Individual provider Active NPI

Ksenia Guvakova, MD

  • Critical Care Medicine (Anesthesiology) Physician
  • Allentown, PA
National Provider Identifier
1851735005
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Anesthesiology) PhysicianTaxonomy code 207LC0200X
License
MD458928 Issued in PA
Practice address
1200 S Cedar Crest Blvd FL 2
Allentown, PA 18103-6202
Phone
(610) 402-6164
NPI assigned
Apr 18, 2013
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Anesthesiology) Physician 207LC0200X MD458928 PA Primary

Addresses

Primary practice location

1200 S Cedar Crest Blvd FL 2
Allentown, PA 18103-6202

Mailing address

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 349-8310

Other practice location 1

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 349-8310

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, PA2 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
I20170818000230 MA Practitioner - Anesthesiology 4587936018 Reassigns benefits to 2 organizations
I20180613001159 PA Practitioner - AnesthesiologyPractitioner - Critical Care (Intensivists) 4587936018 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Critical Care (Intensivists)
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lehigh Valley Physician GroupGroup PAC ID 3072425123, 2,512 clinicians

Practice addresses (Care Compare)

330 Main St
Dickson City, PA 18519-1691
Phone (610) 402-6164

Hospital & facility affiliations

  • Lehigh Valley Hospital Hospital, Allentown, PA, CCN 390133

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD458928PAMDCritical Care Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group Current Accepting new patients
Temple Faculty Practice Plan Inc Current Accepting new patients
Temple Physicians Inc Current Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Mar 4, 2019 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Jul 9, 2017 Accepting new patients
Temple Faculty Practice Plan Inc CurrentSince Mar 4, 2019 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc CurrentSince Jul 9, 2017 Accepting new patients
Harvard Medical Faculty Phys at Beth Israel Deaconess Med Ctr Inc Critical Care Medicine CurrentSince Jul 9, 2017 Accepting new patients
Beth Israel Deaconess Medical Center, Inc. CurrentSince Jul 9, 2017 Accepting new patients
Temple Physician Inc. CurrentSince Jul 30, 2018 Accepting new patients
University of Penn-Medical Group Current Accepting new patients
University of Penn-Medical Group CurrentSince Aug 1, 2020 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 3, 2024 Accepting new patients
Temple Physicians Inc CurrentSince Jul 30, 2018 Accepting new patients
University of Penn-Medical Group CurrentSince Aug 1, 2020 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jan 3, 2024 Accepting new patients
Lehigh Valley Anesthesia Services, P. C. CurrentSince Dec 16, 2023 Accepting new patients

Locations

330 Brookline Ave
Boston, MA 02215
Phone (617) 667-2000

330 Brookline Ave
#203
Boston, MA 02215
Phone (617) 667-3364

1200 S Cedar Crest Blvd
Fl 2
Allentown, PA 18103
Phone (610) 402-6164

1200 S Cedar Crest Blvd
Allentown, PA 18103
Phone (484) 862-3200

2100 Mack Blvd
Fl 4
Allentown, PA 18103

2545 Schoenersville Rd
Bethlehem, PA 18017
Phone (484) 884-2888

515 Pennsylvania Ave
Fl 2
Ft Washington, PA 19034
Phone (215) 540-0120

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

7600 Central Ave
Philadelphia, PA 19111
Phone (215) 707-5522

333 Cottman Ave
Philadelphia, PA 19111
Phone (215) 728-3893

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

3401 N Broad St
Philadelphia, PA 19140
Phone (215) 707-3807

2450 W Hunting Park Ave
Philadelphia, PA 19129
Phone (215) 707-2433

3400 Convention Ave
Philadelphia, PA 19104
Phone (215) 662-2300

330 Main St
Scranton, PA 18519
Phone (570) 330-5000

Interoperability endpoints

  • Direct secure messaging: kguvakova834706@direct2.lvhn.org

Organizations & group practices 18

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 18

Hospital & facility affiliations 5

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": "1366243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1851735005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-349-8310",
            "fax_number": "215-893-7270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 S CEDAR CREST BLVD FL 2",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181036202",
            "telephone_number": "610-402-6164"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Spruce St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191044238",
            "country_code": "US",
            "telephone_number": "215-349-8310",
            "fax_number": "215-893-7270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUVAKOVA",
        "first_name": "KSENIA",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-18",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LC0200X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Critical Care Medicine",
            "state": "PA",
            "license": "MD458928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.