Individual provider Active NPI

Rafael D Guerrero, M.D.

  • Psychiatry Physician
  • Katy, TX
National Provider Identifier
1386600138
Registry record updated Jun 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
J2043 Issued in TX
Practice address
1830 Snake River Rd
Suite E
Katy, TX 77449-1843
Phone
(281) 398-9800
Fax
(281) 398-9823
NPI assigned
Apr 21, 2006
Last updated
Jun 2, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X J2043 TX Primary
Child & Adolescent Psychiatry Physician 2084P0804X J2043 TX

Addresses

Primary practice location

1830 Snake River Rd
Suite E
Katy, TX 77449-1843

Mailing address

1830 Snake River Rd
Suite E
Katy, TX 77449-1843
Phone (281) 398-9800

Other identifiers 3

IdentifierTypeStateIssuer
131251401MedicaidTX
84550GOtherTXBCBS NUMBER
84550GOtherTXBC/BS NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180801000694 TX Order and Referring Only - PsychiatryPractitioner - Psychiatry 8820258767

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
TMS Center of Texas, PLLC Past Accepting new patients
Behavioral Services of Houston, PA Psychiatry Past Accepting new patients
Texana Center Past Accepting new patients
Shiloh Treatment Center, Inc. Past Accepting new patients

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1464825600000",
    "number": "1386600138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1830 SNAKE RIVER RD",
            "address_2": "SUITE E",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774491843",
            "telephone_number": "281-398-9800",
            "fax_number": "281-398-9823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1830 SNAKE RIVER RD",
            "address_2": "SUITE E",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774491843",
            "telephone_number": "281-398-9800",
            "fax_number": "281-398-9823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "RAFAEL",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2016-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "TX",
            "license": "J2043",
            "primary": true
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "TX",
            "license": "J2043",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131251401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "84550G",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS NUMBER",
            "identifier": "84550G",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.