KATHERINE S DE GUZMAN
NPI 1477893600
Nurse Practitioner - Family in Baltimore, MD

Active since February 25, 2013PECOS EnrolledAccepts Medicare Assignment
86.79/100
CMS Quality Rating
6225 SMITH AVE STE B300, BALTIMORE, MD 21209(410) 583-2653 Get Directions Write a Review

NPPES record last updated: July 7, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Katherine S De Guzman NPPES

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

KATHERINE S DE GUZMAN (NPI 1477893600) is an individual family provider in Baltimore, Maryland, licensed in Maryland (R253278) and active in the NPI registry since February 2013. She is enrolled in Medicare PECOS, is affiliated with Johns Hopkins Hospital, The, and maintains a secondary practice location in North Hollywood.

NPPES Registry Identity

NPI1477893600
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKATHERINE S DE GUZMAN
Location Address6225 SMITH AVE STE B300Baltimore, MD 21209-3613
Mailing Address6201 Greenleigh AveMiddle River, MD 21220-2004 · (818) 763-8836
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateFebruary 25, 2013
Last NPPES UpdateJuly 7, 2025
NPPES CertifiedJuly 7, 2025
✔ NPI 1477893600 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses✔ Licensed in MD · R253278✔ Licensed in CA · 22228
Also ListedRegistered NurseTaxonomy 163W00000X · License 774840 (CA)
6225 SMITH AVE STE B300, Baltimore, MD 21209

Secondary Practice Location 1

Location 16801 Coldwater Canyon AveNorth Hollywood, CA 91605-5162 · Phone (818) 763-8836

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

Katherine S De Guzman 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 ID840423513
PECOS Enrollment IDI20221006000056, I20221006000103
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 Katherine De Guzman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health
10751 FALLS RD STE 304
Lutherville Timonium, MD 21093
  • Reassigned Medicare billing, Maryland and District of Columbia enrollments
  • Also billed through NPI 1255359972 (District of Columbia)
  • 952 clinicians in this Medicare group

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.

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.
256 services248 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.
89 services89 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.
12 services12 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
12 services12 patients

Hospital Affiliations CMS Care Compare

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

Johns Hopkins Hospital, The

Acute Care Hospitals · Baltimore, MD
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number210009
Location600 North Wolfe StreetBaltimore, MD 21287 · Baltimore City County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21209 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
$94.08 typical visit price
range $60.73 – $183.44
Typical copayment $23.52 (range $15.18 – $45.86)
Most-billed visit code 99203
Established Patient
$106.59 typical visit price
range $19.60 – $149.17
Typical copayment $26.64 (range $4.90 – $37.29)
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.

86.79/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality86.46
Promoting Interoperability97
Improvement Activities40
Cost72

Other Providers at the Same Location NPPES

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

Nurse Practitioner (Family)
6225 SMITH AVE STE B300
BALTIMORE, MD 21209

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 Katherine De Guzman's NPI number?

The NPI number for Katherine De Guzman is 1477893600. It was assigned to this individual provider in the NPPES registry on February 25, 2013.

Where is Katherine De Guzman located?

Katherine De Guzman practices at 6225 Smith Ave Ste B300, Baltimore, MD 21209. The listed phone number is (410) 583-2653.

What is Katherine De Guzman's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Katherine De Guzman enrolled in Medicare?

Yes. Katherine De Guzman 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 Katherine De Guzman's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Katherine De Guzman reassigns Medicare benefits to Johns Hopkins Community Physicians (Lutherville Timonium, MD). 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 Katherine De Guzman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Katherine De Guzman affiliated with any hospitals?

According to CMS data, Katherine De Guzman is affiliated with Johns Hopkins Hospital, The.

When was this NPI record last updated?

The NPPES record for Katherine De Guzman was last updated on July 7, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 months 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.