STANLEY GUILLAUME MD,MPH
NPI 1508257833
Physical Medicine & Rehabilitation - Sports Medicine in New York, NY

Active since February 09, 2015PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
525 E 68TH ST # F-1600, NEW YORK, NY 10065(212) 746-1500(212) 746-8303 Get Directions Write a Review

NPPES record last updated: October 25, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Oct 25, 2023, Feb 22, 2023, Jun 13, 2019 (3 updates tracked since 2019).

About Stanley Guillaume Md,mph NPPES

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

STANLEY GUILLAUME MD,MPH (NPI 1508257833) is an individual sports medicine provider in New York, New York, licensed in New York (314992) and active in the NPI registry since February 2015. He is enrolled in Medicare PECOS, is affiliated with New York-presbyterian Hospital, and is a graduate of Johns Hopkins University School Of Medicine (2018).

NPPES Registry Identity

NPI1508257833
Entity TypeIndividualMale
Primary Taxonomy2081S0010X
Provider Legal NameSTANLEY GUILLAUMECredential: MD,MPH
Location Address525 E 68TH ST # F-1600New York, NY 10065-4870
Mailing Address525 E 68th St # F-1600New York, NY 10065-4870 · (212) 746-1500 · Fax (212) 746-8303
Fax(212) 746-8303
Sole ProprietorNo
Medical School CMSJohns Hopkins University School Of MedicineGraduated 2018
Enumeration DateFebruary 9, 2015
Last NPPES UpdateOctober 25, 20233 updates tracked since enumeration
NPPES CertifiedOctober 25, 2023
NPI 1508257833 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyPhysical Medicine & Rehabilitation · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2081S0010X
License Licensed in NY · 314992
Definition

A physician who specializes in Sports Medicine is responsible for continuous care related to the enhancement of health and fitness as well as the prevention of injury and illness. The specialist possesses knowledge and experience in the promotion of wellness and the prevention of injury from many areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation and injuries. It is the goal of a Sports Medicine specialist to improve the healthcare of the individual engaged in physical exercise.

Also ListedPhysical Medicine & RehabilitationTaxonomy 208100000X · License 125.073453 (IL)
525 E 68TH ST # F-1600, 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

Stanley Guillaume Md,mph 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 ID4486903887
PECOS Enrollment IDI20231010003231
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.

Areas of Expertise CMS Part B claims 7

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
186 services99 patients
Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
163 services34 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
76 services76 patients
Aspiration and/or injection of fluid large joint using ultrasound guidance 20611
This procedure involves using ultrasound technology to accurately locate a large joint, usually the knee or shoulder. A needle is then inserted to either extract fluid (aspiration) or inject medication. The ultrasound helps ensure precision and safety.
52 services28 patients
Subsequent hospital care with straightforward or low level of medical decision making, per day, if using time, at least 25 minutes 99231
Follow-up hospital inpatient care is a daily service where a healthcare professional checks on your health progress during your hospital stay. Each session typically lasts 15 minutes, involving updates on your condition and adjustments to your treatment plan, if necessary.
40 services22 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
22 services18 patients

Hospital Affiliations CMS Care Compare 2

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

New York-Presbyterian Hospital

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330101
Location525 East 68th StreetNew York, NY 10065 · New York County
Emergency services Birthing friendly

Hospital For Special Surgery

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330270
Location535 East 70th StreetNew York, NY 10021 · New York County
Emergency services

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.8
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 10

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

Nurse Practitioner (Family)
525 E 68TH ST # F-1600
NEW YORK, NY 10065
Physical Medicine & Rehabilitation (Pain Medicine)
525 E 68TH ST # F-1600
NEW YORK, NY 10065
Physical Medicine & Rehabilitation
525 E 68TH ST # F-1600
NEW YORK, NY 10065
Physical Medicine & Rehabilitation
525 E 68TH ST # F-1600
NEW YORK, NY 10065
Physical Medicine & Rehabilitation
525 E 68TH ST # F-1600
NEW YORK, NY 10065
Physical Medicine & Rehabilitation (Brain Injury Medicine)
525 E 68TH ST # F-1600
NEW YORK, NY 10065
Physical Medicine & Rehabilitation (Sports Medicine)
525 E 68TH ST # F-1600
NEW YORK, NY 10065
Physical Medicine & Rehabilitation (Pain Medicine)
525 E 68TH ST # F-1600
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 Stanley Guillaume's NPI number?

The NPI number for Stanley Guillaume is 1508257833. It was assigned to this individual provider in the NPPES registry on February 9, 2015.

Where is Stanley Guillaume located?

Stanley Guillaume practices at 525 E 68th St # F-1600, New York, NY 10065. The listed phone number is (212) 746-1500.

What is Stanley Guillaume's specialty?

The primary specialty registered for this NPI is Physical Medicine & Rehabilitation, specializing in Sports Medicine, with taxonomy code 2081S0010X.

Is Stanley Guillaume enrolled in Medicare?

Yes. Stanley Guillaume 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 Stanley Guillaume affiliated with any hospitals?

According to CMS data, Stanley Guillaume is affiliated with New York-Presbyterian Hospital and Hospital For Special Surgery.

When was this NPI record last updated?

The NPPES record for Stanley Guillaume was last updated on October 25, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.