Individual provider Active NPI

Songchuan Guo, M.D.

  • Hematology & Oncology Physician
  • Brooklyn, NY
National Provider Identifier
1013214535
Registry record updated Sep 25, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
272302 Issued in NY
Practice address
757 60TH St FL 5
Brooklyn, NY 11220-4209
Phone
(718) 439-3250
Fax
(718) 492-4575
NPI assigned
Feb 18, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 25, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RH0003X 272302 NY Primary

Addresses

Primary practice location

757 60TH St FL 5
Brooklyn, NY 11220-4209

Mailing address

757 60TH St FL 5
Brooklyn, NY 11220-4209
Phone (718) 439-3250

Other identifiers 1

IdentifierTypeStateIssuer
04056093MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160818001442 NY Practitioner - Hematology/Oncology 2163742016 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Chinatown True Care Medical PLLCGroup PAC ID 2163859760, 245 clinicians

Practice addresses (Care Compare)

128 Mott St
Suite 309
New York, NY 10013-5575
Phone (718) 439-3250

168 Centre St
FL 2
New York, NY 10013-6501
Phone (646) 854-3622

4235 Main St
Flushing, NY 11355-3969

8686 Bay Pkwy
Suite M1
Brooklyn, NY 11214-5193
Phone (718) 372-0888

Merit-based Incentive Payment System (MIPS)

Final score
85.27 of 100Reported as individual
Quality
70.9
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
New York University Multi-Specialty CurrentSince Aug 1, 2016 Accepting new patients
New York University Multi-Specialty CurrentSince Aug 1, 2016 Accepting new patients
Chinatown True Care Medical PLLC Multi-Specialty CurrentSince Nov 23, 2022 Accepting new patients
Maimonides Medical Center Current Accepting new patients

Locations

757 60th St
Ste 5
Brooklyn, NY 11220
Phone (718) 238-8989

757 60th St
Ste 1
Brooklyn, NY 11220
Phone (718) 567-8899

757 60th St
Ste 4
Brooklyn, NY 11220
Phone (718) 717-8788

13527 38th Ave
Fl 2
Flushing, NY 11354
Phone (718) 362-6966

4235 Main St
Ste 3E
Flushing, NY 11355
Phone (718) 886-5068

128 Mott St
Ste 309
New York, NY 10013
Phone (646) 941-1688

14 Wall St
Fl 9
Wall Street, NY 10005
Phone (646) 501-3224

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

Interoperability endpoints

  • Direct secure messaging: sguo78825@nyumc.direct-ci.com
  • Direct secure messaging: songchuanguo@mai.allscriptsdirect.net

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1297987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537833600000",
    "number": "1013214535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 60TH ST FL 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204209",
            "telephone_number": "718-439-3250",
            "fax_number": "718-492-4575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 60TH ST FL 5",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112204209",
            "telephone_number": "718-439-3250",
            "fax_number": "718-492-4575"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUO",
        "first_name": "SONGCHUAN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-02-18",
        "last_updated": "2018-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "NY",
            "license": "272302",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04056093",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.