DR. MICHELLE GUEVARRA PENA MD NPI 1588628911

NPI Information

  • NPI: 1588628911
  • Provider Name: DR. MICHELLE GUEVARRA PENA, MD
  • Classification: Ophthalmology - 207W00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • CLIA Number: 33D2105021
  • Address: 14A JAYNE AVENUE
    PATCHOGUE, NY
    ZIP 11772
  • Phone: (631) 475-0222

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NPI Details

DR. Michelle Guevarra Pena, MD is an ophthalmology in Patchogue, NY with 30 years of experience. The provider is an ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. DR. Michelle Guevarra Pena, MD NPI is 1588628911. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

14A JAYNE AVENUE
PATCHOGUE, NY
ZIP 11772
Phone: (631) 475-0222
Fax: (631) 475-4586

The NPI 1588628911 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The CLIA number assigned to this NPI record is 33D2105021 - physician office with a certificate type of Certificate of Waiver.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Established patient problem focused exam of visual system (HCPCS:92012)
  • Exam of visual field with extended testing (HCPCS:92083)
  • Microfluid analysis of tears (HCPCS:83861)
  • Imaging of optic nerve (HCPCS:92133)
  • Analysis of substance using immunoassay technique, multiple step method (HCPCS:83516)
  • Injection, aflibercept, 1 mg (HCPCS:J0178)
  • Imaging of retina (HCPCS:92134)
  • Established patient complete exam of visual system (HCPCS:92014)
  • Laser repair to improve eye fluid flow (HCPCS:65855)
  • Injection of drug into eye (HCPCS:67028)
  • Exam of the internal drainage system of eye (HCPCS:92020)
  • Ultrasound scan to determine eye length and lens power (HCPCS:76519)
  • New patient complete exam of visual system (HCPCS:92004)
  • Photography of the retina (HCPCS:92250)
  • Exam of retinal blood vessels using a special camera after injection of a dye (HCPCS:92235)
  • Removal of cataract with insertion of prosthetic lens (HCPCS:66984)
  • Extracapsular removal of cataract with insertion of artificial lens and insertion of drainage device in front chamber of eye (HCPCS:66991)
  • Cataract surgery (HCPCS:NAN11)

The enumeration date for this NPI number is 4/13/2006 and was last updated on 12/30/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207W00000XOphthalmology2095111NEW YORKYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
102315391MEDICAIDNEW YORK
20498205OTHERGHI PPO
32087772OTHERFIRST HEALTH
43C3882OTHERHEALTNET
53080739OTHERAETNA US HEALTHCARE HMO
63818002003OTHERCIGNA
7AA72021OTHERMDNY
81800045562OTHERRR RETIREMENT MEDICARE
92095115WOTHERNEW YORKWORKERS COMP
10P2807516OTHEROXFORD
117121410OTHERAETNA US HEALTHCARE PPO
12113660574OTHERMAGNACARE
132095111OTHERHIP
14000000082260OTHERGHI HMO
15113660574OTHERMULTIPLAN
16180045562OTHERRR RETIREMENT MEDICARE
17430A71OTHEREMPIRE BLUE CROSS BLUE SH

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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