David Guha, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

217513 Issued in NY

Practice address

4142 Elbertson St
Suite102
Elmhurst, NY 11373-1620

Phone

(718) 505-1300

Fax

(718) 505-1883

NPI assigned

Oct 31, 2006

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 1

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Internal Medicine

Education

Other, 1987

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Queens Medical Services, P.CGroup PAC ID 3870765290, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Networks

• Healthfirst Medicare Network H1722
• Healthfirst Medicare Network H5989
• Healthfirst Medicare Network H3359

Interoperability endpoints

• Direct secure messaging: david.guha@queensmedserv.ehi.direct-ci.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.

• Queens Medical Services, P.C

  • Internal Medicine Physician
  • Jackson Heights, NY
  • NPI 1164630448
  Medicare reassignment Care Compare group Authorized official

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1811073802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4142 ELBERTSON ST",
            "address_2": "SUITE102",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731620",
            "telephone_number": "718-505-1300",
            "fax_number": "718-505-1883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4142 ELBERTSON ST",
            "address_2": "SUITE102",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113731620",
            "telephone_number": "718-505-1300",
            "fax_number": "718-505-1883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUHA",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "217513",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02105360",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Amparo Guerra
• Roxana Guerra, RN BSN
• Marina L Guerrero, MD
• Walthride Mary Guerrier, LMSW
• Adrian Guevara, CPT
• Siddharth Guha, MD
• Sachin Gopaldas Gujarathi
• Gulkarov Family Health NP PLLC
• Qiao Guo, M.D.
• Wei Guo

• Internal Medicine Physician in Elmhurst, NY
• Providers in Elmhurst, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.