ERICA ANNETTE GUZALO M.D.
NPI 1861491250
Radiology - Diagnostic Radiology in Chicago, IL

Active since July 18, 2005PECOS EnrolledAccepts Medicare Assignment
80.83/100
CMS Quality Rating
1500 S FAIRFIELD AVE, CHICAGO, IL 60608(773) 542-2000 Get Directions Write a Review

NPPES record last updated: October 2, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Erica Annette Guzalo M.d. NPPES

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

ERICA ANNETTE GUZALO M.D. (NPI 1861491250) is an individual diagnostic radiology provider in Chicago, Illinois, licensed in Illinois (036141487) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Mt Sinai Hospital Medical Center, and is a graduate of Tufts University School Of Medicine (1993).

NPPES Registry Identity

NPI1861491250
Entity TypeIndividualFemale
Primary Taxonomy2085R0202X
Provider Legal NameERICA ANNETTE GUZALOCredential: M.D.
Location Address1500 S FAIRFIELD AVEChicago, IL 60608-1782
Mailing Address111 E Chestnut StChicago, IL 60611-2051
Sole ProprietorNo
Medical School CMSTufts University School Of MedicineGraduated 1993
Enumeration DateJuly 18, 2005
Last NPPES UpdateOctober 2, 2025
NPPES CertifiedOctober 2, 2025
NPI 1861491250 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Licenses Licensed in IL · 036141487 Licensed in CA · G86522
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Also ListedNuclear MedicineTaxonomy 207U00000X · License G86522 (CA)
1500 S FAIRFIELD AVE, Chicago, IL 60608

Other Identifiers 4

Other00G865220Blue Shield Of Ca
Medicaid036141487IL
Other300133826Railroad Medicare
Medicaid00G865220CA

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

Erica Annette Guzalo 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 ID547244428
PECOS Enrollment IDI20161128000051
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.

Screening mammography 77067
Screening mammography is a preventative measure that uses low-dose X-rays to take images of the chest area. It's a key tool in early detection of abnormalities, helping to identify issues before they become symptomatic. It is recommended annually for certain age groups.
252 services252 patients
Screening 3d breast mammography 77063
Screening 3D breast mammography is a procedure that uses low-dose X-rays to create detailed images of the breast. This allows for early detection of any unusual changes or growths. It's a non-invasive, outpatient procedure that typically takes about 30 minutes.
66 services66 patients
Limited ultrasound scan of 1 breast 76642
A limited ultrasound scan of one breast is a non-invasive imaging test. It uses sound waves to create pictures of the inside of your breast. It helps identify any unusual growths or changes. It's safe, quick, and typically painless.
42 services40 patients
Diagnostic mammography of both breasts 77066
Diagnostic mammography involves using special imaging technology to capture detailed images of both breasts. This procedure helps in identifying any unusual changes or abnormalities. It's a crucial step in ensuring breast health and early detection of potential issues.
41 services39 patients
Diagnostic digital breast tomosynthesis, unilateral or bilateral (list separately in addition to 77065 or 77066) G0279
Diagnostic digital breast tomosynthesis is a 3D imaging test that allows doctors to examine your breast tissue layer by layer. It's performed on one or both sides. It helps in detecting abnormalities more accurately. It's often done in addition to other tests.
39 services36 patients
Mri scan of both breasts 77049
An MRI scan of both breasts is a non-invasive procedure using magnetic fields and radio waves to create detailed images of your chest area. This aids in detecting any abnormalities, ensuring your health and well-being.
23 services22 patients

Hospital Affiliations CMS Care Compare 3

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

Mt Sinai Hospital Medical Center

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140018
Location1500 S Fairfield AveChicago, IL 60608 · Cook County
Emergency services Birthing friendly

Saint Anthony Hospital

Acute Care Hospitals · Chicago, IL
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140095
Location2875 West 19th StreetChicago, IL 60623 · Cook County
Emergency services Birthing friendly

Holy Cross Hospital

Acute Care Hospitals · Chicago, IL
1/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number140133
Location2701 W 68th StreetChicago, IL 60629 · Cook County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60608 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
$94.06 typical visit price
range $60.08 – $183.39
Typical copayment $23.51 (range $15.02 – $45.84)
Most-billed visit code 99203
Established Patient
$74.80 typical visit price
range $18.97 – $148.12
Typical copayment $18.70 (range $4.74 – $37.03)
Most-billed visit code 99213
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.

80.83/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality64.96
Promoting Interoperability72
Improvement Activities40
Cost63.15

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.

Pharmacist
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Pharmacist
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Nurse Practitioner (Family)
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Obstetrics & Gynecology
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Surgery
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Internal Medicine
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Student in an Organized Health Care Education/Training Program
1500 S FAIRFIELD AVE
CHICAGO, IL 60608
Psychologist
1500 S FAIRFIELD AVE
CHICAGO, IL 60608

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 Erica Guzalo's NPI number?

The NPI number for Erica Guzalo is 1861491250. It was assigned to this individual provider in the NPPES registry on July 18, 2005.

Where is Erica Guzalo located?

Erica Guzalo practices at 1500 S Fairfield Ave, Chicago, IL 60608. The listed phone number is (773) 542-2000.

What is Erica Guzalo's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Is Erica Guzalo enrolled in Medicare?

Yes. Erica Guzalo 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.

Is Erica Guzalo affiliated with any hospitals?

According to CMS data, Erica Guzalo is affiliated with Mt Sinai Hospital Medical Center, Saint Anthony Hospital and Holy Cross Hospital.

When was this NPI record last updated?

The NPPES record for Erica Guzalo was last updated on October 2, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.