Guillermo Valenzuela, MD
NPI 1245252402 · Specialist · Plantation, FL
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Guillermo Valenzuela, MD is a Specialist provider in Plantation, FL (NPI 1245252402).
Provider details
- NPI number
- 1245252402
- Entity type
- Individual
- Primary specialty
- SpecialistOther Service Providers
- Credential
- MD
- Sex
- Male
- Sole proprietor
- Yes
- License
- ME006617 (FL)
Specialties & taxonomies
Other Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure25% of score
19 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
2,128 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) |
|---|---|---|
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 805 | $129 |
| 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 | 257 | $17 |
| Administration of Non-Hormonal Anti-Neoplastic Chemotherapy Under Skin Or Into Muscle96401 | 144 | $71 |
| Aspiration And/Or Injection of Fluid Large Joint Using Ultrasound Guidance20611 | 139 | $110 |
| Administration of Chemotherapy Into Vein, 1 Hour Or Less96413 | 131 | $125 |
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 48 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Methotrexate Sodiumbrand: Methotrexate | 422 | 141 |
| Prednisone | 310 | 102 |
| Hydroxychloroquine Sulfate | 293 | 108 |
| Denosumabbrand: Prolia | 273 | 192 |
| Belimumabbrand: Benlysta | 149 | 15 |
| Tocilizumabbrand: Actemra | 142 | 17 |
| Abatacept/Maltosebrand: Orencia |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$214,820 across 299 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
- 2006-07-24
- Last updated
- 2013-02-26
Frequently asked questions
- What is Guillermo Valenzuela's NPI number?
- Guillermo Valenzuela's National Provider Identifier (NPI) is 1245252402, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Guillermo Valenzuela's specialty?
- Guillermo Valenzuela is listed in the NPPES registry with a primary specialty of Specialist (Other Service Providers).
- Where is Guillermo Valenzuela located?
- Guillermo Valenzuela's practice location on file with NPPES is 140 Sw 84th Ave, Plantation, FL 33324-2736.
- What is Guillermo Valenzuela's phone number?
- The practice phone number listed in the NPPES registry for Guillermo Valenzuela is (954) 476-2338.
- Does Guillermo Valenzuela accept Medicare?
- Guillermo Valenzuela is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Guillermo Valenzuela's NPI active?
- Yes — Guillermo Valenzuela's NPI (1245252402) is active in the NPPES registry as of the last update on 2013-02-26.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.