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IVAN A GUERRERO MD
NPI 1326016536
Internal Medicine - Infectious Disease in Jacksonville, FL

Active since March 14, 2006PECOS EnrolledAccepts Medicare Assignment
6817 SOUTHPOINT PKWY STE 802, JACKSONVILLE, FL 32216(904) 646-1987(904) 646-1501 Get Directions Write a Review

NPPES record last updated: July 26, 2018. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Ivan A Guerrero Md NPPES

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

IVAN A GUERRERO MD (NPI 1326016536) is an individual infectious disease provider in Jacksonville, Florida, licensed in Florida (ME82361) and active in the NPI registry since March 2006. He is enrolled in Medicare PECOS, is affiliated with Ascension St Vincent's Riverside, and maintains a secondary practice location in Jacksonville.

NPPES Registry Identity

NPI1326016536
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameIVAN A GUERREROCredential: MD
Location Address6817 SOUTHPOINT PKWY STE 802Jacksonville, FL 32216
Mailing AddressP.o. Box 551272Jacksonville, FL 32255-1272 · (904) 646-1987 · Fax (904) 646-1501
Phone(904) 646-1987
Fax(904) 646-1501
Sole ProprietorNo
Medical School CMSOtherGraduated 1991
Enumeration DateMarch 14, 2006
Last NPPES UpdateJuly 26, 2018
✔ NPI 1326016536 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 FL · ME82361
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.
6817 SOUTHPOINT PKWY STE 802, Jacksonville, FL 32216
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Secondary Practice Location 1

Location 111555 Central Pkwy, Suite 204Jacksonville, FL 32224-2691 · Phone (904) 646-1987 · Fax (904) 646-1501

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Superior HealthPlan, Ambetter Health, Ambetter of Alabama 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

Ivan A Guerrero 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 ID5193778942
PECOS Enrollment IDI20050222000367
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 Ivan Guerrero reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Ivan Guerrero MD PA
Same address
Specialist
6817 SOUTHPOINT PKWY, SUITE 502
Jacksonville, FL 32216
  • Reassigned Medicare billing, Florida enrollment
  • 3 clinicians in this Medicare group
NPI 1053508184 (904) 646-3017

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 6

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.
709 services266 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.
228 services215 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.
134 services80 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.
65 services61 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
21 services21 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
11 services11 patients

Hospital Affiliations CMS Care Compare 5

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

Ascension St Vincent's Riverside

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100040
Location1 Shircliff WayJacksonville, FL 32204 · Duval County
Emergency services

Baptist Medical Center Beaches

Acute Care Hospitals · Jacksonville Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100117
Location1350 13th Ave SJacksonville Beach, FL 32250 · Duval County
Emergency services Birthing friendly

Baptist Medical Center - Nassau

Acute Care Hospitals · Fernandina Beach, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100140
Location1250 S 18th StFernandina Beach, FL 32034 · Nassau County
Emergency services

Hca Florida Memorial Hospital

Acute Care Hospitals · Jacksonville, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100179
Location3625 University Blvd SJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Ascension St Vincent's Southside

Acute Care Hospitals · Jacksonville, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100307
Location4201 Belfort RdJacksonville, FL 32216 · Duval County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32216 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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 5

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

Supplies for maintenance of non-insulin drug infusion catheter, per week (list drugs separately) A4221
DME-Other DME · category DE017N
2 suppliers12 claims48 services$18.37 avg. paid by Medicare
Injection, immune globulin, (gammaplex), intravenous, non-lyophilized (e.g., liquid), 500 mg J1557
Treatment-Injections and Infusions (nononcologic) · category RI008N
1 supplier12 claims1,680 services$39.69 avg. paid by Medicare
Injection, immune globulin (hizentra), 100 mg J1559
Treatment-Injections and Infusions (nononcologic) · category RI008N
2 suppliers12 claims7,920 services$9.49 avg. paid by Medicare
Supplies for external non-insulin drug infusion pump, syringe type cartridge, sterile, each K0552
DME-Other DME · category DE000N
2 suppliers12 claims144 services$2.36 avg. paid by Medicare
Services, supplies and accessories used in the home under the medicare intravenous immune globulin (ivig) demonstration Q2052
Treatment-Chemotherapy · category RH012N
1 supplier12 claims24 services$309.74 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 3

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

JENNIFER MCNEAL APRN
Nurse Practitioner
6817 SOUTHPOINT PKWY STE 802
JACKSONVILLE, FL 32216
Duval County (904) 646-1987
YESENIA BAEZ
Nurse Practitioner (Acute Care)
6817 SOUTHPOINT PKWY STE 802
JACKSONVILLE, FL 32216
Duval County (904) 646-1987
DIGNITAS HEALTH LLC
Clinic/Center (Primary Care)
6817 SOUTHPOINT PKWY STE 802
JACKSONVILLE, FL 32216
Duval County (904) 422-8038

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 Ivan Guerrero's NPI number?

The NPI number for Ivan Guerrero is 1326016536. It was assigned to this individual provider in the NPPES registry on March 14, 2006.

Where is Ivan Guerrero located?

Ivan Guerrero practices at 6817 Southpoint Pkwy Ste 802, Jacksonville, FL 32216. The listed phone number is (904) 646-1987.

What is Ivan Guerrero's specialty?

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

Is Ivan Guerrero enrolled in Medicare?

Yes. Ivan Guerrero 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 Ivan Guerrero's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Ivan Guerrero reassigns Medicare benefits to Ivan Guerrero MD PA (Jacksonville, 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 Ivan Guerrero's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Ivan Guerrero accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, Florida Blue (BlueCross BlueShield FL) and Florida Blue HMO (a BlueCross BlueShield FL company) and 1 other insurer list Ivan Guerrero 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 Ivan Guerrero affiliated with any hospitals?

According to CMS data, Ivan Guerrero is affiliated with Ascension St Vincent's Riverside, Baptist Medical Center Beaches, Baptist Medical Center - Nassau, Hca Florida Memorial Hospital and Ascension St Vincent's Southside.

When was this NPI record last updated?

The NPPES record for Ivan Guerrero was last updated on July 26, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.