DR. KARLA LORRAINE GUZMAN MELERO M.D.
NPI 1942731799
Emergency Medicine in Miami, FL

Active since March 23, 2017PECOS EnrolledAccepts Medicare Assignment
93.74/100
CMS Quality Rating
11750 BIRD RD, MIAMI, FL 33175(305) 223-2000(305) 227-5556 Get Directions Write a Review

NPPES record last updated: June 24, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 24, 2020, Jun 3, 2020, Mar 23, 2017 (3 updates tracked since 2017).

About Dr. Karla Lorraine Guzman Melero M.d. NPPES

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

DR. KARLA LORRAINE GUZMAN MELERO M.D. (NPI 1942731799) is an individual emergency medicine provider in Miami, Florida, licensed in Florida (ME145410) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS, is affiliated with Jackson Health System, and is a graduate of Ponce School Of Medicine (2017).

NPPES Registry Identity

NPI1942731799
Entity TypeIndividualFemale
Primary Taxonomy207P00000X
Provider Legal NameDR. KARLA LORRAINE GUZMAN MELEROCredential: M.D.
Location Address11750 BIRD RDMiami, FL 33175-3530
Mailing AddressB4 Calle C, Urb La MargaritaSalinas, PR 00751 · (787) 601-4119
Fax(305) 227-5556
Sole ProprietorYes
Medical School CMSPonce School Of MedicineGraduated 2017
Enumeration DateMarch 23, 2017
Last NPPES UpdateJune 24, 20203 updates tracked since enumeration
NPPES CertifiedJune 24, 2020
NPI 1942731799 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyEmergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207P00000X
License Licensed in FL · ME145410
Definition
An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury.
11750 BIRD RD, Miami, FL 33175

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. Karla Lorraine Guzman Melero 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 ID547683294
PECOS Enrollment IDI20200714000733
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 3

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.

Emergency department visit with moderate level of medical decision making 99284
An emergency department visit for a high-severity issue means you're experiencing a serious health problem that needs immediate attention. This could be a severe injury, serious illness, or life-threatening condition. Medical professionals will provide urgent care to stabilize your condition.
33 services33 patients
Emergency department visit with high level of medical decision making 99285
An emergency department visit for severe conditions is when you urgently seek medical help due to serious health issues. These could be severe injuries, breathing problems, unbearable pain, or sudden severe illness. Doctors and nurses will provide immediate care to stabilize your condition.
29 services28 patients
Emergency department visit with low level of medical decision making 99283
An emergency department visit for a problem of moderate severity involves immediate medical attention for issues like minor fractures, burns, or high fever. The healthcare team will assess your condition, provide necessary treatment, and may suggest further tests or admission if required.
11 services11 patients

Hospital Affiliations CMS Care Compare

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

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
$96.13 typical visit price
range $60.92 – $187.05
Typical copayment $24.03 (range $15.23 – $46.76)
Most-billed visit code 99203
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.

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.

93.74/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality83.53
Promoting Interoperability76
Improvement Activities40

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
11750 BIRD RD
MIAMI, FL 33175
Internal Medicine
11750 BIRD RD
MIAMI, FL 33175
Emergency Medicine
11750 BIRD RD
MIAMI, FL 33175
Surgery
11750 BIRD RD
MIAMI, FL 33175
Student in an Organized Health Care Education/Training Program
11750 BIRD RD
MIAMI, FL 33175
Student in an Organized Health Care Education/Training Program
11750 BIRD RD
MIAMI, FL 33175
Student in an Organized Health Care Education/Training Program
11750 BIRD RD
MIAMI, FL 33175
Student in an Organized Health Care Education/Training Program
11750 BIRD RD
MIAMI, FL 33175

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 Karla Guzman Melero's NPI number?

The NPI number for Karla Guzman Melero is 1942731799. It was assigned to this individual provider in the NPPES registry on March 23, 2017.

Where is Karla Guzman Melero located?

Karla Guzman Melero practices at 11750 Bird Rd, Miami, FL 33175. The listed phone number is (305) 223-2000.

What is Karla Guzman Melero's specialty?

The primary specialty registered for this NPI is Emergency Medicine with taxonomy code 207P00000X.

Is Karla Guzman Melero enrolled in Medicare?

Yes. Karla Guzman Melero 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 Karla Guzman Melero affiliated with any hospitals?

According to CMS data, Karla Guzman Melero is affiliated with Jackson Health System.

When was this NPI record last updated?

The NPPES record for Karla Guzman Melero was last updated on June 24, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.