Individual provider Active NPI

Miguel Antonio Rodriguez Guerra, MD

  • Internal Medicine Physician
  • Huntington, WV
National Provider Identifier
1568942183
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33859 Issued in WV
Practice address
1249 15TH Street
Suite 2000
Huntington, WV 25701-3662
Phone
(304) 691-1000
Fax
(304) 691-1693
NPI assigned
Aug 14, 2018
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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 33859 WV Primary

Addresses

Primary practice location

1249 15TH Street
Suite 2000
Huntington, WV 25701-3662

Mailing address

1448 10TH Avenue
Suite 304
Huntington, WV 25701-3579
Phone (304) 691-6381

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address miguel.rodriguezguerra@marshall.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20241022002415 WV Practitioner - Internal Medicine 9830596733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
33859WVMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University Physicians & Surgeons, Inc Internal Medicine CurrentSince Aug 5, 2024 Accepting new patients
University Physicians & Surgeons, Inc. CurrentSince Aug 5, 2024 Accepting new patients
Montefiore Medical Center Past Accepting new patients
Cabell Huntington Hospital Inc Past Accepting new patients
St. Mary'S Medical Center Inc Past Accepting new patients

Locations

1600 Medical Center Dr
Ste 3500
Huntington, WV 25701
Phone (304) 691-1300

1448 10th Ave
Ste 304
Huntington, WV 25701
Phone (304) 691-6381

1249 15th St
Ste 2000
Huntington, WV 25701
Phone (304) 691-1086

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/704af85e-ff7f-4141-a47d-5f79ab640202/
  • Direct secure messaging: miguel.rodriguezguerra@marshall.cernerdirect.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.

NPI Registry JSON

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

{
    "created_epoch": "1534204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1568942183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1448 10TH AVENUE",
            "address_2": "SUITE 304",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013579",
            "telephone_number": "304-691-6381",
            "fax_number": "304-691-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1249 15TH STREET",
            "address_2": "SUITE 2000",
            "city": "HUNTINGTON",
            "state": "WV",
            "postal_code": "257013662",
            "telephone_number": "304-691-1000",
            "fax_number": "304-691-1693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RODRIGUEZ GUERRA",
        "first_name": "MIGUEL",
        "middle_name": "ANTONIO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-08-14",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WV",
            "license": "33859",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "miguel.rodriguezguerra@marshall.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1249 15th Street",
            "address_2": "Suite 2000",
            "city": "Huntington",
            "state": "WV",
            "country_code": "US",
            "postal_code": "257013662",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntington, WV

Sources for this page

Verify at the official NPI Registry.