DR. GLENDELL SANTIAGO DE GUZMAN M.D.
NPI 1174819064
Obstetrics & Gynecology in Las Vegas, NV

Q: What is Glendell De Guzman's NPI number?

The NPI number for Glendell De Guzman is 1174819064. It was assigned to this individual provider in the NPPES registry on June 20, 2011.

Q: What is Glendell De Guzman's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Active since June 20, 2011PECOS EnrolledAccepts Medicare Assignment

6355 S BUFFALO DR FL 3, LAS VEGAS, NV 89113(702) 255-3547(702) 921-2419 Get Directions Write a Review

NPPES record last updated: November 2, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 2, 2022, Nov 17, 2020, Oct 22, 2018 and 1 more (4 updates tracked since 2016).

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About Dr. Glendell Santiago De Guzman M.d. NPPES

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

DR. GLENDELL SANTIAGO DE GUZMAN M.D. (NPI 1174819064) is an individual obstetrics & gynecology provider in Las Vegas, Nevada, licensed in Nevada (18236) and active in the NPI registry since June 2011. He is enrolled in Medicare PECOS, maintains 3 additional practice locations, and is a graduate of Pennsylvania State University College Of Medicine (2011).

NPPES Registry Identity

NPI1174819064

Entity TypeIndividualMale

Primary Taxonomy207V00000X

Provider Legal NameDR. GLENDELL SANTIAGO DE GUZMANCredential: M.D.

Location Address6355 S BUFFALO DR FL 3Las Vegas, NV 89113-2133

Mailing Address6355 S Buffalo Dr Fl 3Las Vegas, NV 89113-2133 · (702) 216-3346

Phone(702) 255-3547

Fax(702) 921-2419

Sole ProprietorNo

Medical School CMSPennsylvania State University College Of MedicineGraduated 2011

Enumeration DateJune 20, 2011

Last NPPES UpdateNovember 2, 20224 updates tracked since enumeration

NPPES CertifiedNovember 2, 2022

✔ NPI 1174819064 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians

Taxonomy Code207V00000X

Licenses✔ Licensed in NV · 18236✔ Licensed in MA · 263048

Definition

An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.

6355 S BUFFALO DR FL 3, Las Vegas, NV 89113

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Other Names 1

Professional Name (2)Dr. Glendell De Guzman M.d.

Secondary Practice Locations 3

Location 11611 Cambridge StCambridge, MA 02138-4302 · Phone (617) 661-5585 · Fax (617) 661-5107

Location 22231 W Charleston Blvd Fl 2Las Vegas, NV 89102 · Phone (702) 780-2312 · Fax (702) 895-4014

Location 39260 W Sunset Rd Ste 200Las Vegas, NV 89148-4903 · Phone (702) 216-3346

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health.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

Dr. Glendell Santiago De 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 ID4486803343

PECOS Enrollment IDI20181218001478

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 89113 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

$131.25 typical visit price

range $57.07 – $173.24

Typical copayment $32.81 (range $14.26 – $43.31)

Most-billed visit code 99204

Established Patient

$71.14 typical visit price

range $18.27 – $140.96

Typical copayment $17.78 (range $4.56 – $35.24)

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.

VERONICA NIKI JAMES FNP-BC

Nurse Practitioner (Primary Care)