DR. GUSTAVO BARRAZA MD
NPI 1396437224
General Practice in New York, NY

Active since May 19, 2023PECOS EnrolledAccepts Medicare Assignment
1275 YORK AVE, NEW YORK, NY 10065(347) 798-9213 Get Directions Write a Review

NPPES record last updated: July 13, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jul 13, 2024, May 19, 2023 (2 updates tracked since 2023).

About Dr. Gustavo Barraza Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GUSTAVO BARRAZA MD (NPI 1396437224) is an individual general practice provider in New York, New York, licensed in New York (60-P121345-01) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, is affiliated with Hackensack University Medical Center, and is a graduate of Other (2014).

NPPES Registry Identity

NPI1396437224
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameDR. GUSTAVO BARRAZACredential: MD
Location Address1275 YORK AVENew York, NY 10065-6007
Mailing Address250 E 77th St Apt 2dNew York, NY 10075-2199 · (914) 885-6767
Sole ProprietorYes
Medical School CMSOtherGraduated 2014
Enumeration DateMay 19, 2023
Last NPPES UpdateJuly 13, 20242 updates tracked since enumeration
NPPES CertifiedJuly 13, 2024
NPI 1396437224 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in NY · 60-P121345-01
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
1275 YORK AVE, New York, NY 10065

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Dr. Gustavo Barraza Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2567979594
PECOS Enrollment IDI20250725000994
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hackensack University Medical Center

Acute Care Hospitals · Hackensack, NJ
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310001
Location30 Prospect AveHackensack, NJ 07601 · Bergen County
Emergency services Birthing friendly

Riverview Medical Center

Acute Care Hospitals · Red Bank, NJ
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number310034
LocationOne Riverview PlazaRed Bank, NJ 07701 · Monmouth County
Emergency services Birthing friendly

St Francis Hospital - The Heart Center

Acute Care Hospitals · Roslyn, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number330182
Location100 Port Washington BoulevardRoslyn, NY 11576 · Nassau County
Emergency services

Long Island Jewish Medical Center

Acute Care Hospitals · New Hyde Park, NY
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330195
Location270 - 05 76th AvenueNew Hyde Park, NY 11040 · Nassau County
Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Acute Care)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Pediatrics)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Internal Medicine (Hematology & Oncology)
1275 YORK AVE
NEW YORK, NY 10065
Nurse Practitioner (Adult Health)
1275 YORK AVE
NEW YORK, NY 10065
Special Hospital
1275 YORK AVE, MEMORIAL SLOAN KETTERING CANCER CENTRE
NEW YORK, NY 10065

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Gustavo Barraza's NPI number?

The NPI number for Gustavo Barraza is 1396437224. It was assigned to this individual provider in the NPPES registry on May 19, 2023.

Where is Gustavo Barraza located?

Gustavo Barraza practices at 1275 York Ave, New York, NY 10065. The listed phone number is (347) 798-9213.

What is Gustavo Barraza's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Gustavo Barraza enrolled in Medicare?

Yes. Gustavo Barraza is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Gustavo Barraza affiliated with any hospitals?

According to CMS data, Gustavo Barraza is affiliated with Hackensack University Medical Center, Riverview Medical Center, St Francis Hospital - The Heart Center and Long Island Jewish Medical Center.

When was this NPI record last updated?

The NPPES record for Gustavo Barraza was last updated on July 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.