Individual provider Active NPI

Xiaoying Guo Hensel, M.D.

  • Internal Medicine Physician
  • Wilmette, IL
National Provider Identifier
1063411346
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036098890 Issued in IL
Practice address
1515 Sheridan Rd Ste 31a
Wilmette, IL 60091
Phone
(847) 920-2200
Fax
(847) 920-2201
NPI assigned
Jul 19, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036098890 IL Primary

Addresses

Primary practice location

1515 Sheridan Rd Ste 31a
Wilmette, IL 60091

Mailing address

1515 Sheridan Rd Ste 31a
Wilmette, IL 60091-1828
Phone (847) 920-2200

Other practice location 1

310 Happ Rd
Ste 207
Northfield, IL 60093-3455
Phone (847) 784-5200

Other identifiers 5

IdentifierTypeStateIssuer
1627087OtherILBLUECROSS/BLUESHIELD
110214961OtherPALMETTO GBA (RAILROADMED
336059176OtherILIL SUBSTANCE LICENSE
036098890MedicaidIL
036098890OtherILIL STATE LICENSE

Other names 1

  • Dr. Xiaoying Guo Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address yhensel13826@direct.northshore.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20100128000781 IL Practitioner - Internal Medicine 5890837843 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Endeavor Health Medical GroupGroup PAC ID 2163334699, 3,330 clinicians
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

1515 Sheridan Rd
Wilmette, IL 60091-1822
Phone (847) 920-2200

2600 Compass Rd
Glenview, IL 60026-8001

2650 Ridge Ave
Evanston, IL 60201-1700

9600 Gross Point Rd
Skokie, IL 60076-1214

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036098890ILMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Endeavor Health Medical Group Internal Medicine CurrentSince Jun 1, 2013 Accepting new patients
Endeavor Health Medical Group CurrentSince Jun 1, 2013 Accepting new patients
Green Bay Medical Center LLC Internal Medicine Past Accepting new patients
Wyse Eyecare SC Past Accepting new patients

Locations

9532 Eagle Way
Chicago, IL 60678

49 S Waukegan Rd
Ste 200
Deerfield, IL 60015
Phone (847) 945-4575

2650 Ridge Ave
#1223
Evanston, IL 60201
Phone (847) 982-3172

2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222

2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206

2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175

355 Ridge Ave
Evanston, IL 60202
Phone (847) 316-2329

777 Park Ave W
Highland Park, IL 60035
Phone (847) 480-3744

310 Happ Rd
Ste 207
Northfield, IL 60093
Phone (847) 446-4370

9650 Gross Point Rd
Ste 1900
Skokie, IL 60076
Phone (224) 251-2020

9650 Gross Point Rd
Skokie, IL 60076
Phone (224) 251-1160

1515 Sheridan Rd
Ste 31A
Wilmette, IL 60091
Phone (847) 920-2200

Interoperability endpoints

  • Direct secure messaging: yhensel13826@direct.northshore.org

Organizations & group practices 5

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

Hospital & facility affiliations 4

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": "1121731200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678147200000",
    "number": "1063411346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 SHERIDAN RD STE 31A",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "600911828",
            "telephone_number": "847-920-2200",
            "fax_number": "847-920-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 SHERIDAN RD STE 31A",
            "city": "WILMETTE",
            "state": "IL",
            "postal_code": "60091",
            "telephone_number": "847-920-2200",
            "fax_number": "847-920-2201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "310 Happ Rd",
            "address_2": "Ste 207",
            "address_purpose": "LOCATION",
            "city": "Northfield",
            "state": "IL",
            "postal_code": "600933455",
            "country_code": "US",
            "telephone_number": "847-784-5200",
            "fax_number": "847-784-5201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HENSEL",
        "first_name": "XIAOYING",
        "middle_name": "GUO",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-19",
        "last_updated": "2023-03-07",
        "certification_date": "2020-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036098890",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS/BLUESHIELD",
            "identifier": "1627087",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO GBA (RAILROADMED",
            "identifier": "110214961",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL SUBSTANCE LICENSE",
            "identifier": "336059176",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036098890",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL STATE LICENSE",
            "identifier": "036098890",
            "state": "IL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "yhensel13826@direct.northshore.org",
            "affiliation": "N",
            "address_1": "1515 Sheridan Rd Ste 31A",
            "city": "Wilmette",
            "state": "IL",
            "country_code": "US",
            "postal_code": "60091",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "XIAOYING",
            "last_name": "GUO",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Wilmette, IL

Sources for this page

Verify at the official NPI Registry.