Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

DR. ENRIQUE DIAZ GUZMAN ZAVALA M.D.
NPI 1326229733
Internal Medicine - Pulmonary Disease in Atlanta, GA

Active since November 14, 2007PECOS Enrolled
11.84/100
CMS Quality Rating
95 COLLIER RD NW STE 3000, ATLANTA, GA 30309(404) 605-5140 Get Directions Write a Review

NPPES record last updated: July 15, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 15, 2026, Sep 18, 2025, Jun 18, 2016 (3 updates tracked since 2016).

About Dr. Enrique Diaz Guzman Zavala M.d. NPPES

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

DR. ENRIQUE DIAZ GUZMAN ZAVALA M.D. (NPI 1326229733) is an individual pulmonary disease provider in Atlanta, Georgia, licensed in Georgia (112255) and active in the NPI registry since November 2007. He is enrolled in Medicare PECOS, is affiliated with Sacred Heart Hospital, and maintains a secondary practice location in Metairie.

NPPES Registry Identity

NPI1326229733
Entity TypeIndividualMale
Primary Taxonomy207RP1001X
Provider Legal NameDR. ENRIQUE DIAZ GUZMAN ZAVALACredential: M.D.
Location Address95 COLLIER RD NW STE 3000Atlanta, GA 30309-1721
Mailing Address4200 Houma BlvdMetairie, LA 70006-2970 · (504) 988-3541
Sole ProprietorNo
Medical School CMSOtherGraduated 1997
Enumeration DateNovember 14, 2007
Last NPPES UpdateJuly 15, 20263 updates tracked since enumeration
NPPES CertifiedJuly 15, 2026
NPI 1326229733 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
Licenses Licensed in GA · 112255 Licensed in LA · 346674 Licensed in OH · 57.007160 Licensed in FL · 126944 Licensed in AL · 31970 Licensed in KY · 42818
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 126944 (FL)
Also ListedInternal Medicine · Critical Care MedicineTaxonomy 207RC0200X · License 126944 (FL)
95 COLLIER RD NW STE 3000, Atlanta, GA 30309

Secondary Practice Location 1

Location 14200 Houma BlvdMetairie, LA 70006-2970 · Phone (504) 988-3541

Accepted 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. Enrique Diaz Guzman Zavala 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 ID9234281106
PECOS Enrollment IDI20160729000406, I20250930004804
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 22

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 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.
1,756 services691 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
994 services388 patients
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.
901 services305 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
440 services284 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.
383 services303 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.
359 services333 patients

Hospital Affiliations CMS Care Compare 5

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

Sacred Heart Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100025
Location5151 N 9th AvePensacola, FL 32504 · Escambia County
Emergency services Birthing friendly

Baptist Hospital

Acute Care Hospitals · Pensacola, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100093
Location123 Baptist WayPensacola, FL 32503 · Escambia County
Emergency services Birthing friendly

Gulf Breeze Hospital

Acute Care Hospitals · Gulf Breeze, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number100266
Location1110 Gulf Breeze PkwyGulf Breeze, FL 32561 · Santa Rosa County
Emergency services

Jay Hospital

Critical Access Hospitals · Jay, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101315
Location14114 Alabama StJay, FL 32565 · Santa Rosa County
Emergency services

East Jefferson General Hospital

Acute Care Hospitals · Metairie, LA
3/5 CMS rating
OwnershipProprietary
CMS Certification Number190176
Location4200 Houma BlvdMetairie, LA 70006 · Jefferson County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30309 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
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
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.

11.84/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality0
Improvement Activities0
Cost39.47

Referred Medical Equipment & Supplies CMS DME claims 32

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
6 suppliers108 claims110 services$37.39 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
4 suppliers22 claims43 services$1.52 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
10 suppliers117 claims117 services$92.91 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
10 suppliers108 claims296 services$34.67 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
6 suppliers78 claims425 services$20.72 avg. paid by Medicare
Pillow for use on nasal cannula type interface, replacement only, pair A7033
DME-Other DME · category DE001N
6 suppliers53 claims280 services$14.28 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 15

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

Nurse Practitioner (Acute Care)
95 COLLIER RD NW STE 3000
ATLANTA, GA 30309
Thoracic Surgery (Cardiothoracic Vascular Surgery)
95 COLLIER RD NW STE 3000
ATLANTA, GA 30309
Nurse Practitioner (Family)
95 COLLIER RD NW STE 3000
ATLANTA, GA 30309
Nurse Practitioner
95 COLLIER RD NW STE 3000
ATLANTA, GA 30309
Internal Medicine (Cardiovascular Disease)
95 COLLIER RD NW STE 3000
ATLANTA, GA 30309
Physician Assistant
95 COLLIER RD NW STE 3000
ATLANTA, GA 30309
Internal Medicine (Critical Care Medicine)
95 COLLIER RD NW STE 3000
ATLANTA, GA 30309
Internal Medicine (Advanced Heart Failure and Transplant Cardiology)
95 COLLIER RD NW STE 3000
ATLANTA, GA 30309

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 Enrique Diaz Guzman Zavala's NPI number?

The NPI number for Enrique Diaz Guzman Zavala is 1326229733. It was assigned to this individual provider in the NPPES registry on November 14, 2007.

Where is Enrique Diaz Guzman Zavala located?

Enrique Diaz Guzman Zavala practices at 95 Collier Rd NW Ste 3000, Atlanta, GA 30309. The listed phone number is (404) 605-5140.

What is Enrique Diaz Guzman Zavala's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Enrique Diaz Guzman Zavala enrolled in Medicare?

Yes. Enrique Diaz Guzman Zavala 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 Enrique Diaz Guzman Zavala 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 Enrique Diaz Guzman Zavala 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 Enrique Diaz Guzman Zavala affiliated with any hospitals?

According to CMS data, Enrique Diaz Guzman Zavala is affiliated with Sacred Heart Hospital, Baptist Hospital, Gulf Breeze Hospital, Jay Hospital and East Jefferson General Hospital.

When was this NPI record last updated?

The NPPES record for Enrique Diaz Guzman Zavala was last updated on July 15, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 days 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.