Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Gustavo Barraza, MD

Individual provider General Practice Physician · NPI 1396437224

Dr. Gustavo Barraza, MD is a Diagnostic Radiology in New York, New York. Qualified in 2014, 12 years ago. Practices with MSKCC Radiology Group, a 195-clinician group and accepts Medicare assignment. Licensed in New York.

Years since qualifying
12
Licensed in
NY
In the registry since
2023
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1275 York Ave
New York, NY 10065-6007
Phone: (347) 798-9213
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 60-P121345-01 (NY)

Record details

NPI number1396437224
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedMay 19, 2023
Last updated in NPPESJuly 13, 2024
Certification dateJuly 13, 2024
Mailing address250 E 77th St Apt 2d, New York, NY 10075-2199

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Also practisesNUCLEAR MEDICINE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Mskcc Radiology Group — 195 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations10 on file with Medicare

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