Individual provider Active NPI

Kenneth Joseph Guth, M.D.

  • Internal Medicine Physician
  • Orchard Park, NY
National Provider Identifier
1194745281
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
177472 Issued in NY
Practice address
4 Centre Dr Ste G
Orchard Park, NY 14127-4117
Phone
(716) 740-1700
Fax
(716) 740-1701
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 177472 NY Primary

Addresses

Primary practice location

4 Centre Dr Ste G
Orchard Park, NY 14127-4117

Mailing address

4 Centre Dr Ste G
Orchard Park, NY 14127-4117
Phone (716) 740-1700

Other identifiers 1

IdentifierTypeStateIssuer
01143833MedicaidNY

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
I20041209000908 NY Practitioner - Internal Medicine 7517923808 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4 Centre Dr
Suite G
Orchard Park, NY 14127-4117

Hospital & facility affiliations

  • Amedisys Home Health Care (Amherst) Home health agency, Williamsville, NY, CCN 337248
  • Sisters of Charity Hospital Hospital, Buffalo, NY, CCN 330078
  • Mercy Hospital of Buffalo Hospital, Buffalo, NY, CCN 330279

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wny Medical PC Internal Medicine CurrentSince Nov 1, 2016 Accepting new patients

Locations

4979 Harlem Rd
Buffalo, NY 14226
Phone (716) 923-4380

3320 N Benzing Rd
Orchard Park, NY 14127
Phone (716) 667-2200

300 Center Rd
West Seneca, NY 14224
Phone (716) 674-1001

Interoperability endpoints

  • Direct secure messaging: kenneth.guth.1@20234.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 4

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1194745281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 CENTRE DR STE G",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141274117",
            "telephone_number": "716-740-1700",
            "fax_number": "716-740-1701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 CENTRE DR STE G",
            "city": "ORCHARD PARK",
            "state": "NY",
            "postal_code": "141274117",
            "telephone_number": "716-740-1700",
            "fax_number": "716-740-1701"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUTH",
        "first_name": "KENNETH",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "177472",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01143833",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orchard Park, NY

Sources for this page

Verify at the official NPI Registry.