Individual provider Active NPI

Leonidez De Guzman, M.D.

  • Infectious Disease Physician
  • New Rochelle, NY
National Provider Identifier
1699900340
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
MD154002 Issued in OR
Practice address
50 Guion PL Apt 4K
New Rochelle, NY 10801-5516
Phone
(914) 318-7428
NPI assigned
May 26, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X MD154002 OR Primary

Addresses

Primary practice location

50 Guion PL Apt 4K
New Rochelle, NY 10801-5516

Mailing address

600 NW 11TH St
Ste E37
Hermiston, OR 97838-8604
Phone (914) 318-7428

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, WA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20110928000760 OR Practitioner - Infectious DiseasePractitioner - Internal Medicine 5597936211 Reassigns benefits to 6 organizations
I20210917002713 WA Practitioner - Infectious DiseasePractitioner - Internal Medicine 5597936211 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Legacy Clinics LLCGroup PAC ID 0244144004, 714 clinicians

Practice addresses (Care Compare)

10180 SE Sunnyside Rd
Clackamas, OR 97015-8970
Phone (800) 813-2000

19300 SW 65TH Ave
Meridian Park Hosp
Portland, OR 97062-7706
Phone (503) 692-1212

7101 NE 137TH Ave
Vancouver, WA 98682-4933
Phone (800) 813-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94.62 of 100Reported as apm
Quality
77.21
Promoting interoperability
99.06
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD154002ORMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Legacy Emanuel Hospital & Health Center Current Accepting new patients
Good Shepherd Health Care System CurrentSince Aug 12, 2014 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jun 20, 2022 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Oct 5, 2021 Accepting new patients
South Sound Inpatient Physicians PLLC CurrentSince Feb 1, 2017 Accepting new patients
Good Shepherd Health Care System CurrentSince Aug 12, 2014 Accepting new patients
Legacy Clinics LLC CurrentSince Feb 25, 2018 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Sep 12, 2021 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Oct 5, 2021 Accepting new patients
Legacy Salmon Creek Hospital CurrentSince Sep 12, 2021 Accepting new patients
Legacy Emanuel Hospital & Health Center CurrentSince Oct 5, 2021 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center CurrentSince Oct 5, 2021 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jun 20, 2022 Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jun 20, 2022 Accepting new patients
Legacy Good Samaritan Hospital and Medical Center Current Accepting new patients

Locations

10180 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2880

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

610 NW 11th St
Hermiston, OR 97838
Phone (541) 667-3400

600 NW 11th St
Ste E37
Hermiston, OR 97838
Phone (541) 567-5305

335 SE 8th Ave
Hillsboro, OR 97123
Phone (503) 681-1111

1130 NW 22nd Ave
Ste 220
Portland, OR 97210
Phone (503) 413-4134

7201 N Interstate Ave
Portland, OR 97217
Phone (503) 240-4051

1200 NW 23rd Ave
Portland, OR 97210
Phone (503) 413-7074

2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

19300 SW 65th Ave
Tualatin, OR 97062
Phone (503) 692-1212

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

2211 NE 139th St
Vancouver, WA 98686
Phone (360) 397-1985

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 8

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": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1463616000000",
    "number": "1699900340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 NW 11TH ST",
            "address_2": "STE E37",
            "city": "HERMISTON",
            "state": "OR",
            "postal_code": "978388604",
            "telephone_number": "914-318-7428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "50 GUION PL APT 4K",
            "city": "NEW ROCHELLE",
            "state": "NY",
            "postal_code": "108015516",
            "telephone_number": "914-318-7428"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE GUZMAN",
        "first_name": "LEONIDEZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-26",
        "last_updated": "2016-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "OR",
            "license": "MD154002",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Rochelle, NY

Sources for this page

Verify at the official NPI Registry.