Active NPI
Dmitri V. Guvakov, M.D.
- Anesthesiology Physician
- Philadelphia, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- MD428758
- Practice address
- 3401 N Broad St
Philadelphia, PA 19140-5103 - Phone
- (215) 707-3326
- Fax
- (215) 707-8028
- NPI assigned
- Apr 24, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | MD428758 | PA | Primary |
| Anesthesiology Physician | 207L00000X | 229650 | MA |
Addresses
Primary practice location
3401 N Broad St
Philadelphia, PA 19140-5103
Mailing address
2450 W Hunting Park Ave
Philadelphia, PA 19129-1302
Phone (215) 707-3326
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, AK
- 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
- Anesthesiology
- Education
- Other, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
500 Universidy Dr
Hershey, PA 17033-2360
Phone (717) 531-8395
Hospital & facility affiliations
- Milton S Hershey Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.36 of 100
- Quality
- 56.69
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 74.52
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 229650 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Denali Anesthesia, LLC | Anesthesiology | Current | Accepting new patients |
| The Milton S Hershey Medical Center Physicians Group | Current | Accepting new patients | |
| Aria Health Physician Services | Past | Accepting new patients |
Locations
2801 Debarr Rd
Anchorage, AK 99508
Phone (907) 264-1222
14700 28th Ave N
Ste 20
Plymouth, MN 55447
Phone (612) 559-3779
500 University Dr
#41
Hershey, PA 17033
Phone (717) 531-8202
500 University Dr
#410
Hershey, PA 17033
Phone (717) 531-1159
500 University Dr
#A410
Hershey, PA 17033
Phone (717) 531-8131
Organizations & group practices 3
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.
-
- Orthopaedic Surgery Physician
- Hershey, PA
- NPI 1710951744
-
- Anesthesiology Physician
- Anchorage, AK
- NPI 1508854712
-
- Family Medicine Physician
- Philadelphia, PA
- NPI 1053181297
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hershey, PA
- NPI 1568435477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145836800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1376509935",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2450 W HUNTING PARK AVE",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191291302",
"telephone_number": "215-707-3326",
"fax_number": "215-707-8028"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 N BROAD ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191405103",
"telephone_number": "215-707-3326",
"fax_number": "215-707-8028"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUVAKOV",
"first_name": "DMITRI",
"middle_name": "V.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-24",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "PA",
"license": "MD428758",
"primary": true
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MA",
"license": "229650",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.