Individual provider Active NPI

Evelyn Santos Guerra, MD

  • Diagnostic Radiology Physician
  • Lynchburg, VA
National Provider Identifier
1851888275
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101281737 Issued in VA
Practice address
1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone
(434) 200-5047
NPI assigned
Apr 20, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 2024-00767 NC
Diagnostic Radiology Physician 2085R0202X 35.139854 OH
Student in an Organized Health Care Education/Training Program 390200000X
Diagnostic Radiology Physician 2085R0202X 0101281737 VA Primary

Addresses

Primary practice location

1901 Tate Springs Rd
Lynchburg, VA 24501-1109

Mailing address

5220 Greens Dairy Rd
Raleigh, NC 27616-4612
Phone (919) 781-1487

Other practice location 1

2139 Auburn Ave Apt 827
Cincinnati, OH 45219-2989
Phone (513) 585-0855

Other practice location 2

3188 Bellevue Ave
Cincinnati, OH 45219-2369
Phone (513) 584-4391

Other practice location 3

5220 Greens Dairy Rd
Raleigh, NC 27616-4612
Phone (919) 781-1487

Other names 1

  • Evelyn Vieira Santos Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NC, VA, SC4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20230824001999 OH Practitioner - Diagnostic Radiology 6204183551 Reassigns benefits to 1 organization
I20240418004329 NC Practitioner - Diagnostic Radiology 6204183551 Reassigns benefits to 3 organizations
I20240705000858 VA Practitioner - Diagnostic Radiology 6204183551
I20240716004987 SC Practitioner - Diagnostic Radiology 6204183551 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Massachusetts Medical School, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Radiology LLCGroup PAC ID 6305739707, 61 clinicians
Raleigh Radiology Wakemed Imaging, LLCGroup PAC ID 8325453459, 57 clinicians
Raleigh Radiology Associates IncGroup PAC ID 6800874611, 58 clinicians

Practice addresses (Care Compare)

1101 Great Falls CT
Suite 100
Knightdale, NC 27545-7307
Phone (919) 781-1437

11640 Northpark Dr
Suite 110
Wake Forest, NC 27587-5741
Phone (919) 781-1437

150 Pkwy Office CT
Suite 100
Cary, NC 27518-0002
Phone (919) 781-1437

2000 Hospital Dr
Mt Pleasant, SC 29464-3764
Phone (843) 881-0100

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-7000

3200 Blue Ridge Rd
Suite 100
Raleigh, NC 27612-8087
Phone (919) 781-1437

601 Attain St
Suite 100
Fuquay Varina, NC 27526-1972
Phone (919) 781-1437

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82 of 100Reported as group
Quality
65.97
Promoting interoperability
100
Improvement activities
40
Cost
74.01

Merit-based Incentive Payment System (MIPS)

Final score
93.55 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.49

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024-00767NCMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Cincinnati Physicians Company, LLC CurrentSince Jul 10, 2023 Accepting new patients
Raleigh Radiology Associates, Inc. Diagnostic Radiology CurrentSince Apr 10, 2024 Accepting new patients
Raleigh Radiology Wakemed Imaging, LLC Diagnostic Radiology CurrentSince Apr 10, 2024 Accepting new patients
Raleigh Radiology, LLC Diagnostic Radiology CurrentSince Apr 10, 2024 Accepting new patients
University Surgical-Dental Associates, LLC Past Accepting new patients

Locations

150 Parkway Office Ct
Ste 100
Cary, NC 27518

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

11618 Clayton Blvd
Ste 102
Clayton, NC 27520

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

5220 Greens Dairy Rd
Raleigh, NC 27616
Phone (540) 493-4581

3200 Blue Ridge Rd
Ste 100
Raleigh, NC 27612
Phone (919) 256-3576

11640 Northpark Dr
Ste 110
Wake Forest, NC 27587

2139 Auburn Ave
Apt 827
Cincinnati, OH 45219
Phone (513) 585-0855

3200 Burnet Ave
#2
Cincinnati, OH 45229
Phone (513) 585-5505

2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

7700 University Dr
West Chester, OH 45069
Phone (513) 298-3000

2000 Hospital Dr
Mt Pleasant, SC 29464
Phone (803) 533-2200

200 Hospital Dr
Galax, VA 24333
Phone (276) 236-6011

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

320 Hospital Dr
Martinsville, VA 24112
Phone (276) 666-7200

600 W Ridge Rd
Wytheville, VA 24382
Phone (276) 228-0200

Organizations & group practices 5

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 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": "1524182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1851888275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5220 GREENS DAIRY RD",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164612",
            "telephone_number": "919-781-1487"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 TATE SPRINGS RD",
            "city": "LYNCHBURG",
            "state": "VA",
            "postal_code": "245011109",
            "telephone_number": "434-200-5047"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2139 Auburn Ave Apt 827",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192989",
            "country_code": "US",
            "telephone_number": "513-585-0855",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3188 Bellevue Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192369",
            "country_code": "US",
            "telephone_number": "513-584-4391",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5220 Greens Dairy Rd",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276164612",
            "country_code": "US",
            "telephone_number": "919-781-1487",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUERRA",
        "first_name": "EVELYN",
        "middle_name": "SANTOS",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-20",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NC",
            "license": "2024-00767",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.139854",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101281737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EVELYN",
            "last_name": "SANTOS",
            "middle_name": "VIEIRA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Lynchburg, VA

Sources for this page

Verify at the official NPI Registry.