Individual provider Active NPI

Alfredo Guevara Jr., MD FACS

  • Urology Physician
  • Nogales, AZ
National Provider Identifier
1184612376
Registry record updated Aug 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
11435 Issued in AZ
Practice address
507 N Western Ave
Nogales, AZ 85621-2060
Phone
(520) 761-3103
Fax
(520) 287-4862
NPI assigned
Oct 11, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 11435 AZ Primary

Addresses

Primary practice location

507 N Western Ave
Nogales, AZ 85621-2060

Mailing address

507 N Western Ave
Nogales, AZ 85621-2060
Phone (520) 761-3103

Other identifiers 1

IdentifierTypeStateIssuer
203216MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20050927001545 AZ Practitioner - Urology 0345275434 Reassigns benefits to 1 organization
Receives reassigned benefits from 1 practitioner
Practice locations: Nogales, AZ

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
University of Texas Medical Branch at Galveston, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Santa Cruz Urology Care Clinic LLCGroup PAC ID 8325562697, 2 clinicians

Practice addresses (Care Compare)

6001 E Grant Rd
Tucson, AZ 85712-2316
Phone (520) 497-5010

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Alfredo Guevara, Jr., MD Urology CurrentSince Jan 1, 1990 Accepting new patients
Santa Cruz Urology Care Clinic LLC Urology CurrentSince Mar 31, 2025 Accepting new patients

Locations

507 N Western Ave
Nogales, AZ 85621
Phone (520) 229-0085

6001 E Grant Rd
Tucson, AZ 85712
Phone (520) 497-5010

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1184612376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 N WESTERN AVE",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856212060",
            "telephone_number": "520-761-3103",
            "fax_number": "520-287-4862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 N WESTERN AVE",
            "city": "NOGALES",
            "state": "AZ",
            "postal_code": "856212060",
            "telephone_number": "520-761-3103",
            "fax_number": "520-287-4862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "ALFREDO",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "MD FACS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-11",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "11435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "203216",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Nogales, AZ

Sources for this page

Verify at the official NPI Registry.