Benjamin Gray Guevara, MD

Key facts

NPI

1679797385

Entity type

Individual (NPI type 1)

Primary specialty

Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X

License

MD.204393 (LA)

Practice address

100 Medical Center Dr
Slidell, LA 70461-5520

Phone

(985) 646-5550

NPI assigned

Apr 12, 2007

Sex

Male

Sole proprietor

No

Organizations & group practices 4

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.

• Ochsner Clinic LLC General Practice Physician · New Orleans, LA · NPI 1538151428
  Medicare reassignment Care Compare group NPD LA
• Ochsner Clinic LLC Registered Dietitian · Covington, LA · NPI 1013747039
  Care Compare group NPD
• Ochsner Clinic LLC General Practice Physician · Hattiesburg, MS · NPI 1962796789
  Care Compare group
• Ochsner Clinic LLC General Practice Physician · New Orleans, LA · NPI 1457684466
  NPD

Hospital & facility affiliations 7

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

• Louisiana Home Health of Hammond, LLC Home Health Agency · Covington, LA · NPI 1528205291
  Care Compare affiliation Home health agency
• Louisiana Homecare of Slidell, LLC Home Health Agency · Slidell, LA · NPI 1760439657
  Care Compare affiliation Home health agency
• Ochsner Clinic Foundation General Acute Care Hospital · New Orleans, LA · NPI 1811973100
  Care Compare affiliation Hospital
• Slidell Memorial Hospital General Acute Care Hospital · Slidell, LA · NPI 1578568481
  Care Compare affiliation Hospital
• Forrest County General Hospital General Acute Care Hospital · Picayune, MS · NPI 1053350462
  Care Compare affiliation Hospital
• Ochsner Medical Center - Hancock LLC General Acute Care Hospital · Bay Saint Louis, MS · NPI 1588629968
  Care Compare affiliation Hospital
• Picayune Homecare, LLC Home Health Agency · Picayune, MS · NPI 1548293582
  Care Compare affiliation Home health agency

Medicare Care Compare profile

Specialty

Sports Medicine
Also: Orthopedic Surgery

Education

Louisiana State University School of Medicine in New Orleans, 2005

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Ochsner Clinic LLC (2,845 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mississippi Homecare of Picayune Home health agency · Picayune, MS · CCN 257141
• Ochsner Home Health of Covington Home health agency · Covington, LA · CCN 197156
• SMH-Ochsner Home Health of Slidell Home health agency · Slidell, LA · CCN 197104
• Ochsner Medical Center Acute Hospital · New Orleans, LA · CCN 190036
• Slidell Memorial Hospital Hospital · Slidell, LA · CCN 190040
• Ochsner Medical Center-Hancock Hospital · Bay Saint Louis, MS · CCN 250162
• Highland Community Hospital Hospital · Picayune, MS · CCN 250117

Procedures performed for Medicare patients

Medicare participation

Medicare fee-for-service enrollment

Enrolled in LA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: bguevara3499@direct.ochsner.org

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 1, 2015.

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1679797385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1514 JEFFERSON HIGHWAY",
            "city": "NEW ORLEANS",
            "state": "LA",
            "postal_code": "701212429",
            "telephone_number": "504-842-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MEDICAL CENTER DR",
            "city": "SLIDELL",
            "state": "LA",
            "postal_code": "704615520",
            "telephone_number": "985-646-5550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUEVARA",
        "first_name": "BENJAMIN",
        "middle_name": "GRAY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-12",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "LA",
            "license": "MD.204393",
            "primary": false
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "LA",
            "license": "MD.204393",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2153862",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03500001",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Slidell, LA

• Gregory Louis Groglio, M.D.
• Christopher Scott Grow, P.A.
• Michael Paul Guarisco, M.D.
• Steven Anthony Guarisco, M.D.
• Lloyd Joseph Gueringer III, FNP-C
• Michael Jeffrey Guevara, D.D.S.
• Ashley Guidry
• Derek Guidry, DP, DPT
• Linda D Guidry
• Sheryl Bernette Guitroz, PLPC, MA

All providers in Slidell, LA · Sports Medicine (Orthopaedic Surgery) Physician in Louisiana