Individual provider Active NPI

Andrew M Gurien, M.D.

  • Hematology & Oncology Physician
  • Valhalla, NY
National Provider Identifier
1629025408
Registry record updated Aug 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
200505 Issued in NY
Practice address
100 Woods Rd
Valhalla, NY 10595-1530
Phone
(914) 372-7196
Fax
(914) 909-6417
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2019

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301075596 MI
General Practice Physician 208D00000X 4301075596 MI
Hospitalist Physician 208M00000X 4301075596 MI
Hematology & Oncology Physician 207RH0003X 200505 NY Primary

Addresses

Primary practice location

100 Woods Rd
Valhalla, NY 10595-1530

Mailing address

506 Campus Dr
Hancock, MI 49930-1569
Phone (190) 688-4412

Other practice location 1

751 S 7th St
Ontonagon, MI 49953-1450
Phone (190) 688-4412

Other identifiers 1

IdentifierTypeStateIssuer
PENDINGMedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AZ2 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
I20130327000128 GA Practitioner - Internal Medicine 3173513553
I20141107002022 AZ Practitioner - Internal Medicine 3173513553 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
36220SCMDRegistered Nurse
200505NYMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thse - Marco Urgent Care LLC Internal Medicine CurrentSince Apr 1, 2019 Accepting new patients
Green Valley Hospital Medicine Physicians, LLC Internal Medicine CurrentSince Dec 1, 2021 Accepting new patients
App of Southern Arizona HM LLC Hospitalist CurrentSince Mar 21, 2022 Accepting new patients
Lina L Feaster PA PastSince Jan 2, 2004 Accepting new patients
Regional Health Services LLC Hospitalist Past Accepting new patients
Orthopedic Associates of the Lowcountry, LLC Internal Medicine Past Accepting new patients
Littleton Hospital Association Past Accepting new patients
Bell Medical Center Past Accepting new patients

Locations

4455 S I 19 Frontage Rd
Green Valley, AZ 85614
Phone (520) 393-4700

1551 E Tangerine Rd
Oro Valley, AZ 85755
Phone (520) 901-3500

6200 N La Cholla Blvd
Tucson, AZ 85741
Phone (520) 229-2657

40 S Heathwood Dr
Marco Island, FL 34145
Phone (239) 393-4079

14050 NW 14th St
Ste 190
Sunrise, FL 33323
Phone (954) 424-3672

Interoperability endpoints

  • Direct secure messaging: agurien234801@direct.valleywisehealth.org

Organizations & group practices 8

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564704000000",
    "number": "1629025408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "506 CAMPUS DR",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499301569",
            "telephone_number": "190-688-4412",
            "fax_number": "906-483-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WOODS RD",
            "city": "VALHALLA",
            "state": "NY",
            "postal_code": "105951530",
            "telephone_number": "914-372-7196",
            "fax_number": "914-909-6417"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 S 7th St",
            "address_purpose": "LOCATION",
            "city": "Ontonagon",
            "state": "MI",
            "postal_code": "499531450",
            "country_code": "US",
            "telephone_number": "190-688-4412",
            "fax_number": "906-483-1270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GURIEN",
        "first_name": "ANDREW",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2019-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301075596",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "MI",
            "license": "4301075596",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301075596",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "200505",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PENDING",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valhalla, NY

Sources for this page

Verify at the official NPI Registry.