GUADALUPE JIMENEZ MD
NPI 1679152219
Student in an Organized Health Care Education/Training Program in New York, NY
About Guadalupe Jimenez Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
GUADALUPE JIMENEZ MD (NPI 1679152219) is an individual student in an organized health care education/training program in New York, New York and active in the NPI registry since April 2021. She is enrolled in Medicare PECOS, is affiliated with Lincoln Medical & Mental Health Center, and is a graduate of Other (2021).
NPPES Registry Identity
Specialties & Licenses
Group Practice 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Guadalupe Jimenez 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.
Medicare Billing Reassignment
Medicare enrollment records show Guadalupe Jimenez reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
New York, NY 10037
- Reassigned Medicare billing, New York enrollment
- 2,094 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Hospital Affiliations CMS Care Compare
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Lincoln Medical & Mental Health Center
Acute Care Hospitals · Bronx, NYOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEW YORK, NY 10065
NEW YORK, NY 10065
NEW YORK, NY 10065
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 Guadalupe Jimenez's NPI number?
The NPI number for Guadalupe Jimenez is 1679152219. It was assigned to this individual provider in the NPPES registry on April 2, 2021.
Where is Guadalupe Jimenez located?
Guadalupe Jimenez practices at 525 E 68th St, New York, NY 10065. The listed phone number is (347) 271-2710.
What is Guadalupe Jimenez's specialty?
The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.
Is Guadalupe Jimenez enrolled in Medicare?
Yes. Guadalupe Jimenez 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.
Which organization bills Medicare for Guadalupe Jimenez's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Guadalupe Jimenez reassigns Medicare benefits to Physician Affiliate Group Of New York PC (New York, NY). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Guadalupe Jimenez's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
Is Guadalupe Jimenez affiliated with any hospitals?
According to CMS data, Guadalupe Jimenez is affiliated with Lincoln Medical & Mental Health Center.
When was this NPI record last updated?
The NPPES record for Guadalupe Jimenez was last updated on April 2, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.
# Guadalupe Jimenez, MD · NPI 1679152219
Student in an Organized Health Care Education/Training Program provider in New York, New York. Individual provider, active in the CMS NPPES registry since April 2, 2021.
## Identity
- **NPI:** 1679152219 (Entity type: Individual)
- **Enumerated:** April 2, 2021
- **Primary specialty:** Student in an Organized Health Care Education/Training Program · taxonomy 390200000X
- **Sole proprietor:** Yes
## Practice location
- **Address:** 525 E 68TH ST, New York, NY 10065-4870
- **Phone:** (347) 271-2710
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Physician Affiliate Group Of New York PC (NPI 1013375526, New York, NY), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2021
## Record status
- **NPPES last updated:** April 2, 2021
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Source: [NPI Profile](https://npiprofile.com/npi/1679152219) · Data from the CMS NPPES public registry.