Leonardo Holguin, M.D.
NPI 1154632701 · Internal Medicine Physician · Red Bank, NJ
Enrolled with Medicare as Practitioner - Internal Medicine · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Leonardo Holguin, M.D. is a Internal Medicine Physician provider in Red Bank, NJ (NPI 1154632701).
Provider details
- NPI number
- 1154632701
- Entity type
- Individual
- Primary specialty
- Internal Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 25MA08777200 (NJ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
16 yrs in NPPES registry
- Profile completeness25% of score
100% of core fields populated
- Practice footprint15% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)25% of score
2,313 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 | 1,108 | $122 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 | 946 | $81 |
| Initial Hospital Care With Moderate Level of Medical Decision Making, If Using Time, at Least 75 Minutes99223 | 122 | $178 |
| Hospital Discharge Day Management, More Than 30 Minutes99239 | 78 | $118 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 50 Minutes99233 | 40 | $123 |
| Subsequent Hospital Care With Moderate Levelof Medical Decision Making, If Using Time, at Least 35 Minutes99232 |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$59 across 3 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
Registry dates
- Enumerated
- 2010-06-29
- Last updated
- 2011-11-17
Frequently asked questions
- What is Leonardo Holguin's NPI number?
- Leonardo Holguin's National Provider Identifier (NPI) is 1154632701, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Leonardo Holguin's specialty?
- Leonardo Holguin is listed in the NPPES registry with a primary specialty of Internal Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Leonardo Holguin located?
- Leonardo Holguin's practice location on file with NPPES is 157 Broad St, Red Bank, NJ 07701-2028.
- What is Leonardo Holguin's phone number?
- The practice phone number listed in the NPPES registry for Leonardo Holguin is (732) 530-2960.
- Does Leonardo Holguin accept Medicare?
- Leonardo Holguin is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Leonardo Holguin's NPI active?
- Yes — Leonardo Holguin's NPI (1154632701) is active in the NPPES registry as of the last update on 2011-11-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.