DR. ENRIQUE GUILLERMO (MD) – Emergency Medical Services (Emergency Medicine) Physician, NPI 1609815919
Emergency Medical Services (Emergency Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,131 EMERGENCY MEDICINE in TN
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Provider Addresses for DR. ENRIQUE GUILLERMO (MD)
Boom Box Buns, 1324, Main Street, Main Street Business District, Over-the-Rhine, Cincinnati, Hamilton County, Ohio, 45202, United States
CINCINNATI, OH 452634706
Phone:
Type: Mailing
Walnut Street, Foote Homes, Memphis, Shelby County, West Tennessee, Tennessee, 38126, United States
MEMPHIS, TN 38120
Phone: (901) 226-3010
Fax: (901) 226-1707
Type: Location
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: 2012-09-25
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 3 Medicare enrollment records; no due dates published yet.
Enrollment records
3
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 |
|---|---|---|---|---|
| I20050110000189 | I | Emergency Medicine | AR | TBD |
| I20050519000282 | I | Emergency Medicine | TN | TBD |
| I20120925000629 | I | Internal Medicine | MS | 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 |
|---|---|---|---|---|
| 99285 | Emergency department visit with high level of medical decision making | 423 | 401 | $0 |
| 99284 | Emergency department visit with moderate level of medical decision making | 209 | 203 | $0 |
| 93010 | Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only | 113 | 108 | $0 |
| 99283 | Emergency department visit with low level of medical decision making | 29 | 28 | $0 |
| 36556 | Insertion of non-tunneled central venous tube for infusion (5 years or older) | 16 | 16 | $0 |
Insurance plans in this area (ZIP 45263)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | TN | |
| Emergency Medicine | TN | |
| Emergency Medicine | WV | |
| - | AR | |
| Emergency Medicine | MA | |
| - | TN | |
| - | KY | |
| Emergency Medicine, Internal Medicine, Emergency Medicine | FL | |
| Emergency Medicine | TX | |
| Family Practice, Emergency Medicine | AR |
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