Individual provider Active NPI

Raul Guevara, M.D.

  • Neuro-ophthalmology Physician
  • Merrillville, IN
National Provider Identifier
1194861054
Registry record updated Apr 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuro-ophthalmology PhysicianTaxonomy code 207WX0109X
License
01079609A Issued in IN
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

Updated by the provider on Apr 10, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
IN3021011OtherINMEDICARE 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180119001305 IN Practitioner - Neurology 8527006352 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Methodist Hospitals IncGroup PAC ID 9638063894, 131 clinicians

Practice addresses (Care Compare)

521 E 86TH Ave
Suite Z
Merrillville, IN 46410-6236
Phone (219) 769-0777

Hospital & facility affiliations

  • Methodist Hospitals Inc Hospital, Gary, IN, CCN 150002
  • Community Hospital Hospital, Munster, IN, CCN 150125
  • Franciscan Health Crown Point Hospital, Crown Point, IN, CCN 150126

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100Reported as group
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

LicenseStateTypeSpecialty
01079609AINMDNeuro-ophthalmology Physician
L5352TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Methodist Hospitals, Inc Current Accepting new patients
Centers for Neurological Diseases, PC Neurology CurrentSince Dec 1, 2020 Accepting new patients
The Methodist Hospitals, Inc Neurology CurrentSince Jan 1, 2024 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

  • Direct secure messaging: rguevara@cnd.gwaydirect.com
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.