RICARDO DANIEL ARBULU GUERRA MD
NPI 1588865307
Internal Medicine - Infectious Disease in Pittsburgh, PA

Active since May 30, 2007PECOS EnrolledAccepts Medicare Assignment
77.5/100
CMS Quality Rating
1515 LOCUST ST, PITTSBURGH, PA 15219(412) 232-5992(412) 232-7378 Get Directions Write a Review

NPPES record last updated: July 28, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ricardo Daniel Arbulu Guerra Md NPPES

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

RICARDO DANIEL ARBULU GUERRA MD (NPI 1588865307) is an individual infectious disease provider in Pittsburgh, Pennsylvania, licensed in Pennsylvania (MD465903) and active in the NPI registry since May 2007. He is enrolled in Medicare PECOS, is affiliated with Upmc Mercy, and is a graduate of Other (2004).

NPPES Registry Identity

NPI1588865307
Entity TypeIndividualMale
Primary Taxonomy207RI0200X
Provider Legal NameRICARDO DANIEL ARBULU GUERRACredential: MD
Location Address1515 LOCUST STPittsburgh, PA 15219-5131
Mailing Address1400 Locust St Rm 10549Pittsburgh, PA 15219-5114 · (412) 232-5992 · Fax (724) 941-8877
Fax(412) 232-7378
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateMay 30, 2007
Last NPPES UpdateJuly 28, 2021
NPPES CertifiedJuly 28, 2021
NPI 1588865307 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · Infectious DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RI0200X
Licenses Licensed in PA · MD465903 Licensed in IA · 39463
Definition

An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.

Also ListedInternal MedicineTaxonomy 207R00000X · License 4301087584 (MI)
1515 LOCUST ST, Pittsburgh, PA 15219

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

Ricardo Daniel Arbulu Guerra 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 ID5698953768
PECOS Enrollment IDI20181231000263
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 2

Services this provider delivered to Medicare fee-for-service patients, from the 2024 & 2026 CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital inpatient care per day, typically 50 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
79 services76 patients
Follow-up hospital inpatient care per day, typically 35 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.
74 services40 patients

Hospital Affiliations CMS Care Compare 2

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

Upmc Mercy

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number390028
Location1400 Locust StreetPittsburgh, PA 15219 · Allegheny County
Emergency services

Magee Womens Hospital Of Upmc Health System

Acute Care Hospitals · Pittsburgh, PA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number390114
Location300 Halket StreetPittsburgh, PA 15213 · Allegheny County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 15219 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
$126.34 typical visit price
range $54.64 – $166.87
Typical copayment $31.58 (range $13.66 – $41.71)
Most-billed visit code 99204
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

77.5/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality68.61
Promoting Interoperability100
Improvement Activities40
Cost56.4

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.

Legal Medicine
1515 LOCUST ST, MERCY HEALTH CENTER
PITTSBURGH, PA 15219
Emergency Medicine
1515 LOCUST ST
PITTSBURGH, PA 15219
Pediatrics
1515 LOCUST ST, 3RD FLOOR
PITTSBURGH, PA 15219
Pediatrics
1515 LOCUST ST, 3RD FLOOR
PITTSBURGH, PA 15219
Pediatrics
1515 LOCUST ST, 3RD FLOOR
PITTSBURGH, PA 15219
Pediatrics
1515 LOCUST ST
PITTSBURGH, PA 15219
Nurse Practitioner (Pediatrics)
1515 LOCUST ST
PITTSBURGH, PA 15219
Pharmacist
1515 LOCUST ST, 1ST FLOOR
PITTSBURGH, PA 15219

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1588865307, enumerated as an "individual" on May 30, 2007.

The provider is located at 1515 LOCUST ST PITTSBURGH, PA 15219 and the phone number is (412) 232-5992.

Internal Medicine with taxonomy code 207RI0200X and a focus in Infectious Disease.

Ricardo Arbulu Guerra is affiliated with: UPMC MERCY and MAGEE WOMENS HOSPITAL OF UPMC HEALTH SYSTEM.