DAVID GUADALUPE (AA-C) – Anesthesiologist Assistant, NPI 1467449488

DAVID GUADALUPE (AA-C) is a healthcare provider. based in Sunrise, Florida. specializing in ANESTHESIOLOGY ASSISTANT. They hold the professional credentials AA-C. They hold a License No. 3514 (GA). The NPI Number for DAVID GUADALUPE (AA-C) is 1467449488

Main info

Male
26 Years Of Experience
Accepts Medicare Assignment
Name
DAVID GUADALUPE (AA-C)
NPI
1467449488
Phone
(954) 838-2541
Address
1613 N. HARRISON PARKWAY
Enumeration Date
4 October 2005
Last Update Date
4 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3056827000
Graduation Year
2000 (26 years ago)
PAC ID
8820075443
Group Practice PAC ID
3173429693
Professional Enrollment ID
I20111130000432
Address ID
FL331801407MI20900BLVD300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience82
Completeness75
Years active:20State licenses:3Digital endpointsOther names

936 ANESTHESIOLOGY ASSISTANT in FL

Provider Addresses for DAVID GUADALUPE (AA-C)

  • 1613 N. HARRISON PARKWAY

    #200

    SUNRISE, FL 333232853

    Phone: (954) 838-2541

    Fax: (954) 838-1746

    Type: Mailing

  • 2201 45th Street

    West Palm Beach, FL 33407

    Phone: (561) 863-3855

    Fax: (561) 881-2649

    Type: Location

  • JFK Medical Center North Campus, 2201, 45th Street, West Palm Beach, Palm Beach County, Florida, 33407, United States

    WEST PALM BEACH, FL 33407

    Phone: (561) 863-3855

    Fax: (561) 881-2649

    Type: Location

  • 701 GROVE RD

    GREENVILLE, SC 296054210

    Phone: (864) 455-3076

    Fax: (864) 455-4135

    Type: Location

  • 300 E MCBEE AVE FL 4

    GREENVILLE, SC 296012842

    Phone: (864) 522-8603

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $20.

Total Amount is formed as General ($20) + Research ($0) + Ownership ($0) = $20.

Last reported payment date: 2024-05-11 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($20).

Total Amount

$20

General + Research + Ownership

Payments

1

Total payment records

General Amount

$20

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-11

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2021-08-10

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20111130000432IAnesthesiology AssistantFLTBD
I20210810000155IAnesthesiology AssistantSCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33323)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3173429693View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
A N E S T H E S I O L O G YFL
-FL
Certified Registered Nurse Anesthetist (Crna)FL
-FL
A N E S T H E S I O L O G YFL
Certified Registered Nurse Anesthetist (Crna)FL
-FL

Reviews

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Frequently asked questions

How do payers reference DAVID GUADALUPE (AA-C)?
For DAVID GUADALUPE (AA-C), use NPI 1467449488 as the unique 10-digit identifier.
Active or inactive — what applies to DAVID GUADALUPE (AA-C)?
You should see DAVID GUADALUPE (AA-C) as active in CMS-hosted NPPES data.
What clinical focus is listed for DAVID GUADALUPE (AA-C)?
At a glance, DAVID GUADALUPE (AA-C) is tied to Anesthesiologist Assistant. Clinical services aligned with this taxonomy classification.
What locale is associated with DAVID GUADALUPE (AA-C)?
Directory geography for DAVID GUADALUPE (AA-C) centers on Sunrise, Florida.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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