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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: August 09, 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
Phone(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
Open in Google Maps ↗

Other Identifiers 1

Medicare UPINF26663GA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama and more.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 2

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.

Needle biopsy of kidney 50200
A needle biopsy of the kidney is a medical procedure where a small sample of kidney tissue is removed using a special needle. This is done to examine the tissue under a microscope for any abnormalities. It helps in diagnosing potential kidney conditions.
47 services39 patients
Ultrasonic guidance for needle placement 76942
Ultrasonic guidance for needle placement is a technique where sound waves create images that help accurately position the needle during procedures. This method ensures precision, minimizes discomfort, and increases safety.
47 services39 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
Scored through an Alternative Payment Model
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.

MADISON THURMOND OD
Optometrist
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322
Dekalb County (404) 778-2020
ANIKA LINDSEY QUILLIN GC
Genetic Counselor, MS
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322
Dekalb County (404) 778-2020
MS. SUZANNE ELISE CAHN MMSC, CGC
Genetic Counselor, MS
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322
Dekalb County (404) 778-8570
KAITLIN DIVINNIE AGPCNP
Nurse Practitioner (Primary Care)
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322
Dekalb County (404) 778-3184
WILLIAM CHARLES O'NEILL IV MD
Internal Medicine (Nephrology)
1365 CLIFTON RD NE BLDG B, THE EMORY CLINIC - NEPHROLOGY
ATLANTA, GA 30322
Dekalb County (404) 778-4366
AMELIA RHODES CLINE PA-C
Physician Assistant
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322
Dekalb County (404) 778-4898
ZAKARIA GARY
Nurse Practitioner (Pediatrics)
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322
Dekalb County (404) 778-8570
DR. MARWAN MUJID KAZIMI M.D.
Surgery
1365 CLIFTON RD NE BLDG B
ATLANTA, GA 30322
Dekalb County (855) 366-7989

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 Antonio Guasch's NPI number?

The NPI number for Antonio Guasch is 1508876509. It was assigned to this individual provider in the NPPES registry on August 9, 2006.

Where is Antonio Guasch located?

Antonio Guasch practices at 1365 Clifton Rd NE Bldg B The Emory Clinic - Nephrology, Atlanta, GA 30322. The listed phone number is (404) 778-5380.

What is Antonio Guasch's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Is Antonio Guasch enrolled in Medicare?

Yes. Antonio Guasch 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 Antonio Guasch accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee list Antonio Guasch 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 Antonio Guasch affiliated with any hospitals?

According to CMS data, Antonio Guasch is affiliated with Emory University Hospital and Emory University Hospital Midtown.

When was this NPI record last updated?

The NPPES record for Antonio Guasch was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.