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DR. LUIS F GUZMAN VINASCO MD
NPI 1306194071
Internal Medicine - Infectious Disease in Arlington Heights, IL

Active since August 28, 2012PECOS EnrolledAccepts Medicare Assignment
90.39/100
CMS Quality Rating
880 W. CENTRAL ROAD, SUITE 8100, ARLINGTON HEIGHTS, IL 60005(847) 255-5030(847) 255-0156 Get Directions Write a Review

NPPES record last updated: April 11, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 11, 2019, Sep 29, 2016 (2 updates tracked since 2016).

About Dr. Luis F Guzman Vinasco Md NPPES

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

DR. LUIS F GUZMAN VINASCO MD (NPI 1306194071) is an individual infectious disease provider in Arlington Heights, Illinois, licensed in Illinois (036134062) and active in the NPI registry since August 2012. He is enrolled in Medicare PECOS, is affiliated with Northwest Community Hospital 1, and is a graduate of University Central Del Caribe Escuela De Medicina (2002).

NPPES Registry Identity

NPI1306194071
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameDR. LUIS F GUZMAN VINASCOCredential: MD
Location Address880 W. CENTRAL ROAD, SUITE 8100Arlington Heights, IL 60005
Mailing Address880 W. Central Road, Suite 8100Arlington Heights, IL 60005 · (847) 255-5030 · Fax (847) 255-0156
Phone(847) 255-5030
Fax(847) 255-0156
Sole ProprietorNo
Medical School CMSUniversity Central Del Caribe Escuela De MedicinaGraduated 2002
Enumeration DateAugust 28, 2012
Last NPPES UpdateApril 11, 20192 updates tracked since enumeration
✔ NPI 1306194071 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
License✔ Licensed in IL · 036134062
Definition
An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
880 W. CENTRAL ROAD, Arlington Heights, IL 60005
Open in Google Maps ↗

Other Identifiers 1

Medicaid036134062IL

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.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

Dr. Luis F Guzman Vinasco 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 ID840419024
PECOS Enrollment IDI20190225002364
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 Reassignments

2

Medicare enrollment records show Luis Guzman Vinasco reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Northwest Suburban Medical Associates, Sc.
Same address
Specialist
880 W CENTRAL RD, SUITE 8100
Arlington Hts, IL 60005
  • Reassigned Medicare billing, Illinois enrollment
  • 8 clinicians in this Medicare group
NPI 1548206451 (847) 255-5030
Ascension Medical Group-Southeast Wisconsin Inc
69 mi
Anesthesiology
2301 N LAKE DR
Milwaukee, WI 53211
  • Reassigned Medicare billing, Wisconsin enrollment
  • 1,343 clinicians in this Medicare group
NPI 1194473066 (414) 585-1000

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 8

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.
894 services349 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
401 services238 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
156 services137 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.
132 services123 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.
55 services36 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.
42 services26 patients

Hospital Affiliations CMS Care Compare

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

Northwest Community Hospital 1

Acute Care Hospitals · Arlington Heights, IL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140252
Location800 W Central RoadArlington Heights, IL 60005 · Cook County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60005 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
$138.86 typical visit price
range $60.08 – $183.39
Typical copayment $34.71 (range $15.02 – $45.84)
Most-billed visit code 99204
Established Patient
$105.70 typical visit price
range $18.97 – $148.12
Typical copayment $26.42 (range $4.74 – $37.03)
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.

90.39/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Improvement Activities40
Cost65.66

Other Providers at the Same Location NPPES

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

MR. JERROLD HOWARD SECKLER M.D.
Urology
880 W. CENTRAL ROAD, SUITE 5200
ARLINGTON HEIGHTS, IL 60005
Cook County (847) 259-2410

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 Luis Guzman Vinasco's NPI number?

The NPI number for Luis Guzman Vinasco is 1306194071. It was assigned to this individual provider in the NPPES registry on August 28, 2012.

Where is Luis Guzman Vinasco located?

Luis Guzman Vinasco practices at 880 W. Central Road Suite 8100, Arlington Heights, IL 60005. The listed phone number is (847) 255-5030.

What is Luis Guzman Vinasco's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Infectious Disease, with taxonomy code 207RI0200X.

Is Luis Guzman Vinasco enrolled in Medicare?

Yes. Luis Guzman Vinasco 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 organizations bill Medicare for Luis Guzman Vinasco's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Luis Guzman Vinasco reassigns Medicare benefits to 2 organizations: Northwest Suburban Medical Associates, Sc. (Arlington Hts, IL) and Ascension Medical Group-Southeast Wisconsin Inc (Milwaukee, WI). 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 Luis Guzman Vinasco's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Luis Guzman Vinasco accept?

Health plans from Oscar Health list Luis Guzman Vinasco 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 Luis Guzman Vinasco affiliated with any hospitals?

According to CMS data, Luis Guzman Vinasco is affiliated with Northwest Community Hospital 1.

When was this NPI record last updated?

The NPPES record for Luis Guzman Vinasco was last updated on April 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.