Daniel Guevara-Pineda, M.D
NPI 1093962805 · Nephrology Physician · New Haven, CT
Enrolled with Medicare as Practitioner - Nephrology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Daniel Guevara-Pineda, M.D is a Nephrology Physician provider in New Haven, CT (NPI 1093962805).
Provider details
- NPI number
- 1093962805
- Entity type
- Individual
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D
- Sex
- Male
- Sole proprietor
- No
- License
- T288933 (MA)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
17 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
3 documented practice locations
- Medicare service volume (vs. specialty peers)25% of score
536 Medicare services, 2024 (ranked within specialty)
- Open Payments transparency10% of score
Has Open Payments disclosures (2024)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our .
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 158 | $121 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 75 | $97 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 71 | $17 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 64 | $126 |
| Visit Complexity Inherent to Evaluation and Management Associated With Medical Care Services That Serve As the Continuing Focal Point for All Needed Health Care Services And/Or With Medical Care Services That Are Part of Ongoing Care Related to a Patient'SG2211 | 63 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 34 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Prednisone | 183 | 49 |
| Carvedilol | 164 | 36 |
| Amlodipine Besylate | 159 | 35 |
| Famotidine | 131 | 27 |
| Sulfamethoxazole/Trimethoprimbrand: Sulfamethoxazole-Trimethoprim | 85 | 18 |
| Atorvastatin Calcium | 84 | 23 |
| Cinacalcet Hcl | 84 | 16 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$176 across 2 records (Open Payments 2024)
Open Payments discloses payments and transfers of value (meals, travel, consulting, research, royalties) from drug and device makers to providers. This is a transparency signal, not a verdict — such payments are legal and common, and their presence is neither an endorsement nor a criticism. Source: CMS Open Payments, program year 2024.
Practice location
Mailing address
Additional practice locations (2)
- 55 Lake Ave NWorcester, MA 01655-0002Phone: (508) 856-3155
- 119 Belmont StWorcester, MA 01605-2903Phone: (508) 856-3155Fax: (508) 856-3111
Registry dates
- Enumerated
- 2008-08-22
- Last updated
- 2023-03-02
- Certified
- 2023-03-02
Frequently asked questions
- What is Daniel Guevara-Pineda's NPI number?
- Daniel Guevara-Pineda's National Provider Identifier (NPI) is 1093962805, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Daniel Guevara-Pineda's specialty?
- Daniel Guevara-Pineda is listed in the NPPES registry with a primary specialty of Nephrology Physician (Allopathic & Osteopathic Physicians).
- Where is Daniel Guevara-Pineda located?
- Daniel Guevara-Pineda's practice location on file with NPPES is 800 Howard Ave, New Haven, CT 06519-1369.
- What is Daniel Guevara-Pineda's phone number?
- The practice phone number listed in the NPPES registry for Daniel Guevara-Pineda is (203) 785-2565.
- Does Daniel Guevara-Pineda accept Medicare?
- Daniel Guevara-Pineda is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Daniel Guevara-Pineda's NPI active?
- Yes — Daniel Guevara-Pineda's NPI (1093962805) is active in the NPPES registry as of the last update on 2023-03-02.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.