Monica Guma, M.D., PH.D.
NPI 1346522141 · Rheumatology Physician · La Jolla, CA
Enrolled with Medicare as Practitioner - Rheumatology · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Monica Guma, M.D., PH.D. is a Rheumatology Physician provider in La Jolla, CA (NPI 1346522141).
Provider details
- NPI number
- 1346522141
- Entity type
- Individual
- Primary specialty
- Rheumatology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D., PH.D.
- Sex
- Female
- Sole proprietor
- No
- License
- A126993 (CA)
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
14 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
86 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) |
|---|---|---|
| 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 | 35 | $17 |
| Established Patient Office Or Other Outpatient Visit With Moderate Level of Decision Making, If Using Time, 30 Minutes Or More99214 | 33 | $100 |
| 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 | 18 | $17 |
Typical Medicare-allowed amounts for these services range $17–$100 (2024). The Medicare-allowed amount is what Medicare recognizes for a service under fee-for-service — a reference figure for 2024, not a price quote and not what you would be billed. Medicare Part B covers roughly an eighth of all NPIs (65+ skew); services with fewer than 11 beneficiaries are suppressed by CMS. Source: CMS Medicare Physician & Other Practitioners, by Provider & Service.
What this provider prescribes (Medicare Part D)
Top drugs by Medicare Part D claim volume, 2024 · 13 distinct drugs on file.
| Drug | Part D claims (2024) | Beneficiaries |
|---|---|---|
| Hydroxychloroquine Sulfate | 69 | 11 |
| Methotrexate Sodiumbrand: Methotrexate | 60 | 14 |
| Leflunomide | 42 | — |
| Ibuprofen | 27 | — |
| Etanerceptbrand: Enbrel Sureclick | 25 | — |
| Prednisone | 25 | — |
| Adalimumabbrand: Humira(cf) Pen |
Transparency — industry payments
Based on CMS Open Payments, 2024; not all care is captured.
$8,693 across 4 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
- 2011-09-16
- Last updated
- 2018-05-07
Frequently asked questions
- What is Monica Guma's NPI number?
- Monica Guma's National Provider Identifier (NPI) is 1346522141, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Monica Guma's specialty?
- Monica Guma is listed in the NPPES registry with a primary specialty of Rheumatology Physician (Allopathic & Osteopathic Physicians).
- Where is Monica Guma located?
- Monica Guma's practice location on file with NPPES is 9500 Gilman Drive, La Jolla, CA 92093.
- What is Monica Guma's phone number?
- The practice phone number listed in the NPPES registry for Monica Guma is (858) 642-3247.
- Does Monica Guma accept Medicare?
- Monica Guma is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Monica Guma's NPI active?
- Yes — Monica Guma's NPI (1346522141) is active in the NPPES registry as of the last update on 2018-05-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.