Active NPI
Raul Guevara, M.D.
- Neuro-ophthalmology Physician
- Merrillville, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuro-ophthalmology Physician
- License
- 01079609A
- Practice address
- 521 E 86TH Ave Ste Z
Merrillville, IN 46410-6236 - Phone
- (219) 769-0777
- Fax
- (219) 755-0608
- NPI assigned
- Jan 29, 2007
- 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 |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 01079609A | IN | |
| Neurology Physician | 2084N0400X | L5352 | TX | |
| Neuro-ophthalmology Physician | 207WX0109X | 01079609A | IN | Primary |
Addresses
Primary practice location
521 E 86TH Ave Ste Z
Merrillville, IN 46410-6236
Mailing address
521 E 86TH Ave Ste Z
Merrillville, IN 46410-6236
Phone (219) 769-0777
Other practice location 1
1215 Kinwest Pkwy
Ste 120
Irving, TX 75063-3403
Phone (214) 496-0500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| IN3021011 | Other | IN | MEDICARE ID |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- 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
- Neurology
- Education
- Other, 1990
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
521 E 86TH Ave
Suite Z
Merrillville, IN 46410-6236
Phone (219) 769-0777
Hospital & facility affiliations
- Methodist Hospitals Inc
- Community Hospital
- Franciscan Health Crown Point
Merit-based Incentive Payment System (MIPS)
- Final score
- 78.64 of 100
- Quality
- 56.64
- Promoting interoperability
- 73
- Improvement activities
- 40
- Cost
- 76.72
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01079609A | IN | MD | Neuro-ophthalmology Physician |
| L5352 | TX | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Methodist Hospitals, Inc | Current | Accepting new patients | |
| Centers for Neurological Diseases, PC | Neurology | Current | Accepting new patients |
| The Methodist Hospitals, Inc | Neurology | Current | Accepting new patients |
Locations
27350 Network Pl
Chicago, IL 60673
10260 191st St
Ste 100
Mokena, IL 60448
Phone (708) 425-1907
8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926
521 E 86th Ave
Ste Z
Merrillville, IN 46410
Phone (219) 769-0777
200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926
Interoperability endpoints
- rguevara@cnd.gwaydirect.com
- dmcrgueva@yourcarecommunity.org
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Gary, IN
- NPI 1720290349
-
- Neurology Physician
- Merrillville, IN
- NPI 1740882737
-
- Neurology Physician
- Gary, IN
- NPI 1720290588
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Crown Point, IN
- NPI 1336205798
-
- General Acute Care Hospital
- Munster, IN
- NPI 1003918210
-
- General Acute Care Hospital
- Gary, IN
- NPI 1467504555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170028800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712707200000",
"number": "1194861054",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521 E 86TH AVE STE Z",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106236",
"telephone_number": "219-769-0777",
"fax_number": "219-755-0608"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521 E 86TH AVE STE Z",
"city": "MERRILLVILLE",
"state": "IN",
"postal_code": "464106236",
"telephone_number": "219-769-0777",
"fax_number": "219-755-0608"
}
],
"practiceLocations": [
{
"address_1": "1215 KINWEST PKWY",
"address_2": "STE 120",
"address_purpose": "LOCATION",
"city": "IRVING",
"state": "TX",
"postal_code": "750633403",
"country_code": "US",
"telephone_number": "214-496-0500",
"fax_number": "214-496-0922",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUEVARA",
"first_name": "RAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-29",
"last_updated": "2024-04-10",
"certification_date": "2024-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IN",
"license": "01079609A",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "L5352",
"primary": false
},
{
"code": "207WX0109X",
"taxonomy_group": "",
"desc": "Ophthalmology, Neuro-ophthalmology",
"state": "IN",
"license": "01079609A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE ID",
"identifier": "IN3021011",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Merrillville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2024; 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.