Individual provider Active NPI

Andrea Del Valle Gil Guevara, M.D.

  • Neurology Physician
  • Spartanburg, SC
National Provider Identifier
1467948927
Registry record updated Aug 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
90574 Issued in SC
Practice address
1650 Skylyn Dr Ste 200
Spartanburg, SC 29307-1069
Phone
(645) 604-5008
Fax
(864) 560-4540
NPI assigned
Jul 9, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X BP10063909 TX
Neurology Physician 2084N0400X 90574 SC Primary

Addresses

Primary practice location

1650 Skylyn Dr Ste 200
Spartanburg, SC 29307-1069

Mailing address

PO Box 743070
Atlanta, GA 30374-3070
Phone (864) 560-4304

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address agilguevara241187@direct-srhs.et0939.epichosted.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20230911003817 SC Practitioner - Neurology 7618331513 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spartanburg Medical CenterGroup PAC ID 3072425297, shared by 17 NPIs, 1,060 clinicians

Practice addresses (Care Compare)

101 E Wood St
Spartanburg, SC 29303-3040
Phone (864) 560-6193

1650 Skylyn Dr
Suite 200
Spartanburg, SC 29307-1069
Phone (864) 560-4500

Hospital & facility affiliations

  • Spartanburg Medical Center Hospital, Spartanburg, SC, CCN 420007
  • Cherokee Medical Center Hospital, Gaffney, SC, CCN 420043
  • Pelham Medical Center Hospital, Greer, SC, CCN 420103
  • Union Medical Center Hospital, Union, SC, CCN 420108

Merit-based Incentive Payment System (MIPS)

Final score
94.7 of 100Reported as apm
Quality
89.4
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
BP10063909TXMDNeurology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spartanburg Medical Center Neurology CurrentSince Sep 1, 2025 Accepting new patients
Spartanburg Medical Center CurrentSince Aug 1, 2023 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Spartanburg Medical Center Neurology CurrentSince Aug 1, 2023 Accepting new patients
Spartanburg Medical Center Current Accepting new patients
Utmb Past Accepting new patients

Locations

420 The Pkwy
Ste A
Greer, SC 29650
Phone (864) 801-8877

1650 Skylyn Dr
Ste 200
Spartanburg, SC 29307
Phone (864) 216-4607

101 E Wood St
Ste 300
Spartanburg, SC 29303
Phone (864) 560-6554

853 N Church St
Ste 410A
Spartanburg, SC 29303
Phone (864) 560-6928

101 E Wood St
Spartanburg, SC 29303
Phone (864) 560-1915

Interoperability endpoints

  • Direct secure messaging: agilguevara241187@direct-srhs.et0939.epichosted.com

Organizations & group practices 6

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.

Hospital & facility affiliations 8

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693180800000",
    "number": "1467948927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743070",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303743070",
            "telephone_number": "864-560-4304",
            "fax_number": "864-560-4413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1650 SKYLYN DR STE 200",
            "city": "SPARTANBURG",
            "state": "SC",
            "postal_code": "293071069",
            "telephone_number": "645-604-5008",
            "fax_number": "864-560-4540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GIL GUEVARA",
        "first_name": "ANDREA",
        "middle_name": "DEL VALLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-07-09",
        "last_updated": "2023-08-28",
        "certification_date": "2023-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TX",
            "license": "BP10063909",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "SC",
            "license": "90574",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "agilguevara241187@direct-srhs.et0939.epichosted.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "agilguevara241187@direct-srhs.et0939.epichosted.com",
            "address_1": "1650 Skylyn Dr Ste 200",
            "city": "Spartanburg",
            "state": "SC",
            "country_code": "US",
            "postal_code": "293071069",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spartanburg, SC

Sources for this page

Verify at the official NPI Registry.