 48201

Wayne County (313) 993-7777

YOUNG HO SOHN MD PLLC

Specialist

4160 JOHN R ST, SUITE 515
DETROIT, MI 48201

Wayne County (313) 832-1440

KARIN CALVITI

Audiologist

4160 JOHN R ST
DETROIT, MI 48201

Wayne County (313) 966-9471

MICHELLE BASTIEN CNP RN BSN MSN OCN

Nurse Practitioner

4160 JOHN R ST, SUITE 917
DETROIT, MI 48201

Wayne County (313) 745-4525

ANNA MARIE LEDGERWOOD MD

Surgery

4160 JOHN R ST, STE 615
DETROIT, MI 48201

Wayne County (313) 745-4195

DR. PRAVIT CADNAPAPHORNCHAI MD

Internal Medicine (Nephrology)

4160 JOHN R ST, HARPER PROFESSIONAL BLDG STE 917
DETROIT, MI 48201

Wayne County (313) 745-4525

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 Guillermina Nava's NPI number?

The NPI number for Guillermina Nava is 1164631024. It was assigned to this individual provider in the NPPES registry on May 21, 2007.

Where is Guillermina Nava located?

Guillermina Nava practices at 4160 John R St Suite 615, Detroit, MI 48201. The listed phone number is (313) 745-4195.

What is Guillermina Nava's specialty?

The primary specialty registered for this NPI is Plastic Surgery with taxonomy code 208200000X.

Is Guillermina Nava enrolled in Medicare?

Yes. Guillermina Nava 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 Guillermina Nava accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company and 3 other insurers list Guillermina Nava 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 Guillermina Nava affiliated with any hospitals?

According to CMS data, Guillermina Nava is affiliated with Harper University Hospital and Karmanos Cancer Center.

When was this NPI record last updated?

The NPPES record for Guillermina Nava was last updated on September 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.