DR. CARL GUILLAUME M.D.
NPI 1528098118
Internal Medicine - Gastroenterology in Bronx, NY

Q: What is Carl Guillaume's NPI number?

The NPI number for Carl Guillaume is 1528098118. It was assigned to this individual provider in the NPPES registry on July 3, 2006.

Q: What is Carl Guillaume's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Q: When was this NPI record last updated?

The NPPES record for Carl Guillaume was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since July 03, 2006PECOS EnrolledAccepts Medicare Assignment

4422 3RD AVE, BRONX, NY 10457(718) 960-6205 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Dr. Carl Guillaume M.d. NPPES

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

DR. CARL GUILLAUME M.D. (NPI 1528098118) is an individual gastroenterology provider in Bronx, New York, licensed in New York (210261) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of New York Medical College (1992).

NPPES Registry Identity

NPI1528098118

Entity TypeIndividualMale

Primary Taxonomy207RG0100X

Provider Legal NameDR. CARL GUILLAUMECredential: M.D.

Location Address4422 3RD AVEBronx, NY 10457-2545

Mailing Address4422 3rd AveBronx, NY 10457-2545 · (718) 960-6205

Phone(718) 960-6205

Sole ProprietorNo

Medical School CMSNew York Medical CollegeGraduated 1992

Enumeration DateJuly 3, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1528098118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians

Taxonomy Code207RG0100X

License✔ Licensed in NY · 210261

Definition

An internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

4422 3RD AVE, Bronx, NY 10457

Open in Google Maps ↗

Other Identifiers 2

Medicare ID-Type Unspecified58N881NY

Medicaid01947988NY

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. Carl Guillaume 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 ID2264421973

PECOS Enrollment IDI20040508000059

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 6

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.

Initial nursing facility visit per day, typically 35 minutes 99305

An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.

48 services47 patients

Follow-up nursing facility visit per day, typically 15 minutes 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.

34 services26 patients

Replacement of stomach stoma tube 43762

A replacement of a stomach stoma tube is a procedure where your existing tube is removed and a new one is inserted. This helps ensure the tube functions properly, allowing nutrition directly into your stomach. It's a safe, routine process done by healthcare professionals.

21 services21 patients

New patient office or other outpatient visit, 45-59 minutes 99204

This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.

14 services14 patients

Upper gastrointestinal (GI) endoscopy for acid reflux NAN12

An upper GI endoscopy is a procedure to examine your esophagus and stomach using a thin, flexible tube called an endoscope. It helps diagnose conditions like acid reflux by identifying any inflammation or damage. It's generally safe, performed under sedation, and takes about 15-30 minutes.

0 services64 patients

Colonoscopy NAN13

A colonoscopy is a medical procedure that allows your doctor to examine your colon (the large intestine). It utilizes a thin, flexible tube with a tiny camera on the end, which is inserted through the rectum. This procedure can help identify issues such as polyps, inflammation, or early signs of cancer. It's usually recommended for people over 50 or those with specific risk factors.

0 services118 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10457 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

$154.28 typical visit price

range $67.40 – $203.53

Typical copayment $38.57 (range $16.85 – $50.88)

Most-billed visit code 99204

Established Patient

$117.62 typical visit price

range $21.66 – $164.45

Typical copayment $29.40 (range $5.41 – $41.11)

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.

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.

DAVID ADAM PERLSTEIN MD

Pediatrics

4422 3RD AVE
BRONX, NY 10457

Bronx County (718) 960-9071

DR. JUAN FERNANDO ACOSTA DO

Emergency Medicine

4422 3RD AVE
BRONX, NY 10457

Bronx County (718) 960-5627

DR. MARIE FERRANTE GADE MD