JULIAN GUIA-GARCIA MD
NPI 1558606392
Internal Medicine in Boca Raton, FL

Q: What is Julian Guia-garcia's NPI number?

The NPI number for Julian Guia-garcia is 1558606392. It was assigned to this individual provider in the NPPES registry on December 5, 2012.

Q: What is Julian Guia-garcia's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Active since December 05, 2012PECOS EnrolledAccepts Medicare Assignment

1001 NW 13TH ST STE 201, BOCA RATON, FL 33486(561) 955-5956(833) 625-1620 Get Directions Write a Review

NPPES record last updated: March 28, 2024. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Julian Guia-garcia Md NPPES

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

JULIAN GUIA-GARCIA MD (NPI 1558606392) is an individual internal medicine provider in Boca Raton, Florida, licensed in Florida (ME 124166) and active in the NPI registry since December 2012. He is enrolled in Medicare PECOS, is affiliated with Boca Raton Regional Hospital, and is a graduate of Other (1990).

NPPES Registry Identity

NPI1558606392

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameJULIAN GUIA-GARCIACredential: MD

Location Address1001 NW 13TH ST STE 201Boca Raton, FL 33486-2269

Mailing Address1001 Nw 13th St Ste 201Boca Raton, FL 33486-2269 · (561) 955-6663 · Fax (561) 955-2879

Phone(561) 955-5956

Fax(833) 625-1620

Sole ProprietorYes

Medical School CMSOtherGraduated 1990

Enumeration DateDecember 5, 2012

Last NPPES UpdateMarch 28, 2024

NPPES CertifiedMarch 28, 2024

✔ NPI 1558606392 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in FL · ME 124166

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

1001 NW 13TH ST STE 201, Boca Raton, FL 33486

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company), Oscar Health Maintenance Organization of Florida 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

Julian Guia-garcia 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.

PECOS PAC ID3173831328

PECOS Enrollment IDI20151007002822

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 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.

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.

180 services126 patients

Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439

An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.

84 services84 patients

New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 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.

26 services26 patients

Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report 93000

An electrocardiogram (ECG) is a non-invasive test that records your heart's electrical activity. Using 12 leads attached to your body, it captures data to help identify heart conditions. A doctor interprets the results and provides a report.

21 services21 patients

Transitional care management services for problem of at least moderate complexity 99495

Transitional care management services focus on coordinating and managing your care after you leave the hospital. For moderate complexity problems, this involves managing your medications, arranging further treatments, and ensuring you have the necessary follow-ups.

13 services11 patients

Hospital Affiliations CMS Care Compare

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

Boca Raton Regional Hospital

Acute Care Hospitals · Boca Raton, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100168

Location800 Meadows RdBoca Raton, FL 33486 · Palm Beach County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33486 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

$135.56 typical visit price

range $58.56 – $179.05

Typical copayment $33.89 (range $14.64 – $44.76)

Most-billed visit code 99204

Established Patient

$103.21 typical visit price

range $18.44 – $144.68

Typical copayment $25.80 (range $4.61 – $36.17)

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 7

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

THOMAS IRA LUBIN MD

Family Medicine