Individual provider Active NPI

Chao Guo, MD

  • Internal Medicine Physician
  • Stamford, CT
National Provider Identifier
1043606486
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
286545 Issued in MA
Practice address
30 Shelburne Rd
Dept of Medicine
Stamford, CT 06902
Phone
(203) 276-7147
Fax
(203) 276-7368
NPI assigned
Apr 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 25MA10656300 NJ
Internal Medicine Physician 207R00000X ME135339 FL
Hospitalist Physician 208M00000X 036158670 IL
Internal Medicine Physician 207R00000X 286545 MA Primary

Addresses

Primary practice location

30 Shelburne Rd
Dept of Medicine
Stamford, CT 06902

Mailing address

PO Box 415348 Dept of Medicine
Boston, MA 02241-5348
Phone (800) 225-8885

Other practice location 1

100 McGregor St
Manchester, NH 03102-3730
Phone (603) 663-5310

Other practice location 2

55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-8515

Other practice location 3

119 Belmont St
Worcester, MA 01605-2903
Phone (508) 334-8515

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cmcnh@gohnh.allscriptsdirect.net

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NJ, NY, MA, IL, KY, TN6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20190820000293 NJ Practitioner - Internal Medicine 8628328960 Reassigns benefits to 2 organizations
I20210324003077 NY Practitioner - Internal Medicine 8628328960 Reassigns benefits to 1 organization
I20210713002783 MA Practitioner - Internal Medicine 8628328960 Reassigns benefits to 1 organization
I20211109000315 IL Practitioner - HospitalistPractitioner - Internal Medicine 8628328960
I20231031001392 KY Practitioner - Internal Medicine 8628328960 Reassigns benefits to 2 organizations
I20240523001396 TN Practitioner - Internal Medicine 8628328960 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Canton-Potsdam HospitalGroup PAC ID 6204827280, 243 clinicians
Hospital Medicine Services of Tennessee PCGroup PAC ID 9234432881, 157 clinicians
NJ Acute Care Specialists Professional CorporationGroup PAC ID 3678742269, 55 clinicians

Practice addresses (Care Compare)

2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-4000

50 Leroy St
Potsdam, NY 13676-1786
Phone (315) 265-3300

742 Middle Creek Rd
Sevierville, TN 37862-5019
Phone (865) 446-7000

901 W Main St
Freehold, NJ 07728-2537
Phone (973) 831-5000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hospitalist Physicians of New Jersey PA Internal Medicine CurrentSince Aug 1, 2020 Accepting new patients
NJ Acute Care Specialists Professional Corporation Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Kings Daughters Medical Specialties Inc Internal Medicine Current Accepting new patients
Kings Daughters Medical Specialties Inc Internal Medicine CurrentSince Oct 2, 2023 Accepting new patients
Southeastern Physician Services PC Internal Medicine CurrentSince Jan 1, 2024 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Oct 2, 2023 Accepting new patients
Hospital Medicine Services of Tennessee PC Internal Medicine CurrentSince Sep 26, 2024 Accepting new patients
Canton-Potsdam Hospital CurrentSince Jun 14, 2022 Accepting new patients
Hospitalist Physicians of Massachusetts PC Internal Medicine CurrentSince Mar 19, 2021 Accepting new patients
Canton-Potsdam Hospital CurrentSince Jun 14, 2022 Accepting new patients

Locations

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

989 Medical Park Dr
Maysville, KY 41056
Phone (606) 759-3112

123 Summer St
Worcester, MA 01608
Phone (508) 363-6000

65 James St
Edison, NJ 08820
Phone (732) 321-7010

901 W Main St
Freehold, NJ 07728
Phone (732) 294-2666

727 N Beers St
Holmdel, NJ 07733
Phone (732) 714-2700

97 W Parkway
Pompton Plns, NJ 07444
Phone (973) 831-5000

1140 Route 72 W
Stafford Township, NJ 08050
Phone (609) 978-2194

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

421 S Main St
Crossville, TN 38555
Phone (931) 260-1465

7565 Dannaher Dr
Powell, TN 37849
Phone (865) 545-8000

742 Middle Creek Rd
Sevierville, TN 37862
Phone (865) 429-6100

1201 Bishop St
Union City, TN 38261
Phone (423) 698-6061

Interoperability endpoints

  • Direct secure messaging: cguo515619@direct.ahsys.org
  • Direct secure messaging: cguo326533@ahs.direct-ci.com
  • Direct secure messaging: cguo91520@direct.kdhealth.us
  • Direct secure messaging: cmcnh@gohnh.allscriptsdirect.net

Organizations & group practices 10

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1428883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1043606486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 415348 DEPT OF MEDICINE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022415348",
            "telephone_number": "800-225-8885",
            "fax_number": "508-334-1977"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 SHELBURNE RD",
            "address_2": "DEPT OF MEDICINE",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "06902",
            "telephone_number": "203-276-7147",
            "fax_number": "203-276-7368"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 McGregor St",
            "address_purpose": "LOCATION",
            "city": "Manchester",
            "state": "NH",
            "postal_code": "031023730",
            "country_code": "US",
            "telephone_number": "603-663-5310",
            "fax_number": "603-663-8015",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "55 Lake Ave N",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016550002",
            "country_code": "US",
            "telephone_number": "508-334-8515",
            "fax_number": "508-334-6490",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "119 Belmont St",
            "address_purpose": "LOCATION",
            "city": "Worcester",
            "state": "MA",
            "postal_code": "016052903",
            "country_code": "US",
            "telephone_number": "508-334-8515",
            "fax_number": "508-334-6490",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUO",
        "first_name": "CHAO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-04-13",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NJ",
            "license": "25MA10656300",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME135339",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "IL",
            "license": "036158670",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "286545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cmcnh@gohnh.allscriptsdirect.net",
            "affiliation": "N",
            "address_1": "100 McGregor St",
            "city": "Manchester",
            "state": "NH",
            "country_code": "US",
            "postal_code": "031023730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.