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PABLO IVAN GUEVARA M.D.
NPI 1811967748
Internal Medicine in San Pablo, CA

Active since January 24, 2006PECOS EnrolledAccepts Medicare Assignment
100 A SAN PABLO TOWN CENTER, SAN PABLO, CA 94806(510) 237-2802 Get Directions Write a Review

NPPES record last updated: April 25, 2024. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Pablo Ivan Guevara M.d. NPPES

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

PABLO IVAN GUEVARA M.D. (NPI 1811967748) is an individual internal medicine provider in San Pablo, California, licensed in California (C162697) and active in the NPI registry since January 2006. He is enrolled in Medicare PECOS, maintains a secondary practice location in Cambridge, and is a graduate of University Of Massachusetts Medical School (1998).

NPPES Registry Identity

NPI1811967748
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePABLO IVAN GUEVARACredential: M.D.
Location Address100 A SAN PABLO TOWN CENTERSan Pablo, CA 94806
Mailing Address100 A San Pablo Town CenterSan Pablo, CA 94806 · (510) 237-2802
Phone(510) 237-2802
Sole ProprietorYes
Medical School CMSUniversity Of Massachusetts Medical SchoolGraduated 1998
Enumeration DateJanuary 24, 2006
Last NPPES UpdateApril 25, 2024
NPPES CertifiedApril 18, 2024
✔ NPI 1811967748 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in CA · C162697✔ Licensed in MA · 209337
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.
100 A SAN PABLO TOWN CENTER, San Pablo, CA 94806
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Secondary Practice Location 1

Location 1300 Mount Auburn St, Suite 305Cambridge, MA 02138-5600 · Phone (617) 354-1002 · Fax (617) 876-0524

Other Identifiers 1

Medicaid110004487AMA

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

Pablo Ivan Guevara 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 ID3971577677
PECOS Enrollment IDI20200924001134
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.

Medicare Billing Reassignment

Medicare enrollment records show Pablo Guevara reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Carbon Health Primary Care Of California PC
7.8 mi
Multi-Specialty
2920 TELEGRAPH AVE STE 100
Berkeley, CA 94705
  • Reassigned Medicare billing, California enrollment
  • 21 clinicians in this Medicare group
NPI 1972057990 (510) 686-3621

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 14

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.
410 services260 patients
Established patient office or other outpatient visit with high level of medical decision making, if using time, 40 minutes or more 99215
This service involves a follow-up appointment for existing patients, lasting between 40 to 54 minutes. During this time, your healthcare provider will assess your current health status, discuss any changes or concerns, review your treatment plan, and answer any questions you may have.
235 services180 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
122 services108 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
89 services85 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
85 services81 patients
Physician or allowed practitioner certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians and G0180
This is a service where a doctor or authorized practitioner certifies that you require Medicare-covered home health services. They will communicate with the home health agency and review reports on your health status to ensure you receive appropriate care. This does not involve an in-person visit.
52 services37 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94806 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
12 suppliers24 claims63 services$6.29 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

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 Pablo Guevara's NPI number?

The NPI number for Pablo Guevara is 1811967748. It was assigned to this individual provider in the NPPES registry on January 24, 2006.

Where is Pablo Guevara located?

Pablo Guevara practices at 100 A San Pablo Town Center, San Pablo, CA 94806. The listed phone number is (510) 237-2802.

What is Pablo Guevara's specialty?

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

Is Pablo Guevara enrolled in Medicare?

Yes. Pablo Guevara 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 Pablo Guevara's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Pablo Guevara reassigns Medicare benefits to Carbon Health Primary Care Of California PC (Berkeley, CA). 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 Pablo Guevara's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Pablo Guevara was last updated on April 25, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.