Active NPI
Emir Barbaros Safak Guven, MD
- Endocrinology, Diabetes & Metabolism Physician
- Mount Vernon, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Endocrinology, Diabetes & Metabolism Physician
- License
- MD61232874
- Practice address
- 1400 E Kincaid St
Mount Vernon, WA 98274-4127 - Phone
- (360) 814-6315
- Fax
- (360) 814-6261
- NPI assigned
- May 15, 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 |
|---|---|---|---|---|
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 33942 | WI | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | 12601 | NV | |
| Endocrinology, Diabetes & Metabolism Physician | 207RE0101X | MD61232874 | WA | Primary |
Addresses
Primary practice location
1400 E Kincaid St
Mount Vernon, WA 98274-4127
Mailing address
229 N Pecos Rd
Ste 100
Henderson, NV 89074-7364
Phone (414) 530-1522
Other practice location 1
5 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (618) 899-1264
Other practice location 2
229 N Pecos Rd
Ste 100
Henderson, NV 89074-7364
Phone (702) 605-5750
Other practice location 3
105 W 8th Ave Ste 7010
Spokane, WA 99204-2312
Phone (509) 353-3901
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366493181 | Medicaid | NJ | |
| 34198500 | Medicaid | WI | |
| 004000261I | Other | HUMANA |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | eguven386823@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other | |
| Direct Messaging Address | eguven38488@skagit.direct-ci.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, WA, MN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Endocrinology
- Education
- Other, 1989
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
502 E 2ND St
Duluth, MN 55805-1913
Phone (218) 786-1533
Hospital & facility affiliations
- Essentia Health Duluth
- Essentia Health Deer River
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD61232874 | WA | MD | Endocrinology, Diabetes & Metabolism Physician |
| 33942 | WI | MD | Endocrinology, Diabetes & Metabolism Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| The Duluth Clinic, LTD. | Current | Accepting new patients | |
| Physician Services Corporation of Southern Illinois Inc. | Current | Accepting new patients |
Locations
2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944
5 Good Samaritan Way
Mount Vernon, IL 62864
Phone (557) 203-1601
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
502 E 2nd St
Duluth, MN 55805
Phone (218) 727-8762
1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586
Interoperability endpoints
- eguven386823@direct-ehr-ssmhc.com
Organizations & group practices 7
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.
-
- Multi-Specialty Clinic/Center
- Cloquet, MN
- NPI 1902563638
-
- General Practice Physician
- Mount Vernon, WA
- NPI 1023332749
-
- Internal Medicine Physician
- Mount Vernon, IL
- NPI 1831101807
-
- Anesthesiology Physician
- Arlington, WA
- NPI 1265791065
-
- Physical Therapist
- Mount Vernon, WA
- NPI 1811460652
-
- Multi-Specialty Clinic/Center
- Hermantown, MN
- NPI 1003478892
-
- Community/Retail Pharmacy
- Hinckley, MN
- NPI 1245081066
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital Clinic/Center
- Deer River, MN
- NPI 1518904887
-
- Critical Access Hospital Clinic/Center
- Grand Rapids, MN
- NPI 1093152423
-
- Medicare Defined Swing Bed Hospital Unit
- Deer River, MN
- NPI 1215041199
-
- Critical Access Hospital
- Deer River, MN
- NPI 1225049018
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147651200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650412800000",
"number": "1366493181",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "229 N PECOS RD",
"address_2": "STE 100",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747364",
"telephone_number": "414-530-1522"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 E KINCAID ST",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744127",
"telephone_number": "360-814-6315",
"fax_number": "360-814-6261"
}
],
"practiceLocations": [
{
"address_1": "5 Good Samaritan Way",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "IL",
"postal_code": "628642402",
"country_code": "US",
"telephone_number": "618-899-1264",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "229 N PECOS RD",
"address_2": "STE 100",
"address_purpose": "LOCATION",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890747364",
"country_code": "US",
"telephone_number": "702-605-5750",
"fax_number": "702-605-5751",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "105 W 8th Ave Ste 7010",
"address_purpose": "LOCATION",
"city": "Spokane",
"state": "WA",
"postal_code": "992042312",
"country_code": "US",
"telephone_number": "509-353-3901",
"fax_number": "509-227-7070",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUVEN",
"first_name": "EMIR",
"middle_name": "BARBAROS SAFAK",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-15",
"last_updated": "2022-04-20",
"certification_date": "2022-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "WI",
"license": "33942",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "NV",
"license": "12601",
"primary": false
},
{
"code": "207RE0101X",
"taxonomy_group": "",
"desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
"state": "WA",
"license": "MD61232874",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1366493181",
"state": "NJ"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "34198500",
"state": "WI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HUMANA",
"identifier": "004000261I",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eguven386823@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "eguven386823@direct-ehr-ssmhc.com",
"address_1": "5 Good Samaritan Way",
"city": "Mount Vernon",
"state": "IL",
"country_code": "US",
"postal_code": "628642402",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "5 Good Samaritan Way",
"city": "Mount Vernon",
"state": "IL",
"country_code": "US",
"postal_code": "628642402",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "eguven38488@skagit.direct-ci.com",
"affiliation": "N",
"endpointDescription": "Provider Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1400 E Kincaid St",
"city": "Mount Vernon",
"state": "WA",
"country_code": "US",
"postal_code": "982744127",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Mount Vernon, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2022; 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.