DR. MIGUEL ANTONIO RODRIGUEZ GUERRA MD
NPI 1568942183
Internal Medicine in Huntington, WV

Active since August 14, 2018PECOS Enrolled
100/100
CMS Quality Rating
1249 15TH STREET, SUITE 2000, HUNTINGTON, WV 25701(304) 691-1000(304) 691-1693 Get Directions Write a Review

NPPES record last updated: September 23, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 23, 2024, Jan 27, 2022, Aug 14, 2018 (3 updates tracked since 2018).

About Dr. Miguel Antonio Rodriguez Guerra Md NPPES

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

DR. MIGUEL ANTONIO RODRIGUEZ GUERRA MD (NPI 1568942183) is an individual internal medicine provider in Huntington, West Virginia, licensed in West Virginia (33859) and active in the NPI registry since August 2018. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1568942183
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. MIGUEL ANTONIO RODRIGUEZ GUERRACredential: MD
Location Address1249 15TH STREET, SUITE 2000Huntington, WV 25701-3662
Mailing Address1448 10th Avenue, Suite 304Huntington, WV 25701-3579 · (304) 691-6381 · Fax (304) 691-8591
Fax(304) 691-1693
Sole ProprietorYes
Enumeration DateAugust 14, 2018
Last NPPES UpdateSeptember 23, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 23, 2024
NPI 1568942183 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in WV · 33859
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.
1249 15TH STREET, Huntington, WV 25701

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 (PECOS)

Dr. Miguel Antonio Rodriguez Guerra Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 4

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.
234 services82 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.
55 services55 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
47 services47 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.
31 services22 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 25701 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
$124.46 typical visit price
range $53.20 – $164.59
Typical copayment $31.11 (range $13.30 – $41.14)
Most-billed visit code 99204
Established Patient
$94.81 typical visit price
range $16.47 – $133.29
Typical copayment $23.70 (range $4.11 – $33.32)
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.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability100
Improvement Activities40

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 (Cardiovascular Disease)
1249 15TH STREET, SUITE 4000
HUNTINGTON, WV 25701
Internal Medicine (Pulmonary Disease)
1249 15TH STREET, SUITE 3000
HUNTINGTON, WV 25701
Internal Medicine (Rheumatology)
1249 15TH STREET, SUITE 3000
HUNTINGTON, WV 25701
Internal Medicine (Endocrinology, Diabetes & Metabolism)
1249 15TH STREET, SUITE 3000
HUNTINGTON, WV 25701
Internal Medicine
1249 15TH STREET, SUITE 2000
HUNTINGTON, WV 25701
Internal Medicine (Infectious Disease)
1249 15TH STREET, SUITE 3000
HUNTINGTON, WV 25701
Internal Medicine (Pulmonary Disease)
1249 15TH STREET, SUITE 3000
HUNTINGTON, WV 25701
Internal Medicine (Pulmonary Disease)
1249 15TH STREET, STE 3000
HUNTINGTON, WV 25701

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 Miguel Rodriguez Guerra's NPI number?

The NPI number for Miguel Rodriguez Guerra is 1568942183. It was assigned to this individual provider in the NPPES registry on August 14, 2018.

Where is Miguel Rodriguez Guerra located?

Miguel Rodriguez Guerra practices at 1249 15th Street Suite 2000, Huntington, WV 25701. The listed phone number is (304) 691-1000.

What is Miguel Rodriguez Guerra's specialty?

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

Is Miguel Rodriguez Guerra enrolled in Medicare?

Yes. Miguel Rodriguez Guerra is registered in the Medicare PECOS enrollment system.

What insurance does Miguel Rodriguez Guerra accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia and 1 other insurer list Miguel Rodriguez Guerra 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.

When was this NPI record last updated?

The NPPES record for Miguel Rodriguez Guerra was last updated on September 23, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.