DR. RAUL V GUERRERO (MD) – Internal Medicine Physician, NPI 1053307660
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
8,824 INTERNAL MEDICINE in IL
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Provider Addresses for DR. RAUL V GUERRERO (MD)
1614, East Norris Drive, Ottawa, LaSalle County, Illinois, 61350, United States
OTTAWA, IL 613503681
Phone: (815) 433-1010
Fax: (815) 433-0067
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: 2005-05-12
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20050512000275 | I | Internal Medicine | IL | TBD |
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.
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
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 93793 | Anticoagulant management of patient taking warfarin | 1,025 | 184 | $0 |
| 85610 | Blood test, clotting time | 630 | 96 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 541 | 307 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 117 | 110 | $0 |
| 93005 | Routine electrocardiogram (ecg) using at least 12 leads with tracing | 66 | 63 | $0 |
Insurance plans in this area (ZIP 61350)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | IL | 90670 | Pneumococcal vaccine for injection into muscle | 130 | 130 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Clinical Social Worker | IL | |
| Nurse Practitioner | IL | |
| Clinical Social Worker | IL | |
| Nurse Practitioner | IL | |
| Certified Registered Nurse Anesthetist (Crna) | IL | |
| - | IL | |
| Radiation Oncology | IL | |
| - | IL | |
| Mental Health Counselor | IL | |
| Mental Health Counselor | IL |
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