GUILLERMO A HERRERA MD
NPI 1558375220
Pathology - Anatomic Pathology & Clinical Pathology in Mobile, AL
About Guillermo A Herrera Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GUILLERMO A HERRERA MD (NPI 1558375220) is an individual anatomic pathology & clinical pathology provider in Mobile, Alabama, licensed in Alabama (MD.10166) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS, is affiliated with Jupiter Medical Center, and is a graduate of University Of Puerto Rico School Of Medicine (1975).
NPPES Registry Identity
Specialties & Licenses
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
Guillermo A Herrera Md 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.
Areas of Expertise CMS Part B claims 5
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.
Hospital Affiliations CMS Care Compare 3
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Jupiter Medical Center
Acute Care Hospitals · Jupiter, FLGood Samaritan Medical Center
Acute Care Hospitals · West Palm Beach, FLMedstar Saint Mary's Hospital
Acute Care Hospitals · Leonardtown, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 36617 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MOBILE, AL 36617
MOBILE, AL 36617
MOBILE, AL 36617
MOBILE, AL 36617
MOBILE, AL 36617
MOBILE, AL 36617
MOBILE, AL 36617
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 Guillermo Herrera's NPI number?
The NPI number for Guillermo Herrera is 1558375220. It was assigned to this individual provider in the NPPES registry on July 28, 2006.
Where is Guillermo Herrera located?
Guillermo Herrera practices at 2451 University Hospital Dr Fl 1, Mobile, AL 36617. The listed phone number is (251) 471-7790.
What is Guillermo Herrera's specialty?
The primary specialty registered for this NPI is Pathology, specializing in Anatomic Pathology & Clinical Pathology, with taxonomy code 207ZP0102X.
Is Guillermo Herrera enrolled in Medicare?
Yes. Guillermo Herrera 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 Guillermo Herrera accept?
Health plans from Blue Cross and Blue Shield of Alabama, Molina Healthcare and Oscar Health Plan, Inc. list Guillermo Herrera 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 Guillermo Herrera affiliated with any hospitals?
According to CMS data, Guillermo Herrera is affiliated with Jupiter Medical Center, Good Samaritan Medical Center and Medstar Saint Mary's Hospital.
When was this NPI record last updated?
The NPPES record for Guillermo Herrera was last updated on January 20, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.