DR. GUILLERMO J COUCHONNAL MD
NPI 1346223518
Internal Medicine - Infectious Disease in Kansas City, MO
NPI Status: Active since November 22, 2005
Contact Information
1010 CARONDELET DR
SUITE 329
KANSAS CITY, MO
ZIP 64114
Phone: (816) 942-4755
Fax: (816) 942-1581
- Individual
- Male
- Internal Medicine
- Infectious Disease
- PECOS Enrolled
- Medicare Quality Reporting
About GUILLERMO COUCHONNAL
This page provides the complete NPI Profile along with additional information for Guillermo Couchonnal, an internist established in Kansas City, Missouri with a medical specialization in Internal Medicine, focusing in infectious disease . The healthcare provider is registered in the NPI registry with number 1346223518 assigned on November 2005. The practitioner's primary taxonomy code is 207RI0200X with license number R9579 (MO). The provider is registered as an individual and his NPI record was last updated 18 years ago.
- NPI
- 1346223518
- Provider Name
- DR. GUILLERMO J COUCHONNAL MD
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 1010 CARONDELET DR SUITE 329 KANSAS CITY, MO 64114
- Location Phone
- (816) 942-4755
- Location Fax
- (816) 942-1581
- Mailing Address
- 1010 CARONDELET DR SUITE 329 KANSAS CITY, MO 64114
- Mailing Phone
- (816) 942-4755
- Mailing Fax
- (816) 942-1581
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-22-2005
- Last Update Date
- 07-08-2007
- Code Navigator
An internist like Guillermo Couchonnal is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Internal Medicine Infectious Disease
- Taxonomy Code
- 207RI0200X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- R9579
- License State
- MO
- Taxonomy Description
- An internist who deals with infectious diseases of all types and in all organ systems. Conditions requiring selective use of antibiotics call for this special skill. This physician often diagnoses and treats AIDS patients and patients with fevers which have not been explained. Infectious disease specialists may also have expertise in preventive medicine and travel medicine.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
---|---|---|---|---|
1 | 207RI0200X | Allopathic & Osteopathic Physicians | Internal Medicine | 0417557 (KS) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
Identifier | Type / Code | Identifier State | Identifier Issuer |
---|---|---|---|
C51658 | MEDICARE UPIN (02) | ||
0004282A | MEDICARE ID-TYPE UNSPECIFIED (04) | MO | |
0004282B | MEDICARE ID-TYPE UNSPECIFIED (04) | KS |
Medicare Participation & PECOS Enrollment Status
Guillermo Couchonnal is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 64114 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $127.61
- Minimum New Patient Price $55.29
- Maximum New Patient Price $168.52
- Average New Patient Copayment $31.9
- Minimum New Patient Copayment $13.82
- Maximum New Patient Copayment $42.13
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $97.82
- Minimum Established Patient Price $17.6
- Maximum Established Patient Price $137.2
- Average Established Patient Copayment $24.45
- Minimum Established Patient Copayment $4.4
- Maximum Established Patient Copayment $34.3
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Quality Reporting
The provider participated in CMS Quality Payment Program. The Quality Payment Program aims to improve population health, reduce costs and improve the care received by Medicare beneficiaries. The following quality measures meet Medicare's statistical reporting standards. Not all providers report the same information, because not all providers give the same services to patients. The quality information is just a snapshot of some the care providers give to their patients. Reporting more or less information is not a reflection of quality.
Quality Measure | Performance | Number of Patients |
---|---|---|
Engagement of New Medicaid Patients and Follow-up | Yes | N/A |
Seeing new and follow-up Medicaid patients in a timely manner, including individuals dually eligible for Medicaid and Medicare. A timely manner is defined as within 10 business days for this activity. | ||
Engagement of Patients, Family, and Caregivers in Developing a Plan of Care | Yes | N/A |
Engage patients, family, and caregivers in developing a plan of care and prioritizing their goals for action, documented in the electronic health record (EHR) technology. | ||
Implementation of episodic care management practice improvements | Yes | N/A |
Provide episodic care management, including management across transitions and referrals that could include one or more of the following: Routine and timely follow-up to hospitalizations, ED visits and stays in other institutional settings, including symptom and disease management, and medication reconciliation and management; and/or Managing care intensively through new diagnoses, injuries and exacerbations of illness. |
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
1 | 3 | 4 | 6 | 2 | 2 | 3 | 5 | 1 | 8 |
Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
2 | 3 | 8 | 6 | 4 | 2 | 6 | 5 | 2 | |
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
2 + 3 + 8 + 6 + 4 + 2 + 6 + 5 + 2 + 24 = 62 | |||||||||
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
70 - 62 = 8 | 8 |
The NPI number 1346223518 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
NPI | Name / Type | Taxonomy | Address |
---|---|---|---|
1457355331 | RONALD A HIGGINS M.D. Individual | Specialist | 1010 CARONDELET DR STE 125 KANSAS CITY, MO 64114 (816) 942-1150 |
1972583144 | DR. STEVEN HENRY BEHRENDS M.D. Individual | Surgery | 1010 CARONDELET DR SUITE 321 KANSAS CITY, MO 64114 (816) 942-6313 |
1417929241 | ROBERT CORMAN FLETCHER M.D. Individual | Ophthalmology | 1010 CARONDELET DR SUITE 340 KANSAS CITY, MO 64114 (816) 531-0400 |
1538136536 | DR. KAREN R CORNWELL M.D. Individual | Obstetrics & Gynecology | 1010 CARONDELET DR STE 328 KANSAS CITY, MO 64114 (816) 941-0700 |
1417924416 | ASSOCIATES IN OBSTETRICS & GYNECOLOGY LIMITED PC Organization | Obstetrics & Gynecology | 1010 CARONDELET DR STE 328 KANSAS CITY, MO 64114 (816) 941-0700 |
1386612075 | DR. BARBARA A BATTS M.D. Individual | Obstetrics & Gynecology | 1010 CARONDELET DR STE 328 KANSAS CITY, MO 64114 (816) 941-0700 |
1881658771 | MAHMOUD WAHBA MD Individual | Psychiatry & Neurology (Psychiatry) | 1010 CARONDELET DR SUITE 405 KANSAS CITY, MO 64114 (816) 941-0145 |
1578520748 | CHRISTINE AUSTIN-VOLMER Individual | Counselor (Professional) | 1010 CARONDELET DR SUITE 412 KANSAS CITY, MO 64114 (816) 616-2891 |
1679528673 | PAUL DEW D.O. Individual | Preventive Medicine (Preventive Medicine/Occupational Environmental Medicine) | 1010 CARONDELET DR STE 220 KANSAS CITY, MO 64114 (816) 941-1600 |
1134174410 | GEORGE KOLO D.O. Individual | Family Medicine | 1010 CARONDELET DR SUITE # 220 KANSAS CITY, MO 64114 (816) 941-1600 |
1528013554 | CAROL KIRILA D.O. Individual | Internal Medicine | 1010 CARONDELET DR STE 220 KANSAS CITY, MO 64114 (816) 941-1600 |
1528006392 | WILLIAM JOSHUA COX D.O. Individual | Family Medicine | 1010 CARONDELET DR STE 220 KANSAS CITY, MO 64114 (816) 941-1600 |
1457399974 | GWENDOLYN D BURKE LCSW, LSCSW Individual | Social Worker (Clinical) | 1010 CARONDELET DR SUITE 412 KANSAS CITY, MO 64114 (816) 210-4982 |
1376582577 | GARY MICHAEL JOHNSTON D.O. Individual | Internal Medicine | 1010 CARONDELET DR STE 220 KANSAS CITY, MO 64114 (816) 941-1600 |
1215976972 | KEVIN TREFFER D.O. Individual | Family Medicine | 1010 CARONDELET DR SUITE #220 KANSAS CITY, MO 64114 (816) 941-1600 |
1013956788 | RANCE MCCLAIN D.O. Individual | Family Medicine | 1010 CARONDELET DR SUITE #220 KANSAS CITY, MO 64114 (816) 941-1600 |
1972542660 | RICHARD OGDEN SR. D.O. Individual | Family Medicine | 1010 CARONDELET DR SUITE #220 KANSAS CITY, MO 64114 (816) 941-1600 |
1215968433 | DR. JOSEPH RALPH BARNTHOUSE M.D. Individual | Specialist | 1010 CARONDELET DR SUITE 401 KANSAS CITY, MO 64114 (816) 943-8004 |
1487670568 | THOMAS C BLACK PC Organization | Ophthalmology | 1010 CARONDELET DR SUITE 103 KANSAS CITY, MO 64114 (816) 942-8008 |
1689691180 | DR. THOMAS C BLACK MD Individual | Ophthalmology | 1010 CARONDELET DR SUITE 103 KANSAS CITY, MO 64114 (816) 942-8008 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1346223518, enumerated in the NPI registry as an "individual" on November 22, 2005
The provider is located at 1010 Carondelet Dr Suite 329 Kansas City, Mo 64114 and the phone number is (816) 942-4755
The provider's speciality is Internal Medicine with taxonomy code 207RI0200X with a focus in Infectious Disease
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
Medicare beneficiaries should expect a typical cost of $127.61 with an average copayment of $31.9 for new patient appointments. Established patients should expect a typical charge of $97.82 and an average copayment of 24.45. Please review your insurance plan or contact the provider directly to determine your specific costs.
This NPI record was last updated on November 22, 2005. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.