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RODOLFO VALDEMAR GUEVARA M.D.
NPI 1437368552
Internal Medicine in Sunrise, FL

Active since May 22, 2007PECOS EnrolledAccepts Medicare Assignment
4960 N PINE ISLAND RD, SUNRISE, FL 33351(561) 931-3941 Get Directions Write a Review

NPPES record last updated: April 9, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Apr 9, 2024, Mar 19, 2020, Mar 12, 2020 and 3 more (6 updates tracked since 2018).

About Rodolfo Valdemar Guevara M.d. NPPES

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

RODOLFO VALDEMAR GUEVARA M.D. (NPI 1437368552) is an individual internal medicine provider in Sunrise, Florida, licensed in Florida (ME102138) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Hca Florida Jfk Hospital, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1437368552
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameRODOLFO VALDEMAR GUEVARACredential: M.D.
Location Address4960 N PINE ISLAND RDSunrise, FL 33351-5314
Mailing Address4960 N Pine Island RdSunrise, FL 33351-5314 · (561) 931-3941
Phone(561) 931-3941
Sole ProprietorYes
Medical School CMSOtherGraduated 2004
Enumeration DateMay 22, 2007
Last NPPES UpdateApril 9, 20246 updates tracked since enumeration
NPPES CertifiedApril 9, 2024
✔ NPI 1437368552 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in FL · ME102138
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
4960 N PINE ISLAND RD, Sunrise, FL 33351
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Other Identifiers 1

Medicaid00214900FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include 22 Health, AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL) 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

Rodolfo Valdemar Guevara 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 ID2668547662
PECOS Enrollment IDI20080826000130
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

8

Medicare enrollment records show Rodolfo Guevara reassigns Medicare billing to 8 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Medical Specialists Of South Florida
Same address
Internal Medicine
4960 N PINE ISLAND RD
Sunrise, FL 33351
  • Reassigned Medicare billing, Florida enrollment
  • 8 clinicians in this Medicare group
NPI 1437542313 (561) 931-3941
Qmc LLC
28 mi
Hospitalist
5201 BLUE LAGOON DR FL 89
Miami, FL 33126
  • Reassigned Medicare billing, Florida enrollment
  • 183 clinicians in this Medicare group
NPI 1003216391 (305) 554-1700
Mg H2 LLC
29 mi
Hospitalist
333 SE 2ND AVE
Miami, FL 33131
  • Reassigned Medicare billing, Florida enrollment
  • 81 clinicians in this Medicare group
NPI 1710583976 (305) 697-9660
Vitalmd Group Holding LLC
31 mi
Obstetrics & Gynecology
3225 AVIATION AVE, SUITE #700
Miami, FL 33133
  • Reassigned Medicare billing, Florida enrollment
  • 716 clinicians in this Medicare group
NPI 1871572032 (305) 273-4641
Accountable Care Hospitalist Group
32 mi
Internal Medicine
10101 FOREST HILL BLVD
Wellington, FL 33414
  • Reassigned Medicare billing, Florida enrollment
  • 265 clinicians in this Medicare group
NPI 1659640282 (561) 766-1300
Inpatient Consultants Of Florida Inc
187 mi
Hospitalist
3550 BUSCHWOOD PARK DR, SUITE 350
Tampa, FL 33618
  • Reassigned Medicare billing, Florida enrollment
  • 903 clinicians in this Medicare group
NPI 1457511164 (813) 936-5000
Radial Health Southeast LLC
495 mi
Physical Medicine & Rehabilitation
2045 FOUNTAIN PROFESSIONAL CT STE A
Navarre, FL 32566
  • Reassigned Medicare billing, Florida enrollment
  • 160 clinicians in this Medicare group
NPI 1174159891 (850) 494-3212
First Docs PC
1,162 mi
Internal Medicine
1525 OXFORD LN
Naperville, IL 60565
  • Reassigned Medicare billing, Florida enrollment
  • 390 clinicians in this Medicare group
NPI 1417655465 (702) 762-2485

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 10

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
510 services127 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.
351 services86 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.
123 services119 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.
115 services46 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
109 services104 patients
Initial nursing facility care with high level of medical decision making, per day, if using time, 50 minutes or more 99306
An initial nursing facility visit is your first meeting with your healthcare team at a nursing facility. Lasting typically 45 minutes, this appointment involves a comprehensive health assessment and the creation of your personalized care plan. It's a crucial step to ensure your health and well-being.
87 services82 patients

Hospital Affiliations CMS Care Compare 2

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

Hca Florida Jfk Hospital

Acute Care Hospitals · Atlantis, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100080
Location5301 S Congress AveAtlantis, FL 33462 · Palm Beach County
Emergency services

Hca Florida Northwest Hospital

Acute Care Hospitals · Margate, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100189
Location2801 N State Rd 7Margate, FL 33063 · Broward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33351 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
$135.56 typical visit price
range $58.56 – $179.05
Typical copayment $33.89 (range $14.64 – $44.76)
Most-billed visit code 99204
Established Patient
$103.21 typical visit price
range $18.44 – $144.68
Typical copayment $25.80 (range $4.61 – $36.17)
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 14

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

Enteral feeding supply kit; pump fed, per day, includes but not limited to feeding/flushing syringe, administration set tubing, dressings, tape B4035
Other-Enteral and Parenteral · category OB006N
1 supplier12 claims360 services$5.12 avg. paid by Medicare
Enteral formula, nutritionally complete, calorically dense (equal to or greater than 1.5 kcal/ml) with intact nutrients, includes proteins, fats, carbohydrates, vitamins and minerals, may include fiber, administered through an enteral feeding tube, 100 calories = 1 unit B4152
Other-Enteral and Parenteral · category OB006N
2 suppliers18 claims8,650 services$0.27 avg. paid by Medicare
Walker, with trunk support, adjustable or fixed height, any type E0140
DME-Other DME · category DE000N
1 supplier13 claims13 services$12.29 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, with mattress E0260
DME-Hospital Beds · category DB000N
4 suppliers52 claims52 services$40.93 avg. paid by Medicare
Hospital bed, semi-electric (head and foot adjustment), with any type side rails, without mattress E0261
DME-Hospital Beds · category DB000N
2 suppliers21 claims21 services$41.38 avg. paid by Medicare
Powered pressure-reducing air mattress E0277
DME-Hospital Beds · category DB000N
1 supplier12 claims12 services$160.05 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 2

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

ANKOD INC
Home Health
4960 N PINE ISLAND RD
LAUDERHILL, FL 33351
Broward County (954) 776-4110
MEDICAL SPECIALISTS OF SOUTH FLORIDA
Internal Medicine
4960 N PINE ISLAND RD
SUNRISE, FL 33351
Broward County (561) 931-3941

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 Rodolfo Guevara's NPI number?

The NPI number for Rodolfo Guevara is 1437368552. It was assigned to this individual provider in the NPPES registry on May 22, 2007.

Where is Rodolfo Guevara located?

Rodolfo Guevara practices at 4960 N Pine Island Rd, Sunrise, FL 33351. The listed phone number is (561) 931-3941.

What is Rodolfo Guevara's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Rodolfo Guevara enrolled in Medicare?

Yes. Rodolfo Guevara 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 Rodolfo Guevara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Rodolfo Guevara reassigns Medicare benefits to 8 organizations: Medical Specialists Of South Florida (Sunrise, FL), Qmc LLC (Miami, FL), Mg H2 LLC (Miami, FL), Vitalmd Group Holding LLC (Miami, FL), Accountable Care Hospitalist Group (Wellington, FL) and 3 more organizations, listed in the Medicare section above. 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 Rodolfo Guevara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Rodolfo Guevara accept?

Health plans from 22 Health, AmeriHealth Caritas Next, Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and Molina Healthcare and 5 other insurers list Rodolfo Guevara 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 Rodolfo Guevara affiliated with any hospitals?

According to CMS data, Rodolfo Guevara is affiliated with Hca Florida Jfk Hospital and Hca Florida Northwest Hospital.

When was this NPI record last updated?

The NPPES record for Rodolfo Guevara was last updated on April 9, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.