Individual provider Active NPI

Gustavo J Cuadra, M.D.

  • Psychiatry Physician
  • Clearwater, FL
National Provider Identifier
1790897304
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
ME83167 Issued in FL
Practice address
2329 Sunset Point Rd
Suite 203
Clearwater, FL 33765-1455
Phone
(727) 446-7756
Fax
(727) 446-5977
NPI assigned
Aug 31, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X ME83167 FL Primary

Addresses

Primary practice location

2329 Sunset Point Rd
Suite 203
Clearwater, FL 33765-1455

Mailing address

2329 Sunset Point Rd
Suite 203
Clearwater, FL 33765-1455
Phone (727) 446-7756

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20031201000592 FL Practitioner - Psychiatry 0547164634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of South Florida College of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3023 Eastland Blvd
Clearwater, FL 33761-4106

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
G J Cuadra M D P a Psychiatry CurrentSince Sep 18, 2003 Accepting new patients

Locations

3023 Eastland Blvd
Ste 106
Clearwater, FL 33761
Phone (727) 265-1781

2329 Sunset Point Rd
Ste 203
Clearwater, FL 33765
Phone (727) 446-7756

3023 Eastland Blvd
Ste 108
Clearwater, FL 33761
Phone (727) 265-1781

3023 Eastland Blvd
Clearwater, FL 33761
Phone (727) 791-7440

Organizations & group practices 1

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.

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": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1790897304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2329 SUNSET POINT RD",
            "address_2": "SUITE 203",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651455",
            "telephone_number": "727-446-7756",
            "fax_number": "727-446-5977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2329 SUNSET POINT RD",
            "address_2": "SUITE 203",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337651455",
            "telephone_number": "727-446-7756",
            "fax_number": "727-446-5977"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CUADRA",
        "first_name": "GUSTAVO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "FL",
            "license": "ME83167",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clearwater, FL

Sources for this page

Verify at the official NPI Registry.