Active NPI
Michael Edward Guerra, M.D.
- Ophthalmology Physician
- Kerrville, TX
National Provider Identifier
1023066552
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- H0410
- Practice address
- 244 Wesley Dr
Kerrville, TX 78028-5809 - Phone
- (830) 792-4900
- Fax
- (830) 792-4448
- NPI assigned
- May 5, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | H0410 | TX | Primary |
Addresses
Primary practice location
244 Wesley Dr
Kerrville, TX 78028-5809
Mailing address
244 Wesley Dr
Kerrville, TX 78028-5809
Phone (830) 792-4900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 089638301 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060221000394 | TX | Practitioner - Ophthalmology | 6406862994 | Practice locations: Kerrville, TX |
Care Compare profile
Medicare Care Compare- Specialty
- Ophthalmology
- Education
- Texas a & M University System, HSC, College of Medicine, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
244 Wesley Dr
Kerrville, TX 78028-5809
Phone (830) 792-4900
Hospital & facility affiliations
- Peterson Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.66 of 100
- Quality
- 97.46
- Improvement activities
- 40
- Cost
- 65.59
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Cataract surgery | 304 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Kerrville, TX
- NPI 1790782704
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146787200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1623974400000",
"number": "1023066552",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "244 WESLEY DR",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780285809",
"telephone_number": "830-792-4900",
"fax_number": "830-792-4448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "244 WESLEY DR",
"city": "KERRVILLE",
"state": "TX",
"postal_code": "780285809",
"telephone_number": "830-792-4900",
"fax_number": "830-792-4448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRA",
"first_name": "MICHAEL",
"middle_name": "EDWARD",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-05-05",
"last_updated": "2021-06-18",
"certification_date": "2021-06-18",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "TX",
"license": "H0410",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "089638301",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kerrville, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.