NPIMap

Individual provider Active NPI

Merilda Onyfel Blanco-Guzman, MD

  • Infectious Disease Physician
  • Louisville, KY
National Provider Identifier
1962684993
Registry record updated Oct 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
52980 Issued in KY
Practice address
234 E Gray St Ste 768
Louisville, KY 40202-1901
Phone
(502) 394-6470
Fax
(502) 394-6477
NPI assigned
Nov 30, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 12, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 2014012979 MO
Infectious Disease Physician 207RI0200X 52980 KY Primary

Addresses

Primary practice location

234 E Gray St Ste 768
Louisville, KY 40202-1901

Mailing address

PO Box 776351
Chicago, IL 60677-6356
Phone (502) 272-5754

Other identifiers 1

IdentifierTypeStateIssuer
ENROLLEDMedicaidIL

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address mblancoguzman167813@direct.nortonhealthcare.org Direct
Direct Messaging Address mblancoguzman167813@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191219002015 KY Practitioner - Infectious DiseasePractitioner - Internal Medicine 4385769249 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Medical Associates IncGroup PAC ID 7012811284, 1,368 clinicians

Practice addresses (Care Compare)

200 E Chestnut St
Louisville, KY 40202-1831
Phone (502) 893-1270

231 E Chestnut St
Louisville, KY 40202-1821
Phone (502) 629-7661

825 Barret Ave
Louisville, KY 40204-1743
Phone (502) 272-5165

Hospital & facility affiliations

  • Norton Hospitals, Inc Hospital, Louisville, KY, CCN 180088

Merit-based Incentive Payment System (MIPS)

Final score
81.11 of 100Reported as group
Quality
63.34
Promoting interoperability
100
Improvement activities
40
Cost
73.68

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Community Medical Associates, Inc. CurrentSince Nov 1, 2019 Accepting new patients
Community Medical Associates, Inc. Infectious Disease Past Accepting new patients
Saint Raphael Faculty Physicians Infectious Disease Past Accepting new patients

Locations

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

234 E Gray St
Ste 768
Louisville, KY 40202
Phone (502) 394-6470

601 S Floyd St
Ste 604
Louisville, KY 40202
Phone (502) 559-1670

315 E Broadway
Fl 4
Louisville, KY 40202
Phone (502) 272-5165

676 S Floyd St
Fl 2
Louisville, KY 40202
Phone (502) 394-6470

Interoperability endpoints

  • Direct secure messaging: mblancoguzman167813@direct.nortonhealthcare.org

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 14

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

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602460800000",
    "number": "1962684993",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776356",
            "telephone_number": "502-272-5754",
            "fax_number": "502-272-5339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "234 E GRAY ST STE 768",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402021901",
            "telephone_number": "502-394-6470",
            "fax_number": "502-394-6477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLANCO-GUZMAN",
        "first_name": "MERILDA",
        "middle_name": "ONYFEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-30",
        "last_updated": "2020-10-12",
        "certification_date": "2020-10-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "MO",
            "license": "2014012979",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "KY",
            "license": "52980",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ENROLLED",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mblancoguzman167813@direct.nortonhealthcare.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "234 E Gray St Ste 768",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mblancoguzman167813@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "234 E Gray St Ste 768",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021901",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/FHIRPRD/api/FHIR/DSTU2/",
            "affiliation": "N",
            "address_1": "234 E Gray St Ste 768",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402021901",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.