Guillermo Martin Fuentes, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

K8749 Issued in TX

Practice address

1205 N Josey LN
Carrollton, TX 75006-6145

Phone

(972) 242-2726

Fax

(972) 242-5266

NPI assigned

Oct 6, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 7

Medicare fee-for-service enrollment

Enrolled in TX

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

Family Practice

Education

Texas Tech University Health Science Center School of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: dmcgfuent@yourcarecommunity.org

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.

• Family Care Medical Center

  • Clinic/Center
  • Carrollton, TX
  • NPI 1356532147
  Medicare reassignment NPD Authorized official
• Primamed Physicians PLLC

  • Urgent Care Clinic/Center
  • Dallas, TX
  • NPI 1164494068
  NPD (past)
• Primamed Physicians PLLC

  • Urgent Care Clinic/Center
  • Plano, TX
  • NPI 1619922549
  NPD (past)
• Finneas Health

  • Occupational Therapist
  • Ventura, CA
  • NPI 1700264926
  NPD (past)

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

{
    "created_epoch": "1160092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237161600000",
    "number": "1962599571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1205 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066145",
            "telephone_number": "972-242-2726",
            "fax_number": "972-242-5266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 N JOSEY LN",
            "city": "CARROLLTON",
            "state": "TX",
            "postal_code": "750066145",
            "telephone_number": "972-242-2726",
            "fax_number": "972-242-5266"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FUENTES",
        "first_name": "GUILLERMO",
        "middle_name": "MARTIN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-10-06",
        "last_updated": "2009-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K8749",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA ID",
            "identifier": "7327110",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TX-LICENSE",
            "identifier": "K8749",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARKLAND ID",
            "identifier": "9818",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TPI",
            "identifier": "039181502",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10031886",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "147634301",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "8F0700",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charlotte Freeland, M.D.
• Constance Marie Friedl, PMHNP
• Frisco Professional Counseling PLLC
• Adrien Jolyn Frnka, DDS
• Dakota Lee Frysinger, PTA
• Maria Angeles Fuentes, PEDODONTIST
• Brian C Fuller, M.D.
• Fundamental Care Home Health Agency Inc
• Ashten Galan
• Galaxy Equipments LLC

• Family Medicine Physician in Carrollton, TX
• Providers in Carrollton, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2009; 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.