MR. CARLOS M GUIDA MD
NPI 1205809670
Internal Medicine - Hematology & Oncology in Miami, FL

Q: What is Carlos Guida's NPI number?

The NPI number for Carlos Guida is 1205809670. It was assigned to this individual provider in the NPPES registry on February 8, 2006. The provider is also known as Carlos M Guida MD PA.

Q: What is Carlos Guida's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Q: When was this NPI record last updated?

The NPPES record for Carlos Guida was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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 February 08, 2006PECOS EnrolledAccepts Medicare Assignment

30/100

CMS Quality Rating

351 NW 42ND AVE STE 406, MIAMI, FL 33126(305) 643-6500(305) 642-4995 Get Directions Write a Review

NPPES record last updated: October 22, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Mr. Carlos M Guida Md NPPES

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

MR. CARLOS M GUIDA MD (NPI 1205809670) is an individual hematology & oncology provider in Miami, Florida, licensed in Florida (ME56236) and active in the NPI registry since February 2006. He is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Other (1985).

NPPES Registry Identity

NPI1205809670

Entity TypeIndividualMale

Primary Taxonomy207RH0003X

Provider Legal NameMR. CARLOS M GUIDACredential: MD

Location Address351 NW 42ND AVE STE 406Miami, FL 33126-5689

Mailing Address351 Nw 42 Ave, Suite 409Miami, FL 38126 · (305) 643-6500 · Fax (305) 642-4995

Phone(305) 643-6500

Fax(305) 642-4995

Sole ProprietorNo

Medical School CMSOtherGraduated 1985

Enumeration DateFebruary 8, 2006

Last NPPES UpdateOctober 22, 2024

NPPES CertifiedOctober 22, 2024

✔ NPI 1205809670 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Hematology & OncologyAllopathic & Osteopathic Physicians

Taxonomy Code207RH0003X

License✔ Licensed in FL · ME56236

Definition

An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to obtain a Certificate of Special Qualifications in the field of Hematology and Oncology. The Certificate is NO longer offered.

351 NW 42ND AVE STE 406, Miami, FL 33126

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Other Names 1

Professional Name (2)Carlos M Guida Md Pa

Other Identifiers 1

Medicaid374666600FL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL).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

Mr. Carlos M Guida 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 ID2365578978

PECOS Enrollment IDI20100407000084

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 9

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 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.

2,416 services627 patients

Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231

Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.

1,710 services540 patients

Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222

Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.

668 services610 patients

Initial hospital care with straightforward or low level of medical decision making, per day, if using time, at least 40 minutes 99221

Initial hospital inpatient care refers to the first day of your stay in the hospital. This service typically includes a 30-minute check-up with a healthcare professional. They'll assess your health, discuss your condition, and plan your treatment. It's part of ensuring you receive the best possible care.

407 services367 patients

Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212

This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.

21 services11 patients

Initial nursing facility care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99304

An initial nursing facility visit is a daily check-up to monitor your health status. This service, lasting typically 25 minutes, involves a nurse assessing your overall wellbeing, discussing concerns, and updating your care plan as needed.

20 services20 patients

Hospital Affiliations CMS Care Compare 5

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

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100008

Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County

Emergency services Birthing friendly

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100034

Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County

Emergency services Birthing friendly

Larkin Community Hospital

Acute Care Hospitals · South Miami, FL

OwnershipProprietary

CMS Certification Number100181

Location7031 SW 62nd AveSouth Miami, FL 33143 · Miami-Dade County

Emergency services

Hca Florida Kendall Hospital

Acute Care Hospitals · Miami, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100209

Location11750 Bird RdMiami, FL 33175 · Miami-Dade County

Emergency services Birthing friendly

Keralty Hospital

Acute Care Hospitals · Miami, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100284

Location2500 SW 75th AveMiami, FL 33155 · Miami-Dade County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33126 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

$187.05 typical visit price

range $60.92 – $187.05

Typical copayment $46.76 (range $15.23 – $46.76)

Most-billed visit code 99205

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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.

30/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Individually scored

Quality

Improvement Activities

Cost

100

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.

JOSE M BIRRIEL MD

Internal Medicine (Pulmonary Disease)

351 NW 42ND AVE STE 406
MIAMI, FL 33126

Miami-Dade County (305) 642-2600

INTEGRATED HEALTHCARE SERVICES LLC

Psychiatry & Neurology (Psychiatry)

351 NW 42ND AVE STE 406
MIAMI, FL 33126

Miami-Dade County (786) 536-1701

CARLOS M GUIDA M D P A

Internal Medicine (Hematology & Oncology)

351 NW 42ND AVE STE 406
MIAMI, FL 33126

Miami-Dade County (305) 643-6500

JOSE M BIRRIEL MD PA

Internal Medicine (Pulmonary Disease)

351 NW 42ND AVE STE 406
MIAMI, FL 33126

Miami-Dade County (305) 642-2600

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 Carlos Guida's NPI number?

The NPI number for Carlos Guida is 1205809670. It was assigned to this individual provider in the NPPES registry on February 8, 2006. The provider is also known as Carlos M Guida MD PA.

Where is Carlos Guida located?

Carlos Guida practices at 351 NW 42nd Ave Ste 406, Miami, FL 33126. The listed phone number is (305) 643-6500.

What is Carlos Guida's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Hematology & Oncology, with taxonomy code 207RH0003X.

Is Carlos Guida enrolled in Medicare?

Yes. Carlos Guida 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 Carlos Guida accept?

Health plans from Florida Blue (BlueCross BlueShield FL) list Carlos Guida 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 Carlos Guida affiliated with any hospitals?

According to CMS data, Carlos Guida is affiliated with Baptist Hospital Of Miami, Mount Sinai Medical Center Of Florida, Inc, Larkin Community Hospital, Hca Florida Kendall Hospital and Keralty Hospital.

When was this NPI record last updated?

The NPPES record for Carlos Guida was last updated on October 22, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.