Active NPI
Ryan Rommel Soriano Guanzon, MD
- Internal Medicine Physician
- Mount Vernon, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD60091837
- Practice address
- 110 N Laventure Rd Ste C
Mount Vernon, WA 98273-3901 - Phone
- (360) 814-8240
- Fax
- (360) 848-4502
- NPI assigned
- Sep 28, 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD60091837 | WA | Primary |
| Internal Medicine Physician | 207R00000X | 41518 | TN |
Addresses
Primary practice location
110 N Laventure Rd Ste C
Mount Vernon, WA 98273-3901
Mailing address
1400 E. Kincaid Street
Mount Vernon, WA 98274-4127
Phone (360) 428-2500
Other practice location 1
1415 E Kincaid St
Mount Vernon, WA 98274-4126
Phone (360) 428-2592
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | rguanzon15695@skagit.direct-ci.com | Direct |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100119000162 | WA | Practitioner - Internal Medicine | 7012011299 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1400 E Kincaid St
Mount Vernon, WA 98274-4127
Phone (360) 428-2500
Hospital & facility affiliations
- Alpha Home Health
- Signature Healthcare at Home
- Hospice of the Northwest
- Skagit Valley Hospital
- Cascade Valley Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 87.16 of 100
- Quality
- 82.11
- Promoting interoperability
- 87
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
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 | |
| Public Hospital Dist No 1 Skagit | Internal Medicine | Current | Accepting new patients |
| Multispecialty Medical P.C. | Internal Medicine | Past | Accepting new patients |
| Public Hospital Dist No 1 Skagit | Past | Accepting new patients |
Locations
1415 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 416-5750
110 N Laventure Rd
Ste C
Mount Vernon, WA 98273
Phone (360) 399-7700
1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586
110 N Laventure Rd
Mount Vernon, WA 98273
Phone (360) 424-5344
9631 269th St NW
Stanwood, WA 98292
Phone (360) 629-1600
Interoperability endpoints
- rguanzon15695@skagit.direct-ci.com
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.
-
- Anesthesiology Physician
- Arlington, WA
- NPI 1265791065
Internal Medicine
-
- Physical Therapist
- Mount Vernon, WA
- NPI 1811460652
-
- Specialist
- Mount Vernon, WA
- NPI 1629012463
-
- Internal Medicine Physician
- Tazewell, TN
- NPI 1548392491
Internal Medicine
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Burlington, WA
- NPI 1538903182
-
- Home Health Agency
- Everett, WA
- NPI 1518482215
-
- General Acute Care Hospital
- Mount Vernon, WA
- NPI 1053357244
Hospital
-
- Community Based Hospice Care Agency
- Mount Vernon, WA
- NPI 1174693139
Hospice
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159401600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734566400000",
"number": "1417048893",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 E. KINCAID STREET",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982744127",
"telephone_number": "360-428-2500",
"fax_number": "360-428-6485"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "110 N LAVENTURE RD STE C",
"city": "MOUNT VERNON",
"state": "WA",
"postal_code": "982733901",
"telephone_number": "360-814-8240",
"fax_number": "360-848-4502"
}
],
"practiceLocations": [
{
"address_1": "1415 E Kincaid St",
"address_purpose": "LOCATION",
"city": "Mount Vernon",
"state": "WA",
"postal_code": "982744126",
"country_code": "US",
"telephone_number": "360-428-2592",
"fax_number": "360-428-2560",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "GUANZON",
"first_name": "RYAN ROMMEL",
"middle_name": "SORIANO",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-28",
"last_updated": "2024-12-19",
"certification_date": "2024-12-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD60091837",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "41518",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "rguanzon15695@skagit.direct-ci.com",
"affiliation": "N",
"endpointDescription": "Provider Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "1415 E Kincaid St",
"city": "Mount Vernon",
"state": "WA",
"country_code": "US",
"postal_code": "982744126",
"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 Dec 19, 2024; 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.