Guillermo Hidalgo, MD
Pediatric Nephrology Physician · Neptune, NJ
Guillermo Hidalgo, MD is a pediatric nephrology physician with a practice address in Neptune, New Jersey, and NPI 1548207038, issued on Jun 1, 2006. Check the license (New Jersey 25MA10679200, as entered in NPPES) on the New Jersey State Board of Medical Examiners; the Medicare figures below come from public CMS files.
- Name
- Guillermo Hidalgo
- Credential
- MD
- Primary taxonomy
- Pediatric Nephrology Physician 2080P0210X
- License numbers
- 25MA10679200 NJ
036117155 IL
4301084948 MI
2011-00127 NC
Self-reported in NPPES; status is on the state search - Practice location
- 19 Davis Ave FL 5, Neptune, NJ 07753
- Phone
- (732) 897-3400
- Enumerated
- Jun 1, 2006
- Record last updated
- Oct 24, 2019 (not updated in 7 years: call before relying on the address or phone)
- Fax
- (732) 897-3481
- Medicaid ID
- 5916951 NC
- Medicare enrollment
- Enrolled (PECOS I20200108000781); accepts Medicare assignment
- Entity
- Type 1 · individual
Also registered at 19 Davis Ave FL 5
A shared address usually means a shared clinic or building; it does not show who employs whom.
- Monica Angstadt, APN, CPNP-PC/ACPediatric Nurse Practitioner1457036550
- Ashley Carlo, DOPediatric Hematology & Oncology Physician1154959633
- Charles Dadzie, MDPediatric Pulmonology Physician1104882109
- Ekadasi Drikpalsingh, CPNP-PCPediatric Nurse Practitioner1760978118
- Alycia Foti, MDPediatric Hematology & Oncology Physician1992237697
- Heather Grossman, MDPediatric Hospice and Palliative Medicine Physician1093781387
Verify Guillermo Hidalgo in five checks
- 1IdentityNPI record in CMS NPPESNPI lookupConfirmed in NPPES
- 2LicenseActive license and public ordersNew Jersey State Board of Medical Examiners
Search for license 25MA10679200Check the board - 3Other statesLicenses and actions elsewhereDocInfo (FSMB)Not checked
- 4ExclusionsMedicare and Medicaid bansHHS-OIG exclusion listNot checked
- 5CertificationBoard certificationABMS AOA NCCPA AANPNot checked
19% fewer Medicare Part D claims than the average pediatric nephrology physician in 2024
54 Medicare Part D claims, against an average of 67 among the 387 providers of this specialty who prescribed in Part D. Brand-name drugs were 0% of claims.
Most prescribed
- Prednisone12 claims
- Tacrolimus12 claims
Source: CMS Medicare Part D Prescribers by Provider and Drug, 2024 (data.cms.gov). Part D covers prescriptions for Medicare patients only; drugs with fewer than 11 claims are not published.
The practice group's MIPS final score for 2023 (Medicare payment program): 75.8 of 100
The Merit-based Incentive Payment System score is reported for the practice group, not for one clinician alone. Four categories are weighted into the final score; the average among 454,083 clinicians with a measured score was 83.5.
Source: CMS Quality Payment Program, MIPS performance year 2023, group reporting; category weights for 2023 (qpp.cms.gov).
Industry payments in 2024: $165.69
4 payments; by number, the most common kind was food and beverage; the largest payer was Calliditas Therapeutics US Inc. The 297 providers of this specialty with any payment received $3,704.99 on average. Payments are reported by manufacturers, not by the provider, and are not a sign of wrongdoing.
Source: CMS Open Payments, program year 2024 (openpaymentsdata.cms.gov); average among providers of this specialty with at least one payment.
Bills Medicare through one group practice
- Hackensack Meridian Health Medical Group - Specialty Care PCNeptune, NJ
Source: CMS Doctors and Clinicians National Downloadable File (the group practices a clinician bills Medicare through) (data.cms.gov).
Pediatric Nephrology Physician providers in New Jersey
There are 14 pediatric nephrology physician records in New Jersey.
Other pediatric nephrology physician records in New Jersey
- Abraham Aviv, M.D.Newark, NJ1154462687
- Joann Carlson, M.D.New Brunswick, NJ1932365400
- Howard Corey, MDMorristown, NJ1710959036
- Vikas Dharnidharka, MDNew Brunswick, NJ1619915246
- Valeriya Feygina, MDNew Brunswick, NJ1225469489
- Roberto Jodorkovsky, M.D.Paterson, NJ1457391880
- Kenneth Lieberman, MDHackensack, NJ1174582951
- Mahmoud Loghman-Adham, M.D.Nutley, NJ1043594120
- Maria Roberti, M.D.Livingston, NJ1376580415
- Maria Sharma, MDPassaic, NJ1053639492
Common questions
What is Guillermo Hidalgo, MD's NPI number?
Guillermo Hidalgo, MD's National Provider Identifier (NPI) is 1548207038, issued on Jun 1, 2006. An NPI identifies a provider in billing; it is not a license.
Where is Guillermo Hidalgo, MD located?
The NPPES record lists a practice address at 19 Davis Ave FL 5, Neptune, NJ, 07753. Phone: (732) 897-3400. Providers update this record themselves, so call before visiting.
How can I verify Guillermo Hidalgo, MD's license?
NPPES lists New Jersey license number 25MA10679200, as entered by the provider. Search the New Jersey State Board of Medical Examiners at https://newjersey.mylicense.com/verification/. The NPPES record confirms identity only; the state search shows license status, expiration and public orders.
How much does Guillermo Hidalgo, MD prescribe under Medicare Part D?
In 2024, Guillermo Hidalgo, MD had 54 Medicare Part D claims; the average among pediatric nephrology physician prescribers was 67. Part D covers Medicare prescriptions only.
What is Guillermo Hidalgo, MD's MIPS final score?
The 2023 MIPS final score is 75.8 of 100, reported for the practice group. The average among 454,083 clinicians with a measured score was 83.5.
Source: CMS National Plan and Provider Enumeration System (NPPES), file of Aug 9, 2026 (NPPES files on CMS.gov); NUCC Health Care Provider Taxonomy. Medicare files from data.cms.gov. An NPI identifies who bills; it is not a license.
Figures on PlainDoctor are read from the federal files each page names (CMS NPPES, Medicare Part D, MIPS, Open Payments; the HHS-OIG exclusion list only as counts) and from Census population estimates, with the file date shown beside them. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of Aug 9, 2026.