Individual provider Active NPI

Gerard G Guerin, DPM

  • Podiatrist
  • Dallas, TX
National Provider Identifier
1629098660
Registry record updated Feb 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
80070 Issued in MS
Practice address
5787 S Hampton Rd
Dallas, TX 75232-2255
Phone
(601) 362-3158
Fax
(601) 987-8800
NPI assigned
Jul 20, 2006
Last updated
Feb 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X NU
Podiatrist 213E00000X 80070 MS Primary

Addresses

Primary practice location

5787 S Hampton Rd
Dallas, TX 75232-2255

Mailing address

47026 Scott Dr
Hammond, LA 70401-7323
Phone (601) 362-3158

Other identifiers 3

IdentifierTypeStateIssuer
P00218384OtherMSRAILROAD MEDICARE
1323462MedicaidLA
00015989MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20040428000147 LA Practitioner - Podiatry 2860489234 Reassigns benefits to 1 organization
Practice locations: Saint Francisville, LA; Kentwood, LA; Hammond, LA; Baton Rouge, LA; Amite, LA
I20040831000313 MS Practitioner - Podiatry 2860489234 Practice locations: Biloxi, MS; Wiggins, MS; Tylertown, MS; Sumrall, MS; Poplarville, MS; Perkinston, MS; Ocean Springs, MS; Natchez, MS…

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

101 Northgate Rd
Suite D
Natchez, MS 39120-9162
Phone (985) 320-0584

530 Hall St
Wiggins, MS 39577-2631
Phone (985) 320-0584

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
83.94 of 100Reported as group
Quality
67.75
Promoting interoperability
100
Improvement activities
40
Cost
71.17

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue19
Removal of skin lesions25
Removal of nail tissue207
Removal or shaving of skin growth22

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.

Practice roles

OrganizationSpecialtyStatusNew patients
Concordia Nursing Home Inc Past Accepting new patients
Pure Health Therapy Services, LLC PastSince Aug 18, 2023 Accepting new patients
Brenco Podiatrist Past Accepting new patients
Tensas Nursing Home Inc Past Accepting new patients
Foot Care and Surgical Center Past Accepting new patients
Coastal Rehab, LLC Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1517961600000",
    "number": "1629098660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "47026 SCOTT DR",
            "city": "HAMMOND",
            "state": "LA",
            "postal_code": "704017323",
            "telephone_number": "601-362-3158",
            "fax_number": "601-987-8800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5787 S HAMPTON RD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752322255",
            "telephone_number": "601-362-3158",
            "fax_number": "601-987-8800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERIN",
        "first_name": "GERARD",
        "middle_name": "G",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2018-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "MS",
            "license": "80070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00218384",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1323462",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00015989",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.