Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. EDUARDO GUILLEN MD
NPI 1891315933
Internal Medicine in Oakland, CA

Active since April 18, 2020PECOS EnrolledAccepts Medicare Assignment
1411 E 31ST ST FL 2, OAKLAND, CA 94602(510) 437-5039(510) 535-7313 Get Directions Write a Review

NPPES record last updated: September 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Sep 2, 2026, Apr 18, 2020 (2 updates tracked since 2020).

About Dr. Eduardo Guillen Md NPPES

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

DR. EDUARDO GUILLEN MD (NPI 1891315933) is an individual internal medicine provider in Oakland, California, licensed in California (A186129) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Other (2019).

NPPES Registry Identity

NPI1891315933
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. EDUARDO GUILLENCredential: MD
Location Address1411 E 31ST ST FL 2Oakland, CA 94602-1018
Mailing Address1411 E 31st St Fl 2Oakland, CA 94602-1018 · (510) 437-5039 · Fax (510) 535-7313
Fax(510) 535-7313
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateApril 18, 2020
Last NPPES UpdateSeptember 2, 20262 updates tracked since enumeration
NPPES CertifiedSeptember 2, 2026
✔ NPI 1891315933 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in CA · A186129
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.
Also ListedHospitalistTaxonomy 208M00000X · License A186129 (CA)
1411 E 31ST ST FL 2, Oakland, CA 94602

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

Dr. Eduardo Guillen 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 ID1759725559
PECOS Enrollment IDI20240220004109
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 Eduardo Guillen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Internal Medicine
2070 CLINTON AVE
Alameda, CA 94501
  • Reassigned Medicare billing, California enrollment
  • 22 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.

Areas of Expertise CMS Part B claims 5

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 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.
414 services181 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
149 services141 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.
82 services78 patients
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.
80 services45 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
53 services26 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 94602 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.

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.

Internal Medicine
1411 E 31ST ST FL 2
OAKLAND, CA 94602
Student in an Organized Health Care Education/Training Program
1411 E 31ST ST FL 2
OAKLAND, CA 94602
Internal Medicine (Critical Care Medicine)
1411 E 31ST ST FL 2
OAKLAND, CA 94602
Student in an Organized Health Care Education/Training Program
1411 E 31ST ST FL 2
OAKLAND, CA 94602
Internal Medicine
1411 E 31ST ST FL 2
OAKLAND, CA 94602
Hospitalist
1411 E 31ST ST FL 2
OAKLAND, CA 94602
Internal Medicine
1411 E 31ST ST FL 2
OAKLAND, CA 94602
Student in an Organized Health Care Education/Training Program
1411 E 31ST ST FL 2
OAKLAND, CA 94602

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 Eduardo Guillen's NPI number?

The NPI number for Eduardo Guillen is 1891315933. It was assigned to this individual provider in the NPPES registry on April 18, 2020.

Where is Eduardo Guillen located?

Eduardo Guillen practices at 1411 E 31st St Fl 2, Oakland, CA 94602. The listed phone number is (510) 437-5039.

What is Eduardo Guillen's specialty?

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

Is Eduardo Guillen enrolled in Medicare?

Yes. Eduardo Guillen 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 Eduardo Guillen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Eduardo Guillen reassigns Medicare benefits to Alameda Inpatient Medical Inc (Alameda, 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 Eduardo Guillen'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 Eduardo Guillen was last updated on September 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 54 days 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.