Peter Guando Jr., P.A

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA.0004915 Issued in CO

Practice address

13631 Colorado Blvd
Thornton, CO 80602-7051

Phone

(303) 252-2960

Fax

(303) 252-2964

NPI assigned

Feb 19, 2014

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

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in NY, MA2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

City Medical of Upper East Side PLLCGroup PAC ID 0648465039, 658 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

86.33 of 100Reported as group

Quality

82.1

Promoting interoperability

100

Improvement activities

40

Cost

72.34

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: peter.guando.1@2983.direct.athenahealth.com

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.

• City Medical of Upper East Side, PLLC

  dba CityMD Urgent Care

  • Urgent Care Clinic/Center
  • New York, NY
  • NPI 1801277629
  Medicare reassignment Care Compare group
• Circle Health Urgent Care, LLC

  dba Circle Health Urgent Care Westford

  • Urgent Care Clinic/Center
  • Westford, MA
  • NPI 1710392683
  Medicare reassignment
• Steward Emergency Physicians, Inc

  • Emergency Medicine Physician
  • Ayer, MA
  • NPI 1780971275
  Medicare reassignment
• City Medical of Upper East Side, PLLC

  dba CityMD

  • Urgent Care Clinic/Center
  • Rye Brook, NY
  • NPI 1568108348
  NPD
• City Medical of Upper East Side, PLLC

  • Urgent Care Clinic/Center
  • New York, NY
  • NPI 1740913763
  NPD

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

{
    "created_epoch": "1392768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1699190215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13631 COLORADO BOULEVARD",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "80602",
            "telephone_number": "303-252-2960",
            "fax_number": "303-252-2964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13631 COLORADO BLVD",
            "city": "THORNTON",
            "state": "CO",
            "postal_code": "806027051",
            "telephone_number": "303-252-2960",
            "fax_number": "303-252-2964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "58 Central Ave",
            "address_purpose": "LOCATION",
            "city": "Westbury",
            "state": "NY",
            "postal_code": "115905244",
            "country_code": "US",
            "telephone_number": "516-457-1268",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUANDO",
        "first_name": "PETER",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "P.A",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-02-19",
        "last_updated": "2022-07-21",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CO",
            "license": "PA.0004915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000145252",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "468255YLB8",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marie Guilia Grob, RDH
• Tiffany Grosjean, M.A., L.P.C.
• Amber Groves, MA
• Kara Grubb, D.V.M.
• Aislin Guajardo, MA
• Carolyn Gubelin, FNP
• Persephone Guerrero, RN
• Kristina M Gulbrandsen, AUD
• Soyna Gulhati, M.D.
• Wade C Gunsallus, PHARMD

• Physician Assistant in Thornton, CO
• Providers in Thornton, CO by specialty
• Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.