Active NPI
Ramon R. De Guzman, M.D.
- Diagnostic Radiology Physician
- Sartell, MN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 51689
- Practice address
- 166 19TH Street South
Suite 100
Sartell, MN 56377-2154 - Phone
- (320) 251-0609
- Fax
- (320) 251-3806
- NPI assigned
- Oct 3, 2006
- Last updated
- Mar 2, 2011
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuroradiology Physician | 2085N0700X | 35.088582 | OH | |
| Diagnostic Radiology Physician | 2085R0202X | 51689 | MN | Primary |
Addresses
Primary practice location
166 19TH Street South
Suite 100
Sartell, MN 56377-2154
Mailing address
PO Box 1450 NW 6035
Minneapolis, MN 55485-6035
Phone (952) 542-8553
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MN
- 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
- Diagnostic Radiology
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
155 Dehler Dr
Sartell, MN 56377-4407
Phone (320) 251-0609
1901 Connecticut Ave S
Suite 200
Sartell, MN 56377-2554
Phone (320) 251-0609
251 County Rd
120 Suite D
Sartell, MN 56303-4897
Phone (320) 251-0609
3260 42ND Ave S
Suite 101
Saint Cloud, MN 56301-6251
Phone (320) 251-0609
5775 Wayzata Blvd
Suite 190
St Louis Park, MN 55416-2627
Phone (952) 541-1840
9040 Quaday Ave NE
Suite 100
Otsego, MN 55330-6657
Phone (763) 433-2033
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35.088582 | OH | MD | Neuroradiology Physician |
| 51689 | MN | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cdi Twin Cities ASC LLC | Current | Accepting new patients | |
| Medical Scanning Consultants PA | Diagnostic Radiology | Current | Accepting new patients |
| Medical Scanning Consultants PA | Diagnostic Radiology | Current | Accepting new patients |
Locations
166 19th St S
Ste 100
Sartell, MN 56377
5775 Wayzata Blvd
Ste 190
St Louis Park, MN 55416
Phone (952) 525-6338
Organizations & group practices 3
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.
-
dba RAYUS Radiology
- Diagnostic Radiology Physician
- St Louis Park, MN
- NPI 1659348092
-
dba Rayus Twin Cities ASC
- Ambulatory Surgical Clinic/Center
- St Louis Park, MN
- NPI 1245207687
-
dba RAYUS Radiology
- Diagnostic Radiology Physician
- Federal Way, WA
- NPI 1730156175
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159833600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1299024000000",
"number": "1790879575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1450 NW 6035",
"city": "MINNEAPOLIS",
"state": "MN",
"postal_code": "554856035",
"telephone_number": "952-542-8553",
"fax_number": "952-513-6880"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "166 19TH STREET SOUTH",
"address_2": "SUITE 100",
"city": "SARTELL",
"state": "MN",
"postal_code": "563772154",
"telephone_number": "320-251-0609",
"fax_number": "320-251-3806"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DE GUZMAN",
"first_name": "RAMON",
"middle_name": "R.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-03",
"last_updated": "2011-03-02",
"status": "A"
},
"taxonomies": [
{
"code": "2085N0700X",
"taxonomy_group": "",
"desc": "Radiology, Neuroradiology",
"state": "OH",
"license": "35.088582",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MN",
"license": "51689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sartell, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2011; 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.