NPIMap

Individual provider Active NPI

Paul Joseph Guentert, M.D.

  • Pulmonary Disease Physician
  • Mishawaka, IN
National Provider Identifier
1255316782
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
01043875 Issued in IN
Practice address
611 E Douglas Rd Ste 309
Mishawaka, IN 46545-1467
Phone
(574) 246-9350
Fax
(574) 246-9370
NPI assigned
Dec 7, 2005
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 01043875 IN
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 01043875 IN
Pulmonary Disease Physician 207RP1001X 01043875 IN Primary

Addresses

Primary practice location

611 E Douglas Rd Ste 309
Mishawaka, IN 46545-1467

Mailing address

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469

Other identifiers 1

IdentifierTypeStateIssuer
200049480MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address paul.guentert@directsjrmc.mhin.net Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031117000097 IN Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 7012821994 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Pulmonary Disease
Education
Indiana University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

611 E Douglas Rd
401 Community Pediatrics
Mishawaka, IN 46545-1468
Phone (574) 335-6242

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01043875INMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Regional Medical Center, Inc. Pulmonary Disease Current Accepting new patients
Memorial Hospital of South Bend CurrentSince Dec 12, 2017 Accepting new patients
Saint Joseph Regional Medical Center, Inc. CurrentSince Nov 16, 2020 Accepting new patients
Memorial Hospital of South Bend CurrentSince Dec 12, 2017 Accepting new patients
Beacon Medical Group Inc PastSince Jan 2, 2004 Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Past Accepting new patients

Locations

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

5215 Holy Cross Pkwy
#M
Mishawaka, IN 46545
Phone (574) 335-5000

60101 Bodnar Blvd
Ste 100B
Mishawaka, IN 46544
Phone (574) 335-8500

611 E Douglas Rd
Ste 207
Mishawaka, IN 46545
Phone (574) 335-6450

611 E Douglas Rd
Ste 309
Mishawaka, IN 46545
Phone (574) 335-6232

611 E Douglas Rd
Ste 401
Mishawaka, IN 46545
Phone (574) 335-6242

615 N Michigan St
South Bend, IN 46601
Phone (574) 647-1000

616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100

Interoperability endpoints

  • Direct secure messaging: pguentert1154416@direct.trinity-health.org

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

Hospital & facility affiliations 8

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": "1133913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1255316782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5215 HOLY CROSS PKWY",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 E DOUGLAS RD STE 309",
            "city": "MISHAWAKA",
            "state": "IN",
            "postal_code": "465451467",
            "telephone_number": "574-246-9350",
            "fax_number": "574-246-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUENTERT",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-07",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "IN",
            "license": "01043875",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "IN",
            "license": "01043875",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "IN",
            "license": "01043875",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200049480",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "paul.guentert@directsjrmc.mhin.net",
            "affiliation": "N",
            "endpointDescription": "SJRMC Direct email address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "611 E Douglas Rd",
            "city": "Mishawaka",
            "state": "IN",
            "country_code": "US",
            "postal_code": "465451464",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mishawaka, IN

Sources for this page

Verify at the official NPI Registry.