Individual provider Active NPI

Pavel Atanassov Guguchev, M.D.

  • Clinical Cardiac Electrophysiology Physician
  • Orlando, FL
National Provider Identifier
1649274697
Registry record updated Nov 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
ME80532 Issued in FL
Practice address
1723 Lucerne Ter Ste 100
Orlando, FL 32806-2916
Phone
(407) 738-4200
NPI assigned
Jun 8, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 28, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME80532 FL
Clinical Cardiac Electrophysiology Physician 207RC0001X ME80532 FL Primary

Addresses

Primary practice location

1723 Lucerne Ter Ste 100
Orlando, FL 32806-2916

Mailing address

1723 Lucerne Ter Ste 100
Orlando, FL 32806-2916
Phone (407) 738-4200

Other identifiers 2

IdentifierTypeStateIssuer
ME80532OtherFLMEDICAL LICENSE
261163500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040909000824 FL Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 3072589076 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cardiovascular Institute of Central Florida LLCGroup PAC ID 2769587146, 67 clinicians

Practice addresses (Care Compare)

2111 SW 20TH PL
Ocala, FL 34471-7734
Phone (352) 622-4251

Hospital & facility affiliations

  • Orlando Health Hospital, Orlando, FL, CCN 100006

Merit-based Incentive Payment System (MIPS)

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

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Health Medical Group Inc CurrentSince Sep 1, 2011 Accepting new patients
Orlando Health Medical Group Inc Cardiovascular Disease CurrentSince Sep 1, 2011 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
Cardiovascular Institute of Central Florida, LLC Cardiovascular Disease CurrentSince May 1, 2023 Accepting new patients
Cardiovascular Institute of Central Florida, LLC CurrentSince May 1, 2023 Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Locations

805 Oakley Seaver Dr
Ste A
Clermont, FL 34711
Phone (407) 652-6000

2111 SW 20th Pl
Ocala, FL 34471
Phone (352) 547-3399

32 W Gore St
Orlando, FL 32806
Phone (321) 841-3820

7148 Curry Ford Rd
Ste 200
Orlando, FL 32822
Phone (407) 273-1357

7301 Stonerock Cir
Ste 1
Orlando, FL 32819
Phone (352) 512-9139

1723 Lucerne Ter
Ste 100
Orlando, FL 32806

1222 S Orange Ave
Orlando, FL 32806
Phone (407) 649-6907

1414 Kuhl Ave
Orlando, FL 32806
Phone (407) 464-9516

60 W Gore St
Orlando, FL 32806
Phone (321) 841-3338

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: pguguchev25171@orlandohealth.medalliesdirect.net
  • Direct secure messaging: pavel.guguchev.1@29679.direct.athenahealth.com

Organizations & group practices 6

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.

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701129600000",
    "number": "1649274697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1723 LUCERNE TER STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062916",
            "telephone_number": "407-738-4200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1723 LUCERNE TER STE 100",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328062916",
            "telephone_number": "407-738-4200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUGUCHEV",
        "first_name": "PAVEL",
        "middle_name": "ATANASSOV",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2023-11-28",
        "certification_date": "2023-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME80532",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "FL",
            "license": "ME80532",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "ME80532",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "261163500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

Verify at the official NPI Registry.