DR. JOSE M CARDONA-GUZMAN MD
NPI 1861709230
Internal Medicine - Nephrology in Miami, FL

Q: What is Jose Cardona-guzman's NPI number?

The NPI number for Jose Cardona-guzman is 1861709230. It was assigned to this individual provider in the NPPES registry on September 8, 2010.

Q: What is Jose Cardona-guzman's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since September 08, 2010PECOS EnrolledAccepts Medicare Assignment

12905 SW 42ND ST STE 213, MIAMI, FL 33175(786) 507-8830 Get Directions Write a Review

NPPES record last updated: June 15, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jun 15, 2020, Jun 12, 2020, Mar 17, 2018 and 1 more (4 updates tracked since 2017).

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About Dr. Jose M Cardona-guzman Md NPPES

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

DR. JOSE M CARDONA-GUZMAN MD (NPI 1861709230) is an individual nephrology provider in Miami, Florida, licensed in Florida (ME119967) and active in the NPI registry since September 2010. He is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1861709230

Entity TypeIndividualMale

Primary Taxonomy207RN0300X

Provider Legal NameDR. JOSE M CARDONA-GUZMANCredential: MD

Location Address12905 SW 42ND ST STE 213Miami, FL 33175-2912

Mailing AddressPo Box 652256Miami, FL 33265-2256

Phone(786) 507-8830

Sole ProprietorNo

Medical School CMSPonce School Of MedicineGraduated 2010

Enumeration DateSeptember 8, 2010

Last NPPES UpdateJune 15, 20204 updates tracked since enumeration

NPPES CertifiedJune 15, 2020

✔ NPI 1861709230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in FL · ME119967

Definition

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Also ListedHospitalistTaxonomy 208M00000X · License ME119967 (FL)

12905 SW 42ND ST STE 213, Miami, FL 33175

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Secondary Practice Locations 2

Location 11400 NW 10th Ave Ste 807A, Dpt of Medicine. Attn: Angie Saint JeanMiami, FL 33136-1031 · Phone (305) 243-8417

Location 2747 Ponce De Leon Blvd Ste 605Coral Gables, FL 33134-2074 · Phone (305) 407-9900 · Fax (833) 831-9114

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter of Alabama, AvMed and more.Insurance ›

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

Dr. Jose M Cardona-guzman 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 ID1456597707

PECOS Enrollment IDI20140724001733

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 6

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 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.

834 services141 patients

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.

760 services212 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.

146 services128 patients

Hemodialysis procedure with physician evaluation 90935

Hemodialysis is a treatment that uses a machine to filter waste and excess fluid from your blood when your kidneys can't. A physician checks your health before, during, and after the procedure to ensure it's working effectively for you.

71 services19 patients

Dialysis services, 4 or more physician visits per month (20 years or older) 90960

Dialysis is a treatment that filters and purifies your blood using a machine. It helps keep your fluids and electrolytes in balance when the kidneys can't do their job. This service includes 4 or more visits per month with a physician to monitor your health and adjust your treatment as needed.

47 services19 patients

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.

36 services32 patients

Hospital Affiliations CMS Care Compare 5

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

Jackson Health System

Acute Care Hospitals · Miami, FL

1/5 CMS rating

OwnershipGovernment - Hospital District or Authority

CMS Certification Number100022

Location1611 NW 12th AveMiami, FL 33136 · Miami-Dade County

Emergency services Birthing friendly

Steward North Shore Medical Center

Acute Care Hospitals · Miami, FL

1/5 CMS rating

OwnershipProprietary

CMS Certification Number100029

Location1100 NW 95th StMiami, FL 33150 · Miami-Dade County

Emergency services Birthing friendly

Mount Sinai Medical Center Of Florida, Inc

Acute Care Hospitals · Miami Beach, FL

2/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100034

Location4300 Alton RdMiami Beach, FL 33140 · Miami-Dade County

Emergency services Birthing friendly

Larkin Community Hospital Palm Springs Campus

Acute Care Hospitals · Hialeah, FL

3/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number100050

Location1475 W 49th StHialeah, FL 33012 · Miami-Dade County

Emergency services

Hca Florida Kendall Hospital

Acute Care Hospitals · Miami, FL

2/5 CMS rating

OwnershipProprietary

CMS Certification Number100209

Location11750 Bird RdMiami, FL 33175 · Miami-Dade County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33175 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

$141.56 typical visit price

range $60.92 – $187.05

Typical copayment $35.39 (range $15.23 – $46.76)

Most-billed visit code 99204

Established Patient

$107.17 typical visit price

range $18.99 – $150.24

Typical copayment $26.79 (range $4.74 – $37.56)

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 2

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

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431

DME-Oxygen and Supplies · category DC000N

2 suppliers15 claims15 services$14.75 avg. paid by Medicare

Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390

DME-Oxygen and Supplies · category DC002N

2 suppliers15 claims15 services$77.50 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JAVIER GONZALEZ M.D.

Internal Medicine (Pulmonary Disease)