Active NPI
Andrew S Guinigundo, CNP
- Adult Health Nurse Practitioner
- Cincinnati, OH
National Provider Identifier
1124083407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Health Nurse Practitioner
- License
- 06512-NP
- Practice address
- 4350 Malsbary Rd
Cincinnati, OH 45242-5621 - Phone
- (513) 751-2273
- Fax
- (513) 792-5844
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Oncology Registered Nurse | 163WX0200X | RN260103 | OH | |
| Adult Health Nurse Practitioner | 363LA2200X | 3003467 | KY | |
| Adult Health Nurse Practitioner | 363LA2200X | 06512-NP | OH | Primary |
Addresses
Primary practice location
4350 Malsbary Rd
Cincinnati, OH 45242-5621
Mailing address
5053 Wooster Rd
Cincinnati, OH 45226-2326
Phone (513) 751-2273
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500019639 | Other | KY | MEDICARE RAILROAD |
| 2279289 | Medicaid | OH | |
| 78006962 | Medicaid | KY | |
| 500019634 | Other | OH | MEDICARE RAILROAD |
| 201132050 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | andrew.guinigundo@ohc.ikm.direct-ci.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Practitioner, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN260103 | OH | MD | Oncology Registered Nurse |
| 06512-NP | OH | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Oncology/ Hematology Care, Inc. | Past | Accepting new patients | |
| Oncology Hematology Care, Inc | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Infusion Agency
- Cincinnati, OH
- NPI 1386775286
-
- Medical Oncology Physician
- Lawrenceburg, IN
- NPI 1164426813
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619049600000",
"number": "1124083407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5053 WOOSTER RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452262326",
"telephone_number": "513-751-2273",
"fax_number": "513-751-2138"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4350 MALSBARY RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452425621",
"telephone_number": "513-751-2273",
"fax_number": "513-792-5844"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUINIGUNDO",
"first_name": "ANDREW",
"middle_name": "S",
"credential": "CNP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2021-04-22",
"certification_date": "2021-04-22",
"status": "A"
},
"taxonomies": [
{
"code": "163WX0200X",
"taxonomy_group": "",
"desc": "Registered Nurse, Oncology",
"state": "OH",
"license": "RN260103",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "KY",
"license": "3003467",
"primary": false
},
{
"code": "363LA2200X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Adult Health",
"state": "OH",
"license": "06512-NP",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "500019639",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2279289",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "78006962",
"state": "KY"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "500019634",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "201132050",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "andrew.guinigundo@ohc.ikm.direct-ci.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "4350 Malsbary Rd",
"city": "Cincinnati",
"state": "OH",
"country_code": "US",
"postal_code": "452425621",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.