DR. JHON SAUL GUZMAN-RIVERA M.D.
NPI 1568443232
Internal Medicine - Nephrology in Atlantis, FL

Active since November 09, 2005PECOS EnrolledAccepts Medicare Assignment
5503 S CONGRESS AVE, SUITE 103, ATLANTIS, FL 33462(561) 965-7228(561) 965-0120 Get Directions Write a Review

NPPES record last updated: December 29, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Jhon Saul Guzman-rivera M.d. NPPES

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

DR. JHON SAUL GUZMAN-RIVERA M.D. (NPI 1568443232) is an individual nephrology provider in Atlantis, Florida, licensed in Florida (ME75394) and active in the NPI registry since November 2005. He is enrolled in Medicare PECOS, is affiliated with Bethesda Hospital Inc, and is a graduate of Other (1986).

NPPES Registry Identity

NPI1568443232
Entity TypeIndividualMale
Primary Taxonomy207RN0300X
Provider Legal NameDR. JHON SAUL GUZMAN-RIVERACredential: M.D.
Location Address5503 S CONGRESS AVE, SUITE 103Atlantis, FL 33462-6614
Mailing Address5503 S Congress Ave, Suite 103Atlantis, FL 33462-6614 · (561) 965-7228 · Fax (561) 965-5889
Fax(561) 965-0120
Sole ProprietorNo
Medical School CMSOtherGraduated 1986
Enumeration DateNovember 9, 2005
Last NPPES UpdateDecember 29, 2015
NPI 1568443232 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License Licensed in FL · ME75394
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.
Also ListedSpecialistTaxonomy 174400000X · License ME75394 (FL)
5503 S CONGRESS AVE, Atlantis, FL 33462

Other Identifiers 5

Medicare UPING67099FL
Medicaid254363000FL
Medicare ID-Type Unspecified43371ZFL
Other43371FL · Blue Cross Blue Shield
Other390006561FL · Rr Medicare

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

Dr. Jhon Saul Guzman-rivera 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 ID5193786044
PECOS Enrollment IDI20100308000825
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 8

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 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.
712 services203 patients
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.
277 services148 patients
Dialysis services, 4 or more physician visits per month (20 years or older) 90960
Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.
229 services38 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 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.
191 services175 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
162 services80 patients
Hemodialysis procedure with physician evaluation 90935
Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.
105 services41 patients

Hospital Affiliations CMS Care Compare 4

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

Bethesda Hospital Inc

Acute Care Hospitals · Boynton Beach, FL
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100002
Location2815 S Seacrest BlvdBoynton Beach, FL 33435 · Palm Beach County
Emergency services Birthing friendly

Hca Florida Jfk Hospital

Acute Care Hospitals · Atlantis, FL
2/5 CMS rating
OwnershipProprietary
CMS Certification Number100080
Location5301 S Congress AveAtlantis, FL 33462 · Palm Beach County
Emergency services

Hca Florida Palms West Hospital

Acute Care Hospitals · Loxahatchee, FL
3/5 CMS rating
OwnershipProprietary
CMS Certification Number100269
Location13001 Southern BlvdLoxahatchee, FL 33470 · Palm Beach County
Emergency services Birthing friendly

Wellington Regional Medical Center

Acute Care Hospitals · Wellington, FL
1/5 CMS rating
OwnershipProprietary
CMS Certification Number100275
Location10101 Forest Hill BlvdWellington, FL 33414 · Palm Beach County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33462 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 20

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

Internal Medicine (Nephrology)
5503 S CONGRESS AVE, SUITE 103
ATLANTIS, FL 33462
Internal Medicine (Nephrology)
5503 S CONGRESS AVE, SUITE 103
ATLANTIS, FL 33462
Internal Medicine (Infectious Disease)
5503 S CONGRESS AVE, SUITE 104
ATLANTIS, FL 33462
Internal Medicine (Interventional Cardiology)
5503 S CONGRESS AVE, SUITE 206
ATLANTIS, FL 33462
Specialist
5503 S CONGRESS AVE, SUITE 103
ATLANTIS, FL 33462
Nurse Practitioner
5503 S CONGRESS AVE, SUITE 206
ATLANTIS, FL 33462
Psychiatry & Neurology (Psychiatry)
5503 S CONGRESS AVE, SUITE 205
ATLANTIS, FL 33462
Nurse Practitioner
5503 S CONGRESS AVE, SUITE 206
ATLANTIS, FL 33462

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 Jhon Guzman-rivera's NPI number?

The NPI number for Jhon Guzman-rivera is 1568443232. It was assigned to this individual provider in the NPPES registry on November 9, 2005.

Where is Jhon Guzman-rivera located?

Jhon Guzman-rivera practices at 5503 S Congress Ave Suite 103, Atlantis, FL 33462. The listed phone number is (561) 965-7228.

What is Jhon Guzman-rivera's specialty?

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

Is Jhon Guzman-rivera enrolled in Medicare?

Yes. Jhon Guzman-rivera 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 Jhon Guzman-rivera accept?

Health plans from Ambetter Health, Ambetter from Superior HealthPlan, Ambetter of Alabama, AmeriHealth Caritas Next and AvMed and 5 other insurers list Jhon Guzman-rivera 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 Jhon Guzman-rivera affiliated with any hospitals?

According to CMS data, Jhon Guzman-rivera is affiliated with Bethesda Hospital Inc, Hca Florida Jfk Hospital, Hca Florida Palms West Hospital and Wellington Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Jhon Guzman-rivera was last updated on December 29, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.