Individual provider Active NPI

Elizabeth Marie Guastello, MD

  • Cardiovascular Disease Physician
  • Lawrence, KS
National Provider Identifier
1982721684
Registry record updated Dec 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
0436590 Issued in KS
Practice address
1130 W 4TH St
Suite 2050
Lawrence, KS 66044-1328
Phone
(785) 841-3636
Fax
(785) 505-5210
NPI assigned
Mar 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2020

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 0436590 KS
Internal Medicine Physician 207R00000X 4301087866 MI
Student in an Organized Health Care Education/Training Program 390200000X 4301087866 MI
Cardiovascular Disease Physician 207RC0000X 0436590 KS Primary

Addresses

Primary practice location

1130 W 4TH St
Suite 2050
Lawrence, KS 66044-1328

Mailing address

1130 W 4TH St
Suite 2050
Lawrence, KS 66044-1328
Phone (785) 841-3636

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address elizabeth.guastello@direct.lmh.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20131016000397 KS Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 6901959915 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Missouri, Kansas City, School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lawrence Physicians LLCGroup PAC ID 1951623834, 223 clinicians

Practice addresses (Care Compare)

1130 W 4TH St
2050 Cardiovascular Specialists of Lawrence
Lawrence, KS 66044-1333
Phone (785) 841-3636

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.1 of 100Reported as group
Quality
79.76
Promoting interoperability
99
Improvement activities
40
Cost
78.08

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301087866MIMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Lawrence Physicians LLC CurrentSince Jan 1, 2015 Accepting new patients
Lawrence Physicians LLC Cardiovascular Disease CurrentSince Jan 1, 2015 Accepting new patients
Lawrence Physicians LLC Current Accepting new patients
The Internal Medicine Group PA Internal Medicine Past Accepting new patients

Locations

1130 W 4th St
Ste 2050
Lawrence, KS 66044
Phone (785) 505-3636

325 Maine St
Lawrence, KS 66044
Phone (785) 505-2988

410 Woodfield Dr
Tonganoxie, KS 66086
Phone (785) 505-5400

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 3

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": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1982721684",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1130 W 4TH ST",
            "address_2": "SUITE 2050",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441328",
            "telephone_number": "785-841-3636",
            "fax_number": "785-505-5210"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1130 W 4TH ST",
            "address_2": "SUITE 2050",
            "city": "LAWRENCE",
            "state": "KS",
            "postal_code": "660441328",
            "telephone_number": "785-841-3636",
            "fax_number": "785-505-5210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUASTELLO",
        "first_name": "ELIZABETH",
        "middle_name": "MARIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "0436590",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301087866",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "MI",
            "license": "4301087866",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "KS",
            "license": "0436590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "elizabeth.guastello@direct.lmh.org",
            "affiliation": "N",
            "endpointDescription": "Direct Email Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCDA",
            "address_1": "1130 W 4th St",
            "address_2": "Suite 2050",
            "city": "Lawrence",
            "state": "KS",
            "country_code": "US",
            "postal_code": "660441328",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lawrence, KS

Sources for this page

Verify at the official NPI Registry.