ANTONIO GUASCH M.D.
NPI 1508876509
Internal Medicine - Nephrology in Atlanta, GA

Active since August 09, 2006PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
1365 CLIFTON RD NE BLDG B, THE EMORY CLINIC - NEPHROLOGY, ATLANTA, GA 30322(404) 778-5380 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Antonio Guasch M.d. NPPES

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

ANTONIO GUASCH M.D. (NPI 1508876509) is an individual nephrology provider in Atlanta, Georgia, licensed in Georgia (036766) and active in the NPI registry since August 2006. He is enrolled in Medicare PECOS, is affiliated with Emory University Hospital, and is a graduate of Other (1981).

NPPES Registry Identity

NPI1508876509
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameANTONIO GUASCHCredential: M.D.
Location Address1365 CLIFTON RD NE BLDG B, THE EMORY CLINIC - NEPHROLOGYAtlanta, GA 30322-1013
Mailing Address1365 Clifton Rd Ne Bldg B, The Emory Clinic - NephrologyAtlanta, GA 30322-1013 · (404) 778-5380
Sole ProprietorNo
Medical School CMSOtherGraduated 1981
Enumeration DateAugust 9, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1508876509 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in GA · 036766
Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

1365 CLIFTON RD NE BLDG B, Atlanta, GA 30322

Other Identifiers 1

Medicare UPINF26663GA

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

Antonio Guasch 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 ID8224099783
PECOS Enrollment IDI20041019001048
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 9

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 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, 30-39 minutes 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.
136 services99 patients
Follow-up hospital inpatient care per day, typically 35 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.
96 services29 patients
Established patient office or other outpatient visit, 40-54 minutes 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.
68 services48 patients
Established patient office or other outpatient visit, 30-39 minutes 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.
48 services43 patients
Established patient office or other outpatient visit, 40-54 minutes 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.
34 services22 patients
Initial hospital inpatient care per day, typically 70 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.
22 services22 patients

Hospital Affiliations CMS Care Compare 2

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

Emory University Hospital

Acute Care Hospitals · Atlanta, GA
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110010
Location1364 Clifton Road, NEAtlanta, GA 30322 · De Kalb County
Emergency services

Emory University Hospital Midtown

Acute Care Hospitals · Atlanta, GA
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110078
Location550 Peachtree Street, NEAtlanta, GA 30308 · Fulton County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30322 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.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Quality73.83
Promoting Interoperability100
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 10

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

Azathioprine, oral, 50 mg J7500
Treatment-Treatment - Miscellaneous · category RX029N
4 suppliers16 claims675 services$0.96 avg. paid by Medicare
Tacrolimus, extended release, (envarsus xr), oral, 0.25 mg J7503
Treatment-Chemotherapy · category RH002N
1 supplier12 claims3,960 services$1.21 avg. paid by Medicare
Tacrolimus, immediate release, oral, 1 mg J7507
Treatment-Treatment - Miscellaneous · category RX029N
23 suppliers390 claims52,146 services$0.30 avg. paid by Medicare
Prednisone, immediate release or delayed release, oral, 1 mg J7512
Treatment-Treatment - Miscellaneous · category RX029N
22 suppliers368 claims56,880 services$0.01 avg. paid by Medicare
Cyclosporine, oral, 25 mg J7515
Treatment-Treatment - Miscellaneous · category RX029N
6 suppliers39 claims5,490 services$0.60 avg. paid by Medicare
Mycophenolate mofetil, oral, 250 mg J7517
Treatment-Treatment - Miscellaneous · category RX029N
34 suppliers480 claims74,872 services$0.19 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 20

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

Internal Medicine (Nephrology)
1365 CLIFTON RD NE BLDG B, THE EMORY CLINIC B NEPHROLOGY
ATLANTA, GA 30322
Internal Medicine (Nephrology)
1365 CLIFTON RD NE BLDG B, THE EMORY CLINIC - NEPHROLOGY
ATLANTA, GA 30322
Internal Medicine (Nephrology)
1365 CLIFTON RD NE BLDG B, THE EMORY CLINIC - NEPHROLOGY
ATLANTA, GA 30322
Internal Medicine (Nephrology)
1365 CLIFTON RD NE BLDG B, THE EMORY CLINIC - NEPHROLOGY
ATLANTA, GA 30322
Internal Medicine (Nephrology)
1365 CLIFTON RD NE BLDG B, THE EMORY CLINIC - NEPHROLOGY
ATLANTA, GA 30322
Optometrist
1365 CLIFTON RD NE BLDG B, THE EMORY CLINIC - OPHTHALMOLOGY
ATLANTA, GA 30322
Physician Assistant (Surgical)
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322
Optometrist (Corneal and Contact Management)
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508876509, enumerated as an "individual" on August 09, 2006.

The provider is located at 1365 CLIFTON RD NE BLDG B THE EMORY CLINIC - NEPHROLOGY ATLANTA, GA 30322 and the phone number is (404) 778-5380.

Internal Medicine with taxonomy code 207RN0300X and a focus in Nephrology.

The provider might be accepting Accepts: Ambetter from Absolute Total Care, Ambetter. Please consult your insurance carrier or call the provider to verify.

Antonio Guasch is affiliated with: EMORY UNIVERSITY HOSPITAL and EMORY UNIVERSITY HOSPITAL MIDTOWN.