Active NPI
Rafael Guzman, MD
- Family Medicine Physician
- Utica, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 299929
- Practice address
- 1656 Champlin Ave
Utica, NY 13502-4830 - Phone
- (315) 624-6829
- NPI assigned
- Jun 8, 2016
- Last updated
- Jun 9, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Family Medicine Physician | 207Q00000X | 299929 | NM | |
| Family Medicine Physician | 207Q00000X | 299929 | NY | Primary |
Addresses
Primary practice location
1656 Champlin Ave
Utica, NY 13502-4830
Mailing address
2209 Genesee St
Business Office Room 315
Utica, NY 13501-1807
Phone (315) 801-8534
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
111 Hospital Dr
Utica, NY 13502-2517
Phone (315) 917-9966
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 299929 | NM | MD | Family Medicine Physician |
| 299929 | NY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MVHS Inc | Current | Accepting new patients | |
| New York Medical Physician Associates PC | Current | Accepting new patients | |
| New York Medical Physician Associates PC | Current | Accepting new patients | |
| MVHS Inc | Family Medicine | Current | Accepting new patients |
| St Josephs Medical PC | Family Medicine | Current | Accepting new patients |
| North Medical PC | Family Medicine | Current | Accepting new patients |
| MVHS Inc | Past | Accepting new patients | |
| MVHS Inc | Past | Accepting new patients |
Locations
2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
5100 W Taft Rd
Ste 2T
Liverpool, NY 13088
Phone (315) 744-1592
1656 Champlin Ave
New Hartford, NY 13413
Phone (315) 624-6222
301 Prospect Ave
Syracuse, NY 13203
Phone (315) 448-5111
301 Prospect Ave
Ofc
Syracuse, NY 13203
Phone (315) 448-2876
111 Hospital Dr
Utica, NY 13502
Phone (315) 801-8534
1656 Champlin Ave
Utica, NY 13502
Phone (315) 624-6241
1676 Sunset Ave
Utica, NY 13502
Phone (315) 624-5567
2209 Genesee St
Ofc
Utica, NY 13501
Phone (315) 801-3282
Interoperability endpoints
- rguzman36700@mvhealthsystem.direct-ci.com
Organizations & group practices 8
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.
-
- Hospitalist Physician
- Poughkeepsie, NY
- NPI 1578316501
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1942501747
-
- Hospitalist Physician
- Margaretville, NY
- NPI 1528869203
-
- Family Medicine Physician
- Liverpool, NY
- NPI 1972563070
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": "1465344000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1654732800000",
"number": "1750730016",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2209 GENESEE ST",
"address_2": "BUSINESS OFFICE ROOM 315",
"city": "UTICA",
"state": "NY",
"postal_code": "135011807",
"telephone_number": "315-801-8534",
"fax_number": "315-801-8391"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1656 CHAMPLIN AVE",
"city": "UTICA",
"state": "NY",
"postal_code": "135024830",
"telephone_number": "315-624-6829"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUZMAN",
"first_name": "RAFAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-06-08",
"last_updated": "2022-06-09",
"certification_date": "2022-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NM",
"license": "299929",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "299929",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Utica, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 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.