Individual provider Active NPI

Augustus Lluch Guerrero, MD

  • Physical Medicine & Rehabilitation Physician
  • Battle Creek, MI
National Provider Identifier
1326130170
Registry record updated Jun 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
4301050958 Issued in MI
Practice address
4625 Beckley Rd Ste 301
Battle Creek, MI 49015
Phone
(269) 979-5550
Fax
(269) 979-3593
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X 4301050958 MI Primary

Addresses

Primary practice location

4625 Beckley Rd Ste 301
Battle Creek, MI 49015

Mailing address

2545 Capital Ave SW Ste 201
Battle Creek, MI 49015-7103
Phone (269) 979-5550

Other practice location 1

7901 S 12th St Ste 101
Portage, MI 49024-3831
Phone (269) 372-7200

Other practice location 2

6565 W Main St Ste 235
Kalamazoo, MI 49009-6115
Phone (269) 544-4715

Other identifiers 1

IdentifierTypeStateIssuer
1832998MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Hand Therapy PC PastSince Sep 11, 2000 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1593129600000",
    "number": "1326130170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2545 CAPITAL AVE SW STE 201",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "490157103",
            "telephone_number": "269-979-5550",
            "fax_number": "269-979-3593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4625 BECKLEY RD STE 301",
            "city": "BATTLE CREEK",
            "state": "MI",
            "postal_code": "49015",
            "telephone_number": "269-979-5550",
            "fax_number": "269-979-3593"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7901 S 12th St Ste 101",
            "address_purpose": "LOCATION",
            "city": "Portage",
            "state": "MI",
            "postal_code": "490243831",
            "country_code": "US",
            "telephone_number": "269-372-7200",
            "fax_number": "269-372-1630",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6565 W Main St Ste 235",
            "address_purpose": "LOCATION",
            "city": "Kalamazoo",
            "state": "MI",
            "postal_code": "490096115",
            "country_code": "US",
            "telephone_number": "269-544-4715",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "AUGUSTUS",
        "middle_name": "LLUCH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2020-06-26",
        "certification_date": "2020-06-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "MI",
            "license": "4301050958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1832998",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Battle Creek, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.