Individual provider Active NPI

Ivan Andres Buitrago Guevara, M.D.

  • Cardiovascular Disease Physician
  • Miami, FL
National Provider Identifier
1942525605
Registry record updated Jun 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME119321 Issued in FL
Practice address
8950 N Kendall Dr
Suite 601
Miami, FL 33176-2144
Phone
(305) 279-4500
Fax
(305) 598-1741
NPI assigned
Apr 6, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME119321 FL
Cardiovascular Disease Physician 207RC0000X ME119321 FL Primary

Addresses

Primary practice location

8950 N Kendall Dr
Suite 601
Miami, FL 33176-2144

Mailing address

8950 N Kendall Dr
Suite 601
Miami, FL 33176-2144
Phone (305) 279-4500

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
I20140730000581 FL Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 4880819788 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Public Health Trust of Miami Dade County FloridaGroup PAC ID 0244380434, 469 clinicians

Practice addresses (Care Compare)

1801 NW 9TH Ave
FL 2
Miami, FL 33136-1101
Phone (786) 466-8490

Hospital & facility affiliations

  • Jackson Health System Hospital, Miami, FL, CCN 100022
  • Mariners Hospital Hospital, Tavernier, FL, CCN 101313

Merit-based Incentive Payment System (MIPS)

Final score
91.01 of 100Reported as group
Quality
72.99
Promoting interoperability
82
Improvement activities
40
Cost
78.71

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baptist Outpatient Services Inc CurrentSince Jan 15, 2018 Accepting new patients
Public Health Trust of Miami Dade County Florida CurrentSince Mar 1, 2018 Accepting new patients
Public Health Trust of Miami Dade County Florida Internal Medicine CurrentSince Mar 1, 2018 Accepting new patients
Baptist Outpatient Services Inc CurrentSince Jan 15, 2018 Accepting new patients

Locations

1801 NW 9th Ave
Ste 209
Miami, FL 33136
Phone (786) 466-8490

8950 SW 88th St
Ste 405
Miami, FL 33176
Phone (305) 412-7225

1611 NW 12th Ave
Miami, FL 33136
Phone (305) 585-6226

1801 NW 9th Ave
Fl 2
Miami, FL 33136
Phone (786) 466-8490

9380 SW 150th St
Ste 295
Miami, FL 33176
Phone (305) 256-5018

8950 N Kendall Dr
Fl 2
Miami, FL 33176
Phone (786) 596-7200

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 4

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 24

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1270512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1435017600000",
    "number": "1942525605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 N KENDALL DR",
            "address_2": "SUITE 601",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762144",
            "telephone_number": "305-279-4500",
            "fax_number": "305-598-1741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 N KENDALL DR",
            "address_2": "SUITE 601",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331762144",
            "telephone_number": "305-279-4500",
            "fax_number": "305-598-1741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BUITRAGO GUEVARA",
        "first_name": "IVAN",
        "middle_name": "ANDRES",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-06",
        "last_updated": "2015-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME119321",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME119321",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.