Ian Guerrero, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

21171 Issued in HI

Practice address

91-710 Farrington Hwy Ste A120
Kapolei, HI 96707-2659

Phone

(808) 400-3899

Fax

(808) 512-2122

NPI assigned

May 1, 2017

Last updated

Jul 3, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in HI

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

Specialty

Internal Medicine

Education

Other, 1999

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Hospital & facility affiliations

• Careresource Hawaii Home health agency, Honolulu, HI, CCN 127013
• The Queens Medical Center Hospital, Honolulu, HI, CCN 120001
• Pali Momi Medical Center Hospital, Aiea, HI, CCN 120026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: ian.guerrero@792647926284292.direct.elationemr.com

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.

• Kapolei Primary Care Clinic

  • Primary Care Clinic/Center
  • Kapolei, HI
  • NPI 1710726146
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Careresource Hawaii

  • Home Health Agency
  • Honolulu, HI
  • NPI 1245299114
  Care Compare affiliation
• Pali Momi Medical Center

  • General Acute Care Hospital
  • Aiea, HI
  • NPI 1013961408
  Care Compare affiliation
• The Queens Medical Center

  • General Acute Care Hospital
  • Honolulu, HI
  • NPI 1184612764
  Care Compare affiliation

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

{
    "created_epoch": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719964800000",
    "number": "1639604341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "840 KAKALA ST APT 405",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967074608",
            "telephone_number": "520-999-0041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-710 FARRINGTON HWY STE A120",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072659",
            "telephone_number": "808-400-3899",
            "fax_number": "808-512-2122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUERRERO",
        "first_name": "IAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-01",
        "last_updated": "2024-07-03",
        "certification_date": "2024-07-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "21171",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Greywolf Psychiatry Services, Inc
• Maile Mayumi Griffin, LCSW
• Greyson Griffiths, BCBA
• Kyle R Grudzinski
• Amber Rose Chieko Guerrero
• So Yong Guerrero
• Mary Grace Guiang, BCBA, LBA
• Dahlia Guillory
• Krista L Guiteras-Duncan, LCSW
• Deena Lee Gulezian, M.S., CCC-SLP

• Internal Medicine Physician in Kapolei, HI
• Providers in Kapolei, HI by specialty
• Internal Medicine Physician in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.