DR. JUAN DIEGO HOLGUIN MD
NPI 1164650370
Surgery in Middlebury, CT
About Dr. Juan Diego Holguin Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DR. JUAN DIEGO HOLGUIN MD (NPI 1164650370) is an individual surgery provider in Middlebury, Connecticut, licensed in Connecticut (054295) and active in the NPI registry since June 2009. He is enrolled in Medicare PECOS and is a graduate of University Of Connecticut School Of Medicine (2009).
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 (PECOS)
Dr. Juan Diego Holguin Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
2Medicare enrollment records show Juan Holguin reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Waterbury, CT 06708
- Reassigned Medicare billing, Connecticut enrollment
- 152 clinicians in this Medicare group
Manchester, CT 06040
- Reassigned Medicare billing, Connecticut enrollment
- 422 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 4
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06762 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
MIDDLEBURY, CT 06762
MIDDLEBURY, CT 06762
MIDDLEBURY, CT 06762
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 Juan Holguin's NPI number?
The NPI number for Juan Holguin is 1164650370. It was assigned to this individual provider in the NPPES registry on June 25, 2009.
Where is Juan Holguin located?
Juan Holguin practices at 1625 Straits Tpke Suite 200, Middlebury, CT 06762. The listed phone number is (203) 568-2915.
What is Juan Holguin's specialty?
The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.
Is Juan Holguin enrolled in Medicare?
Yes. Juan Holguin is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Juan Holguin's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Juan Holguin reassigns Medicare benefits to 2 organizations: Uconn Health Community Network Medical Group, Inc. (Waterbury, CT) and Prospect Ct Medical Foundation, Inc. (Manchester, CT). 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 Juan Holguin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Juan Holguin was last updated on July 22, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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. Juan Diego Holguin, MD · NPI 1164650370
Surgery physician in Middlebury, Connecticut. Individual provider, active in the CMS NPPES registry since June 25, 2009.
## Identity
- **NPI:** 1164650370 (Entity type: Individual)
- **Enumerated:** June 25, 2009
- **Primary specialty:** Surgery · taxonomy 208600000X
- **State license:** 054295 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 1625 STRAITS TPKE, SUITE 200, Middlebury, CT 06762-1836
- **Phone:** (203) 568-2915
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 2 organizations under Medicare reassignment (form CMS-855R): Uconn Health Community Network Medical Group, Inc. (NPI 1548119522, Waterbury, CT); Prospect Ct Medical Foundation, Inc. (NPI 1144677568, Manchester, CT) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** University Of Connecticut School Of Medicine, class of 2009
## Record status
- **NPPES last updated:** July 22, 2015
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Source: [NPI Profile](https://npiprofile.com/npi/1164650370) · Data from the CMS NPPES public registry.