Individual provider Active NPI

Eve Bello Guerrero-Pajela, MD

  • Pediatrics Physician
  • Methuen, MA
National Provider Identifier
1104923366
Registry record updated Jan 6, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
74144 Issued in MA
Practice address
380R Merrimack St
Suite 3B
Methuen, MA 01844-5883
Phone
(978) 687-6355
Fax
(978) 722-6846
NPI assigned
Sep 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 74144 MA Primary

Addresses

Primary practice location

380R Merrimack St
Suite 3B
Methuen, MA 01844-5883

Mailing address

380R Merrimack St
Methuen, MA 01844-5883
Phone (978) 687-6355

Other identifiers 1

IdentifierTypeStateIssuer
110050075AMedicaidMA

Other names 1

  • Eve Bello Guerrero Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100908001051 MA Practitioner - Pediatric Medicine 4880719202 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
74144MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Steward Medical Group, Inc CurrentSince Jun 11, 2015 Accepting new patients
Lahey Clinic, Inc CurrentSince Jul 8, 2010 Accepting new patients
Steward Medical Group, Inc CurrentSince Jun 11, 2015 Accepting new patients
Lahey Clinic, Inc. CurrentSince Jul 8, 2010 Accepting new patients
Revere Medical of Massachusetts, PC Past Accepting new patients

Locations

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

41 Mall Rd
Burlington, MA 01805
Phone (781) 744-8400

100 Amesbury St
Ste 103
Lawrence, MA 01840
Phone (978) 683-0157

380R Merrimack St
Ste 3B
Methuen, MA 01844
Phone (978) 687-6355

380R Merrimack St
Methuen, MA 01844
Phone (978) 688-1176

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452038400000",
    "number": "1104923366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380R MERRIMACK ST",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445883",
            "telephone_number": "978-687-6355",
            "fax_number": "978-722-6846"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380R MERRIMACK ST",
            "address_2": "SUITE 3B",
            "city": "METHUEN",
            "state": "MA",
            "postal_code": "018445883",
            "telephone_number": "978-687-6355",
            "fax_number": "978-722-6846"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO-PAJELA",
        "first_name": "EVE",
        "middle_name": "BELLO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-20",
        "last_updated": "2016-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "74144",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "110050075A",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVE",
            "last_name": "GUERRERO",
            "middle_name": "BELLO",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Methuen, MA

Sources for this page

Verify at the official NPI Registry.