Active NPI
Luis E Guerrero, M.D.
- Pulmonary Disease Physician
- Bronx, NY
National Provider Identifier
1922015171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 166025
- Practice address
- 1216 Beach Ave
Bronx, NY 10472-4710 - Phone
- (718) 597-1107
- Fax
- (212) 740-5163
- NPI assigned
- Aug 1, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 166025 | NY | |
| Pulmonary Disease Physician | 207RP1001X | 166025 | NY | Primary |
Addresses
Primary practice location
1216 Beach Ave
Bronx, NY 10472-4710
Mailing address
1216 Beach Ave
Bronx, NY 10472-4710
Phone (718) 597-1107
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00951051 | Medicaid | NY |
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100929001243 | NY | Practitioner - Internal Medicine | 0345366134 | Practice locations: Bronx, NY; New York, NY |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1980
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
1216 Beach Ave
Bronx, NY 10472-4755
Phone (718) 597-1107
Hospital & facility affiliations
- Montefiore Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 166025 | NY | MD | Pulmonary Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Our Lady of Mercy Ambulatory Care Center, Inc. | Past | Accepting new patients | |
| Our Lady of Mercy Medical Center | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H1722
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H3359
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/CHHDBA/Endpoint/CHHDBA
Organizations & group practices 2
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.
-
- Podiatric Clinic/Center
- Bronx, NY
- NPI 1477704948
-
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Bronx, NY
- NPI 1669412847
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bronx, NY
- NPI 1952476988
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678147200000",
"number": "1922015171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1216 BEACH AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104724710",
"telephone_number": "718-597-1107",
"fax_number": "212-740-5163"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1216 BEACH AVE",
"city": "BRONX",
"state": "NY",
"postal_code": "104724710",
"telephone_number": "718-597-1107",
"fax_number": "212-740-5163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUERRERO",
"first_name": "LUIS",
"middle_name": "E",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-01",
"last_updated": "2023-03-07",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "166025",
"primary": false
},
{
"code": "207RP1001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Pulmonary Disease",
"state": "NY",
"license": "166025",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00951051",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bronx, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; 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.