MR. GUILLERMO ALFREDO GRANADOS (PA-C) – Medical Physician Assistant, NPI 1801061296

MR. GUILLERMO ALFREDO GRANADOS (PA-C) is a healthcare provider. based in Miami, Florida. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA-C. They hold a License No. PA9103857 (FL). The NPI Number for MR. GUILLERMO ALFREDO GRANADOS (PA-C) is 1801061296

Main info

Male
15 Years Of Experience
Accepts Medicare Assignment
Name
MR. GUILLERMO ALFREDO GRANADOS (PA-C)
NPI
1801061296
Phone
(305) 949-7990
Address
1770 NE MIAMI GARDENS DR
Enumeration Date
25 April 2008
Last Update Date
25 April 2008

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9544239234
Graduation Year
2011 (15 years ago)
PAC ID
2860549003
Group Practice PAC ID
9234115460
Professional Enrollment ID
I20090406000138
Address ID
FL333245842DA2337XDRXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience50
Completeness75
Years active:18State licenses:1Digital endpointsOther names

9,231 PHYSICIAN ASSISTANT in FL

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Provider Addresses for MR. GUILLERMO ALFREDO GRANADOS (PA-C)

  • Northeast Miami Gardens Drive, North Miami Beach, Miami-Dade County, Florida, 33162, United States

    MIAMI, FL 331795301

    Phone: (305) 949-7990

    Fax: (305) 949-3523

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2009-04-06

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
I20090406000138IPhysician AssistantFLTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes4734$0
99213Established patient office or other outpatient visit, 20-29 minutes4035$0
99203New patient office or other outpatient visit, 30-44 minutes2525$0
96372Injection of drug or substance under skin or into muscle1512$0
99204New patient office or other outpatient visit, 45-59 minutes1515$0
View full utilization report →

Insurance plans in this area (ZIP 33179)

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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: 9234115460View full group profile
NameSpecialtyState
-FL
Physician AssistantFL
Family Practice, General PracticeFL
Physician AssistantFL
Physician AssistantFL

Reviews

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Frequently asked questions

What is the standard ID for MR. GUILLERMO ALFREDO GRANADOS (PA-C) in the U.S.?
In the U.S., MR. GUILLERMO ALFREDO GRANADOS (PA-C) is identified by NPI 1801061296.
Quick check: is MR. GUILLERMO ALFREDO GRANADOS (PA-C) active?
Public NPPES data shows MR. GUILLERMO ALFREDO GRANADOS (PA-C) with an active NPI status right now.
What does the directory say MR. GUILLERMO ALFREDO GRANADOS (PA-C) does?
Insurance directories may phrase it differently, but here MR. GUILLERMO ALFREDO GRANADOS (PA-C) maps to Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
What city is tied to MR. GUILLERMO ALFREDO GRANADOS (PA-C)?
The directory associates MR. GUILLERMO ALFREDO GRANADOS (PA-C) with Miami, Florida. Check all listed addresses for suites or satellite offices.
Why is information missing for MR. GUILLERMO ALFREDO GRANADOS (PA-C)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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