Active NPI
Carlos M Guevara, DO
- Obstetrics & Gynecology Physician
- Tulsa, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 5565
- Practice address
- 717 S Houston Ave Ste 200
Tulsa, OK 74127-9005 - Phone
- (918) 586-4500
- Fax
- (918) 586-4528
- NPI assigned
- Mar 23, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 5565 | OK | Primary |
Addresses
Primary practice location
717 S Houston Ave Ste 200
Tulsa, OK 74127-9005
Mailing address
717 S Houston Ave Ste 200
Tulsa, OK 74127-9005
Phone (918) 586-4500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200575140A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1800 E Coplin St
Creek Nation Community Hospital
Okemah, OK 74859-4642
Phone (918) 623-1424
2345 Southwest Blvd
Tulsa, OK 74107-2705
Phone (918) 561-5701
Hospital & facility affiliations
- Oklahoma State University Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 93.91 of 100
- Quality
- 77.78
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.95
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of the uterus | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5565 | OK | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Oklahoma State University | Current | Accepting new patients | |
| Oklahoma State University | Current | Accepting new patients | |
| Creek Nation Hospital & Clinics | Current | Accepting new patients | |
| Saint Francis Hospital, Inc. | Past | Accepting new patients | |
| Oklahoma State University Medical Trust | Past | Accepting new patients |
Locations
1800 E Coplin St
Okemah, OK 74859
Phone (918) 623-1424
900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448
1101 S Belmont Ave
Ste 204
Okmulgee, OK 74447
Phone (918) 756-3526
1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641
042 Murray
Stillwater, OK 74078
Phone (405) 744-6021
2345 Southwest Blvd
Tulsa, OK 74107
Phone (918) 582-1980
10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760
Dept 1467
Tulsa, OK 74182
Dept 2563
Tulsa, OK 74182
Interoperability endpoints
- cguevara23479@muscogeecreeknation.direct-ci.com
- cguevara51194@direct.saintfrancis.com
Organizations & group practices 8
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.
-
- Speech-Language Pathologist
- Stillwater, OK
- NPI 1700994878
-
- Clinic/Center
- Muskogee, OK
- NPI 1366593923
-
- Clinic/Center
- Okmulgee, OK
- NPI 1326446188
-
- Clinic/Center
- Muskogee, OK
- NPI 1922873611
-
- Clinical Medical Laboratory
- Tulsa, OK
- NPI 1326495433
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1578704938
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1144228487
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Tulsa, OK
- NPI 1578704938
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363996800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1550016000000",
"number": "1306188701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "717 S HOUSTON AVE STE 200",
"city": "TULSA",
"state": "OK",
"postal_code": "741279005",
"telephone_number": "918-586-4500",
"fax_number": "918-586-4528"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "717 S HOUSTON AVE STE 200",
"city": "TULSA",
"state": "OK",
"postal_code": "741279005",
"telephone_number": "918-586-4500",
"fax_number": "918-586-4528"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUEVARA",
"first_name": "CARLOS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-23",
"last_updated": "2019-02-13",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OK",
"license": "5565",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200575140A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Tulsa, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2019; 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.