Individual provider Active NPI

Manuel Guerrero, MD

  • Family Medicine Physician
  • Wheeling, WV
National Provider Identifier
1508286816
Registry record updated May 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27968 Issued in WV
Practice address
1 Medical Park
Wheeling, WV 26003
Phone
(304) 224-3300
NPI assigned
Apr 25, 2014
Last updated
May 31, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 31, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2017-01798 NC
Family Medicine Physician 207Q00000X 27968 WV Primary

Addresses

Primary practice location

1 Medical Park
Wheeling, WV 26003

Mailing address

200 Corporate Blvd
Lafayette, LA 70508-3870
Phone (800) 893-9698

Other practice location 1

40 Medical Park
Suite 401
Wheeling, WV 26003-6392
Phone (304) 243-3880

Other practice location 2

1821 Hillandale Rd
Durham, NC 27705-2659
Phone (919) 383-4355

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20180606001765 WV Practitioner - Family Practice 7719105121 Reassigns benefits to 1 organization
I20210809001590 CA Practitioner - Family Practice 7719105121 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2017-01798NCMDFamily Medicine Physician
27968WVMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vallejo Emergency Physicians Medical Group Inc. CurrentSince Jul 1, 2021 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Current Accepting new patients
West Virginia University Hospitals Inc Family Medicine Current Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Aug 1, 2017 Accepting new patients
West Virginia University Hospitals, Inc CurrentSince Apr 1, 2020 Accepting new patients
West Virginia University Hospitals, Inc. CurrentSince Apr 1, 2020 Accepting new patients

Locations

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

1821 Hillandale Rd
Ste 24A
Durham, NC 27705
Phone (919) 383-4355

1821 Hillandale Rd
Ste 24B
Durham, NC 27705
Phone (919) 383-4355

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

5213 S Alston Ave
Durham, NC 27713
Phone (919) 620-4700

7200 Creedmoor Rd
Ste 208
Raleigh, NC 27613
Phone (919) 327-1650

800 Garfield Ave
Parkersburg, WV 26101
Phone (304) 420-7161

1 Medical Park
Wheeling, WV 26003
Phone (304) 243-3124

Interoperability endpoints

  • Direct secure messaging: mguerrero587271@hisp.ehr.sutterhealth.org

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1398384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1508286816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 CORPORATE BLVD",
            "city": "LAFAYETTE",
            "state": "LA",
            "postal_code": "705083870",
            "telephone_number": "800-893-9698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL PARK",
            "city": "WHEELING",
            "state": "WV",
            "postal_code": "26003",
            "telephone_number": "304-224-3300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "40 Medical Park",
            "address_2": "Suite 401",
            "address_purpose": "LOCATION",
            "city": "Wheeling",
            "state": "WV",
            "postal_code": "260036392",
            "country_code": "US",
            "telephone_number": "304-243-3880",
            "fax_number": "304-243-3895",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1821 Hillandale Rd",
            "address_purpose": "LOCATION",
            "city": "Durham",
            "state": "NC",
            "postal_code": "277052659",
            "country_code": "US",
            "telephone_number": "919-383-4355",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "MANUEL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-25",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2017-01798",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WV",
            "license": "27968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheeling, WV

Sources for this page

Verify at the official NPI Registry.