DR. JOSE GUILLERMO MAZA (MD) – General Practice Physician, NPI 1467885640

DR. JOSE GUILLERMO MAZA (MD) is a healthcare provider. based in Orlando, Florida. specializing in GENERAL PRACTICE. They hold the professional credentials MD. They hold a License No. ACN545 (FL). The NPI Number for DR. JOSE GUILLERMO MAZA (MD) is 1467885640

Main info

Male
24 Years Of Experience
Accepts Medicare Assignment
Name
DR. JOSE GUILLERMO MAZA (MD)
NPI
1467885640
Phone
(321) 332-6947
Address
121 S ORANGE AVE STE 940
Enumeration Date
12 August 2013
Last Update Date
9 October 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3212757500
Graduation Year
2002 (24 years ago)
PAC ID
0345466603
Group Practice PAC ID
7113368911
Professional Enrollment ID
I20140722000944
Address ID
FL327926724WI7151XBLVD301
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience57
Completeness85
Years active:12State licenses:2Digital endpointsOther names

1,467 GENERAL PRACTICE in FL

Provider Addresses for DR. JOSE GUILLERMO MAZA (MD)

  • 121 S ORANGE AVE STE 940

    ORLANDO, FL 328013234

    Phone: (321) 332-6947

    Fax: (407) 658-9688

    Type: Mailing

  • 810 N NOWELL STREET

    ORLANDO, FL 32808

    Phone: (407) 290-9556

    Fax: (407) 290-9505

    Type: Location

  • 118 W ORANGE ST

    ALTAMONTE SPRINGS, FL 327142537

    Phone: (321) 422-0574

    Fax: (321) 422-0765

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $171.

Total Amount is formed as General ($171) + Research ($0) + Ownership ($0) = $171.

Last reported payment date: 2024-05-03 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($119).

Total Amount

$171

General + Research + Ownership

Payments

3

Total payment records

General Amount

$171

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-03

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: 2014-07-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20140722000944IGeneral PracticeFLTBD

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 32801)

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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: 7113368911View full group profile
NameSpecialtyState
General PracticeFL
General SurgeryFL
General PracticeFL
General PracticeFL
General PracticePR
General PracticeFL
General PracticeFL
Internal MedicineFL
General PracticePR

Reviews

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Frequently asked questions

Can I cross-check DR. JOSE GUILLERMO MAZA (MD) using NPI 1467885640?
NPI 1467885640 belongs to DR. JOSE GUILLERMO MAZA (MD); compare other details if you need extra assurance.
Active or inactive — what applies to DR. JOSE GUILLERMO MAZA (MD)?
You should see DR. JOSE GUILLERMO MAZA (MD) as active in CMS-hosted NPPES data.
What area of care is associated with DR. JOSE GUILLERMO MAZA (MD)?
DR. JOSE GUILLERMO MAZA (MD)'s record emphasizes General Practice Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with DR. JOSE GUILLERMO MAZA (MD)?
Directory geography for DR. JOSE GUILLERMO MAZA (MD) centers on Orlando, Florida.
Does DR. JOSE GUILLERMO MAZA (MD) accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.