Individual provider Active NPI

Maria N Guevara, MD

  • Pediatrics Physician
  • Pasco, WA
National Provider Identifier
1396798278
Registry record updated Sep 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
MD00043989 Issued in WA
Practice address
515 W Court St
Pasco, WA 99301-3737
Phone
(509) 547-2204
Fax
(509) 545-3960
NPI assigned
May 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X MD00043989 WA Primary

Addresses

Primary practice location

515 W Court St
Pasco, WA 99301-3737

Mailing address

PO Box 1452
Pasco, WA 99301-1223
Phone (509) 547-2204

Other identifiers 1

IdentifierTypeStateIssuer
8407335MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20040927000631 WA Practitioner - Pediatric Medicine 7113996273 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD00043989WAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tri-Cities Community Health Pediatrics Current Accepting new patients
Tri-Cities Community Health CurrentSince Jan 28, 2015 Accepting new patients
Kennewick Public Hospital District Past Accepting new patients
Tri Cities Community Health Past Accepting new patients

Locations

3180 W Clearwater Ave
Ste A
Kennewick, WA 99336

829 Goethals Dr
Richland, WA 99352
Phone (509) 713-7331

Interoperability endpoints

  • Direct secure messaging: maria.guevara.1@21034.direct.athenahealth.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568073600000",
    "number": "1396798278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1452",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993011223",
            "telephone_number": "509-547-2204",
            "fax_number": "509-545-3960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 W COURT ST",
            "city": "PASCO",
            "state": "WA",
            "postal_code": "993013737",
            "telephone_number": "509-547-2204",
            "fax_number": "509-545-3960"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "MARIA",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2019-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "WA",
            "license": "MD00043989",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8407335",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pasco, WA

Sources for this page

Verify at the official NPI Registry.