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

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

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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