Active NPI
Leonel Guido Cuadra, MD
- Internal Medicine Physician
- Owensboro, KY
National Provider Identifier
1427258946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 43942
- Practice address
- 1200 Breckenridge Street
Owensboro, KY 42303-1090 - Phone
- (270) 685-8224
- Fax
- (270) 685-8228
- NPI assigned
- Jul 23, 2007
- 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 | 24249 | NE | |
| Internal Medicine Physician | 207R00000X | 43942 | KY | Primary |
Addresses
Primary practice location
1200 Breckenridge Street
Owensboro, KY 42303-1090
Mailing address
1200 Breckenridge St
Owensboro, KY 42303-1089
Phone (270) 684-0028
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7100153660 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620777600000",
"number": "1427258946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 BRECKENRIDGE ST",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423031089",
"telephone_number": "270-684-0028",
"fax_number": "270-685-8233"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 BRECKENRIDGE STREET",
"city": "OWENSBORO",
"state": "KY",
"postal_code": "423031090",
"telephone_number": "270-685-8224",
"fax_number": "270-685-8228"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUIDO CUADRA",
"first_name": "LEONEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-23",
"last_updated": "2021-05-12",
"certification_date": "2021-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NE",
"license": "24249",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KY",
"license": "43942",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100153660",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Owensboro, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.