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NESTOR ESTEBAN GUATY MD
NPI 1265652234
Family Medicine in Miami, FL

Active since May 01, 2007PECOS EnrolledAccepts Medicare Assignment
8840 SW 40TH ST, SUITE 200, MIAMI, FL 33165(305) 221-3111(305) 221-3493 Get Directions Write a Review

NPPES record last updated: October 20, 2022. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 20, 2022, Oct 22, 2021, Feb 11, 2020 (3 updates tracked since 2020).

About Nestor Esteban Guaty Md NPPES

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

NESTOR ESTEBAN GUATY MD (NPI 1265652234) is an individual family medicine provider in Miami, Florida, licensed in Florida (ME63895) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS and is a graduate of University Central Del Caribe Escuela De Medicina (1986).

NPPES Registry Identity

NPI1265652234
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameNESTOR ESTEBAN GUATYCredential: MD
Location Address8840 SW 40TH ST, SUITE 200Miami, FL 33165-5482
Mailing Address8840 Sw 40th St, Suite 200Miami, FL 33165-5482 · (305) 221-3111 · Fax (305) 221-3493
Phone(305) 221-3111
Fax(305) 221-3493
Sole ProprietorNo
Medical School CMSUniversity Central Del Caribe Escuela De MedicinaGraduated 1986
Enumeration DateMay 1, 2007
Last NPPES UpdateOctober 20, 20223 updates tracked since enumeration
NPPES CertifiedOctober 20, 2022
✔ NPI 1265652234 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in FL · ME63895
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
8840 SW 40TH ST, Miami, FL 33165
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include AvMed, Cigna Healthcare, Cigna HealthCare of Florida, Inc. and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Nestor Esteban Guaty 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 ID4587736723
PECOS Enrollment IDI20080723000741
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.

Medicare Billing Reassignment

Medicare enrollment records show Nestor Guaty reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

South Florida Family Practice, LLC
Same address
Family Medicine
8840 SW 40TH ST STE 200
Miami, FL 33165
  • Reassigned Medicare billing, Florida enrollment
  • 2 clinicians in this Medicare group
NPI 1336021989 (305) 221-3111

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.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
52 services31 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
38 services23 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
31 services20 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
28 services28 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33165 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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers12 claims28 services$6.15 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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.

BAPTIST HOSPITAL OF MIAMI INC.
Non-Pharmacy Dispensing Site
8840 SW 40TH ST
MIAMI, FL 33165
Miami-Dade County (786) 596-3890
ANA ELIZABETH PERALTA MD
Family Medicine
8840 SW 40TH ST, SUITE 100
MIAMI, FL 33165
Miami-Dade County (305) 227-3884
ALFREDO HEVIA MD
Emergency Medicine (Emergency Medical Services)
8840 SW 40TH ST, SUITE 100
MIAMI, FL 33165
Miami-Dade County (305) 227-3884
JORGE A PEREIRA MD
Family Medicine
8840 SW 40TH ST, SUITE 200
MIAMI, FL 33165
Miami-Dade County (305) 221-3111

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 Nestor Guaty's NPI number?

The NPI number for Nestor Guaty is 1265652234. It was assigned to this individual provider in the NPPES registry on May 1, 2007.

Where is Nestor Guaty located?

Nestor Guaty practices at 8840 SW 40th St Suite 200, Miami, FL 33165. The listed phone number is (305) 221-3111.

What is Nestor Guaty's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Nestor Guaty enrolled in Medicare?

Yes. Nestor Guaty 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.

Which organization bills Medicare for Nestor Guaty's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Nestor Guaty reassigns Medicare benefits to South Florida Family Practice, LLC (Miami, FL). The 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 Nestor Guaty's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Nestor Guaty accept?

Health plans from AvMed, Cigna HealthCare of Florida, Inc., Cigna Healthcare, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) list Nestor Guaty 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.

When was this NPI record last updated?

The NPPES record for Nestor Guaty was last updated on October 20, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.