Active NPI
Ruth Lorena Guevara, M.D.
- Family Medicine Physician
- East Patchogue, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 104373
- Practice address
- 100 Hospital Rd
Suite 203
East Patchogue, NY 11772-8809 - Phone
- (631) 475-6900
- NPI assigned
- May 20, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 104373 | FL | Primary |
| Family Medicine Physician | 207Q00000X | 253613 | NY |
Addresses
Primary practice location
100 Hospital Rd
Suite 203
East Patchogue, NY 11772-8809
Mailing address
100 Hospital Rd
Suite 203
East Patchogue, NY 11772-8809
Phone (631) 475-6900
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2003
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
603 E Main St
B
Bay Shore, NY 11706-8505
Phone (631) 238-3064
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.07 of 100
- Quality
- 79.77
- Promoting interoperability
- 88.77
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 104373 | FL | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Lij, Urgent Care, P.C. | Current | Accepting new patients | |
| Excel Urgent Care of East Northport, PLLC | Current | Accepting new patients | |
| Excel Urgent Care of Wantagh PLLC | Current | Accepting new patients | |
| Excel Urgent Care of Nesconset, PLLC | Current | Accepting new patients | |
| Chenango Memorial Hospital, Inc. | Family Medicine | Past | Accepting new patients |
Locations
5555 Glenridge Connector
Ste 700
Sandy Springs, GA 30342
Phone (470) 567-7780
603 E Main St
#B
Bay Shore, NY 11706
Phone (631) 238-3064
558 Larkfield Rd
East Northport, NY 11731
Phone (631) 446-7459
5828 99th St
Flushing, NY 11368
Phone (718) 502-9867
465 Smithtown Blvd
Nesconset, NY 11767
Phone (631) 676-6700
484 Temple Hill Rd
Ste 104
New Windsor, NY 12553
Phone (732) 896-4444
484 Temple Hill Rd
Ste 103
New Windsor, NY 12553
377 S Oyster Bay Rd
#13202
Plainview, NY 11803
Phone (516) 537-9061
377 S Oyster Bay Rd
Plainview, NY 11803
Phone (516) 537-9061
3430 Sunrise Hwy
Wantagh, NY 11793
Phone (516) 900-1600
Interoperability endpoints
- ruth.guevara@ghuc.eclinicaldirectplus.com
Organizations & group practices 6
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.
-
- Urgent Care Clinic/Center
- Rockville Centre, NY
- NPI 1679970891
-
- Urgent Care Clinic/Center
- East Northport, NY
- NPI 1881978021
-
- Urgent Care Clinic/Center
- Nesconset, NY
- NPI 1851679252
-
- Urgent Care Clinic/Center
- Wantagh, NY
- NPI 1184067936
-
- Urgent Care Clinic/Center
- New Hyde Park, NY
- NPI 1952652281
-
- Family Medicine Physician
- Norwich, NY
- NPI 1467526889
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242777600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274832000000",
"number": "1154556199",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 HOSPITAL RD",
"address_2": "SUITE 203",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "117728809",
"telephone_number": "631-475-6900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 HOSPITAL RD",
"address_2": "SUITE 203",
"city": "EAST PATCHOGUE",
"state": "NY",
"postal_code": "117728809",
"telephone_number": "631-475-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUEVARA",
"first_name": "RUTH",
"middle_name": "LORENA",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-05-20",
"last_updated": "2010-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "FL",
"license": "104373",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "253613",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Patchogue, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; 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.