Individual provider Active NPI

Louis Edward Guida Jr., MD

  • Specialist
  • West Bay Shore, NY
National Provider Identifier
1386697530
Registry record updated Mar 10, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
181187-1 Issued in NY
Practice address
649 W Montauk Hwy
West Bay Shore, NY 11706-8222
Phone
(631) 665-2700
Fax
(631) 665-0290
NPI assigned
May 18, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 181187-1 NY Primary

Addresses

Primary practice location

649 W Montauk Hwy
West Bay Shore, NY 11706-8222

Mailing address

649 W Montauk Hwy
West Bay Shore, NY 11706-8222
Phone (631) 665-2700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040427000260 NY Practitioner - Allergy/ImmunologyPractitioner - Pulmonary DiseasePractitioner - Pediatric Medicine 6204823875 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/ImmunologyAlso: Pulmonary Disease
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Heart and Health PLLCGroup PAC ID 1557434131, 18 clinicians

Practice addresses (Care Compare)

1350 Deer Park Ave
North Babylon, NY 11703-1619
Phone (631) 482-1355

Merit-based Incentive Payment System (MIPS)

Final score
94.74 of 100Reported as group
Quality
100
Improvement activities
40
Cost
79.88

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
181187-1NYMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Five Crest Medical Diagnostic P.C. Specialist CurrentSince Mar 25, 2017 Accepting new patients
Heart and Health PLLC Specialist CurrentSince Jan 1, 2019 Accepting new patients
Samaritan Pediatric Services, P.C. CurrentSince Mar 24, 2018 Accepting new patients
St Charles Hospital Corp CurrentSince Mar 27, 2008 Accepting new patients
Wecare Medical PC Past Accepting new patients

Locations

655 Deer Park Ave
Babylon, NY 11702
Phone (631) 321-2100

1404 Gravesend Neck Rd
Fl 2
Brooklyn, NY 11229
Phone (347) 755-3692

3650 Route 112
Coram, NY 11727
Phone (631) 320-3200

1 Center Ln
Levittown, NY 11756
Phone (516) 454-6060

6175 Sunrise Hwy
Massapequa, NY 11758
Phone (516) 504-2100

281 Middle Country Rd
Middle Island, NY 11953
Phone (631) 345-6670

1350 Deer Park Ave
North Babylon, NY 11703
Phone (631) 422-3200

200 Belle Terre Rd
Prt Jefferson, NY 11777
Phone (631) 474-6000

Networks

  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: lguida43566@direct-chsli.net

Organizations & group practices 5

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": "1147910400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1394409600000",
    "number": "1386697530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "649 W MONTAUK HWY",
            "city": "WEST BAY SHORE",
            "state": "NY",
            "postal_code": "117068222",
            "telephone_number": "631-665-2700",
            "fax_number": "631-665-0290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "649 W MONTAUK HWY",
            "city": "WEST BAY SHORE",
            "state": "NY",
            "postal_code": "117068222",
            "telephone_number": "631-665-2700",
            "fax_number": "631-665-0290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUIDA",
        "first_name": "LOUIS",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-18",
        "last_updated": "2014-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "181187-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Bay Shore, NY

Sources for this page

Verify at the official NPI Registry.