2026 NPPES data Plastic Surgery Physician NPI 1164631024 MD
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GUILLERMINA NAVA, MD

Plastic Surgery Physician in DETROIT, Michigan. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Industry payments
$163.21
2 payments · CMS Open Payments (Sunshine Act)
What the federal data reveals: GUILLERMINA NAVA, MD is a Plastic Surgery Physician ([object Object]) practicing in DETROIT, Michigan . Industry payments of $163.21 across 2 transactions are disclosed under CMS Open Payments (Sunshine Act).

What stands out: GUILLERMINA NAVA, MD specializes in Plastic Surgery Physician and practices in DETROIT, Michigan, listed in the federal CMS National Provider Identifier registry. Every detail on this page comes straight from federal CMS records, with no proprietary rating applied.

Board certification likely (heuristic — not verified)

GUILLERMINA NAVA, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

GUILLERMINA NAVA, MD at a glance

Quality data not reported

NPI registry status

Active

Issued 05/21/2007

NPI 1164631024

Primary specialty

Plastic Surgery Physician

Mid-sized

5,316 US NPIs in this specialty

Specialty distribution in Michigan

How Plastic Surgery Physician compares to other specialties among Michigan providers

Michigan providers

Plastic Surgery Physician share within Michigan

1. Plastic Surgery Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Plastic Surgery Physician share within Michigan

Specialty board-certification context

Estimated specialty board-certified rate — Plastic Surgery Physician (ABMS / AOA reference)

Quality data not reported
Est. board-certified rate
78%
Plastic Surgery Physician ABMS/AOA estimate

Est. board-certified rate (Plastic Surgery Physician) — ABMS / AOA estimate

0%100%78%
Est. board-certified rate (Plastic Surgery Physician) — ABMS / AOA estimate

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

GUILLERMINA NAVA, MD is a Plastic Surgery Physician provider practicing in DETROIT, Michigan, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1164631024. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

GUILLERMINA NAVA, MD appears in the CMS NPPES registry as a Plastic Surgery Physician provider holding MD credentials at 4160 JOHN R ST, DETROIT, MI, 48201, with a listed phone of (313) 745-4195. NPI 1164631024 was issued on 05/21/2007. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what NAVA most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D prescribing data is not currently published for this NPI, which typically means the provider either wrote fewer than 11 Part D claims in the most recent reporting year, does not participate in Medicare, or practices in a specialty that rarely prescribes outpatient drugs. Absence of prescribing data is not a quality signal — many Plastic Surgery Physician providers operate outside Part D entirely.

Plastic Surgery Physician is a mid-sized specialty nationwide, with 5,316 enrolled providers across 52 states and an average of 84 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

4160 JOHN R ST
DETROIT, MI 48201

Provider Details

NPI 1164631024
Specialty Plastic Surgery Physician
Credentials MD
Gender Female
NPI Issued 05/21/2007

Hospital and facility affiliations

Facilities where GUILLERMINA NAVA, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

UNIVERSITY PHYSICIAN GROUP
TROY, MI

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for GUILLERMINA NAVA, MD. Source: openpaymentsdata.cms.gov.

Total received

$163

Largest payer

ABBVIE INC.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

License & disciplinary context — Michigan MI-BOM 2023 annual report

Aggregate state board data only — NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~41K Michigan medical licensees in 2023 — they are NOT specific to GUILLERMINA NAVA, MD. To verify GUILLERMINA NAVA, MD's current license status, search the MI-BOM public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.

123
Total board actions, Michigan 2023
Across 120 cases
3.00
Actions per 1,000 licensees
Michigan statewide rate
probation
Most common action type
44 cases

MI-BOM publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Michigan disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.

Plastic Surgery Physician Overview

How GUILLERMINA NAVA, MD fits within the Plastic Surgery Physician landscape nationally.

5,316
Plastic Surgery Physician Providers in US
52
States with Plastic Surgery Physician
84
Avg Claims per Provider

Nearby Plastic Surgery Physician Providers in Michigan

Other clinicians with the same primary specialty enrolled in Michigan, drawn from the same CMS NPPES roster as NAVA.

Compare Plastic Surgery Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is GUILLERMINA NAVA, MD's specialty?
GUILLERMINA NAVA, MD specializes in Plastic Surgery Physician and practices in DETROIT, Michigan. Credentials: MD.
Where is GUILLERMINA NAVA, MD located?
GUILLERMINA NAVA, MD is located at 4160 JOHN R ST, DETROIT, MI, 48201. Phone: (313) 745-4195.
What is GUILLERMINA NAVA, MD's NPI number?
GUILLERMINA NAVA, MD's National Provider Identifier (NPI) is 1164631024, issued on 05/21/2007.
How many Plastic Surgery Physician providers are there in the US?
There are 5,316 Plastic Surgery Physician providers across 52 states in the US. The average Plastic Surgery Physician provider writes 84 Medicare Part D claims per year.
Does GUILLERMINA NAVA, MD accept Medicare?
GUILLERMINA NAVA, MD appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify GUILLERMINA NAVA, MD's credentials?
GUILLERMINA NAVA, MD's NPI is 1164631024 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology