Individual provider Active NPI

Yifan Guo, M.D.

  • Plastic Surgery Physician
  • Norfolk, VA
National Provider Identifier
1033347141
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
LP01786 Issued in RI
Practice address
301 Riverview Ave Ste 400
Norfolk, VA 23510-1065
Phone
(757) 252-1700
NPI assigned
Jun 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2016-01989 NC
Surgery Physician 208600000X LP01786 RI
Plastic Surgery Physician 208200000X LP01786 RI Primary

Addresses

Primary practice location

301 Riverview Ave Ste 400
Norfolk, VA 23510-1065

Mailing address

PO Box 751069
Ecu Physicians
Charlotte, NC 28275-1069

Other practice location 1

517 Moye Blvd
Ecu Physicians Plastic Surgery
Greenville, NC 27834-2849
Phone (252) 744-5291

Other identifiers 2

IdentifierTypeStateIssuer
1033347141MedicaidNC
19LPQOtherNCBCBS OF NC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20210413002632 VA Practitioner - Plastic and Reconstructive Surgery 5294952362 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sentara Medical Group CurrentSince May 1, 2025 Accepting new patients
Children's Surgical Specialty Group, Inc CurrentSince Mar 1, 2021 Accepting new patients
Sentara Medical Group CurrentSince May 1, 2025 Accepting new patients

Locations

1933 Edwin Dr
Ste 104
Chesapeake, VA 23322
Phone (757) 252-5815

11783 Rock Landing Dr
Newport News, VA 23606
Phone (757) 668-6550

301 Riverview Ave
Ste 400
Norfolk, VA 23510
Phone (757) 252-1700

301 Riverview Ave
Ste 300
Norfolk, VA 23510
Phone (757) 668-4578

601 Childrens Ln
Norfolk, VA 23507
Phone (757) 668-7272

1924 Landstown Centre Way
Virginia Beach, VA 23456
Phone (757) 668-4673

2021 Concert Dr
Virginia Beach, VA 23456
Phone (757) 668-6550

6425 Richmond Rd
Williamsburg, VA 23188
Phone (757) 345-3242

Organizations & group practices 3

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": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1033347141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751069",
            "address_2": "ECU PHYSICIANS",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 RIVERVIEW AVE STE 400",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235101065",
            "telephone_number": "757-252-1700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "517 Moye Blvd",
            "address_2": "ECU PHYSICIANS PLASTIC SURGERY",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278342849",
            "country_code": "US",
            "telephone_number": "252-744-5291",
            "fax_number": "252-744-5778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUO",
        "first_name": "YIFAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-26",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2016-01989",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "RI",
            "license": "LP01786",
            "primary": false
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "RI",
            "license": "LP01786",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1033347141",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF NC",
            "identifier": "19LPQ",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.