Individual provider Active NPI

Ruth Lorena Guevara, M.D.

  • Family Medicine Physician
  • East Patchogue, NY
National Provider Identifier
1154556199
Registry record updated May 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
104373 Issued in FL
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

Updated by the provider on May 26, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090901000472 NY Practitioner - Family Practice 8426103193 Reassigns benefits to 5 organizations

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
North Shore Lij Urgent Care PCGroup PAC ID 6002131778, 389 clinicians

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 100Reported as apm
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

LicenseStateTypeSpecialty
104373FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Lij, Urgent Care, P.C. CurrentSince Feb 1, 2018 Accepting new patients
Excel Urgent Care of East Northport, PLLC CurrentSince Mar 1, 2015 Accepting new patients
Excel Urgent Care of Wantagh PLLC CurrentSince Mar 1, 2015 Accepting new patients
Excel Urgent Care of Nesconset, PLLC CurrentSince Mar 1, 2015 Accepting new patients
Chenango Memorial Hospital, Inc. Family Medicine PastSince Mar 1, 2015 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.