Individual provider Active NPI

Diana Guerrero Betancourt, MD

  • Internal Medicine Physician
  • Commerce Township, MI
National Provider Identifier
1477546059
Registry record updated Aug 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301406079 Issued in MI
Practice address
1 William Carls Dr
Huron Valley Sinai Hospital
Commerce Township, MI 48382-2201
Phone
(248) 937-3300
NPI assigned
Aug 29, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 21, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301406079 MI Primary

Addresses

Primary practice location

1 William Carls Dr
Huron Valley Sinai Hospital
Commerce Township, MI 48382-2201

Mailing address

6520 Castlebury Dr
West Bloomfield, MI 48322-2711
Phone (248) 561-3692

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20041014000797 MI Practitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 3577523430 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Critical Care (Intensivists)
Education
University Central del Caribe Escuela de Medicina, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1 Wiliam Carls Dr
Commerce Township, MI 48382-2201
Phone (248) 937-3300

Hospital & facility affiliations

  • Heart to Heart Hospice of Detroit, LLC Hospice, Bingham Farms, MI, CCN 231625
  • Huron Valley-Sinai Hospital Hospital, Commerce Township, MI, CCN 230277
  • Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lakes Area Hospitalists,PC Internal Medicine CurrentSince Feb 1, 2005 Accepting new patients
Hospital Consultants, P.C. Internal Medicine Past Accepting new patients
VHS Huron Valley-Sinai Hospital Inc Past Accepting new patients

Locations

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

Interoperability endpoints

  • Direct secure messaging: dguerrerobetancourt1130854@direct.hfhs.org
  • Direct secure messaging: dguerrer@direct.dmc.org

Organizations & group practices 3

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 3

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": "1125273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1377043200000",
    "number": "1477546059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6520 CASTLEBURY DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483222711",
            "telephone_number": "248-561-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WILLIAM CARLS DR",
            "address_2": "HURON VALLEY SINAI HOSPITAL",
            "city": "COMMERCE TOWNSHIP",
            "state": "MI",
            "postal_code": "483822201",
            "telephone_number": "248-937-3300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO BETANCOURT",
        "first_name": "DIANA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-29",
        "last_updated": "2013-08-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301406079",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Commerce Township, MI

Sources for this page

Verify at the official NPI Registry.