Active NPI
Guillermo R Sanchez, M.D.
- Diagnostic Radiology Physician
- Wyoming, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 210509
- Practice address
- 5900 Byron Center Ave SW
Wyoming, MI 49519-9606 - Phone
- (616) 252-7789
- Fax
- (616) 252-6939
- NPI assigned
- Feb 14, 2006
- 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 |
|---|---|---|---|---|
| Therapeutic Radiology Physician | 2085R0203X | 210509 | MA | |
| Vascular & Interventional Radiology Physician | 2085R0204X | 210509 | MA | |
| Diagnostic Radiology Physician | 2085R0202X | 210509 | MA | Primary |
Addresses
Primary practice location
5900 Byron Center Ave SW
Wyoming, MI 49519-9606
Mailing address
5900 Byron Center Ave SW
Medical Administration
Wyoming, MI 49519-9606
Phone (616) 252-3243
Other practice location 1
2014 Washington St
Newton, MA 02462
Phone (617) 243-6162
Other practice location 2
2014 Washington St
Newton, MA 02462
Phone (617) 243-6162
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0167984 | Medicaid | MA | |
| D16078476 | Medicaid | MI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MI
- 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
- Interventional Radiology
- Education
- Other, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5900 Byron Ctr Swave
Wyoming, MI 49519-9606
Phone (616) 252-7200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 210509 | MA | MD | Vascular & Interventional Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Metropolitan Hospital | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Current | Accepting new patients | |
| Edward W Sparrow Hospital Association | Vascular & Interventional Radiology | Current | Accepting new patients |
| Newton-Wellesley Hospital | Past | Accepting new patients | |
| Boston University Medical Center Radiologists, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Mass General Brigham Medical Group Suburban Massachusetts Inc | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
1140 E Michigan Ave
Ste 400
Lansing, MI 48912
Phone (517) 483-7550
1215 E Michigan Ave
Fl 4
Lansing, MI 48912
Phone (517) 364-3480
5950 Metro Way SW
Wyoming, MI 49519
Phone (616) 252-8100
5900 Byron Center Ave SW
Wyoming, MI 49519
Phone (616) 252-3243
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Wyoming, MI
- NPI 1811937519
-
- Vascular & Interventional Radiology Physician
- Lansing, MI
- NPI 1629517420
-
- Adult Health Nurse Practitioner
- Lansing, MI
- NPI 1265220438
-
- Diagnostic Radiology Physician
- Boston, MA
- NPI 1134166945
-
- Family Medicine Physician
- Newton, MA
- NPI 1538191218
-
- General Acute Care Hospital
- Newton, MA
- NPI 1992737761
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Wyoming, MI
- NPI 1619923919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139875200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1532304000000",
"number": "1326012634",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5900 BYRON CENTER AVE SW",
"address_2": "MEDICAL ADMINISTRATION",
"city": "WYOMING",
"state": "MI",
"postal_code": "495199606",
"telephone_number": "616-252-3243",
"fax_number": "616-252-0260"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5900 BYRON CENTER AVE SW",
"city": "WYOMING",
"state": "MI",
"postal_code": "495199606",
"telephone_number": "616-252-7789",
"fax_number": "616-252-6939"
}
],
"practiceLocations": [
{
"address_1": "2014 Washington St",
"address_purpose": "LOCATION",
"city": "Newton",
"state": "MA",
"postal_code": "02462",
"country_code": "US",
"telephone_number": "617-243-6162",
"fax_number": "207-347-7401",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2014 Washington St",
"address_purpose": "LOCATION",
"city": "Newton",
"state": "MA",
"postal_code": "02462",
"country_code": "US",
"telephone_number": "617-243-6162",
"fax_number": "207-347-7401",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SANCHEZ",
"first_name": "GUILLERMO",
"middle_name": "R",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-14",
"last_updated": "2018-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0203X",
"taxonomy_group": "",
"desc": "Radiology, Therapeutic Radiology",
"state": "MA",
"license": "210509",
"primary": false
},
{
"code": "2085R0204X",
"taxonomy_group": "",
"desc": "Radiology, Vascular & Interventional Radiology",
"state": "MA",
"license": "210509",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MA",
"license": "210509",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0167984",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "D16078476",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wyoming, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2018; 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.