Active NPI
Gordon Guanxiong Mao, MD
- Neurological Surgery Physician
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 01085850A
- Practice address
- 355 W. 16TH Street
Goodman Hall Suite 5100
Indianapolis, IN 46202 - Phone
- (317) 963-1300
- NPI assigned
- Jul 23, 2013
- Last updated
- Feb 17, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 01085850B | IN | |
| Neurological Surgery Physician | 207T00000X | MT2050 | PA | |
| Neurological Surgery Physician | 207T00000X | 01085850A | IN | Primary |
Addresses
Primary practice location
355 W. 16TH Street
Goodman Hall Suite 5100
Indianapolis, IN 46202
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other practice location 1
212 Tanglewood Dr
Richmond, CA 94806-5814
Phone (510) 280-4045
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MT2050 | Other | LICENES |
Other names 1
- Dr. Guanxiong Mao
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | gmao@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Other, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.05 of 100
- Quality
- 72.1
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 195 |
| Laminectomy or laminotomy (partial removal of spine bones) | 49 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01085850A | IN | MD | Neurological Surgery Physician |
| 01085850B | IN | MD | Neurological Surgery Physician |
| MT2050 | PA | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University Family Physicians, Inc. | Current | Accepting new patients | |
| Iu Health Medical Group, LLC | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Johns Hopkins University | Neurological Surgery | Current | Accepting new patients |
| University Family Physicians, Inc. | Current | Accepting new patients | |
| Johns Hopkins University | Current | Accepting new patients | |
| Major Hospital | Past | Accepting new patients | |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
7216 Solutions Ctr
Chicago, IL 60677
1520 N Senate Ave
Indianapolis, IN 46202
Phone (317) 962-0857
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
355 W 16th St
Ste 5100
Indianapolis, IN 46202
Phone (317) 963-8145
362 W 15th St
Ste 5100
Indianapolis, IN 46202
600 N Wolfe St
Baltimore, MD 21287
600 N Wolfe St
#7113
Baltimore, MD 21287
Phone (410) 955-4424
Interoperability endpoints
- gmao@direct.iuhealth.org
- gmao89173@direct.eskenazihealth.edu
Organizations & group practices 8
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.
-
- General Practice Physician
- Indianapolis, IN
- NPI 1326893777
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1043275787
-
dba Jhu - Anesthesia Pain MGMT
- Pain Medicine (Anesthesiology) Physician
- Baltimore, MD
- NPI 1922008549
-
- Durable Medical Equipment & Medical Supplies
- Indianapolis, IN
- NPI 1669828042
-
dba JHU - 4692 Millennium Drive - Physician
- Ophthalmology Physician
- Belcamp, MD
- NPI 1376342774
-
dba Jhu - Neurosurgery
- Neurological Surgery Physician
- Bethesda, MD
- NPI 1578569240
-
- General Acute Care Hospital
- Shelbyville, IN
- NPI 1174555692
-
dba Frederick Health Hospital
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Indiana University Health
- General Acute Care Hospital
- Indianapolis, IN
- NPI 1144266024
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1645056000000",
"number": "1063854651",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "355 W. 16TH STREET",
"address_2": "GOODMAN HALL SUITE 5100",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "46202",
"telephone_number": "317-963-1300"
}
],
"practiceLocations": [
{
"address_1": "212 Tanglewood Dr",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "CA",
"postal_code": "948065814",
"country_code": "US",
"telephone_number": "510-280-4045",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MAO",
"first_name": "GORDON",
"middle_name": "GUANXIONG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-23",
"last_updated": "2022-02-17",
"certification_date": "2022-02-17",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IN",
"license": "01085850B",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "PA",
"license": "MT2050",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IN",
"license": "01085850A",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENES",
"identifier": "MT2050",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "gmao@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "355 W. 16th Street",
"address_2": "Goodman Hall Suite 5100",
"city": "Indianapolis",
"state": "IN",
"country_code": "US",
"postal_code": "46202",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "GUANXIONG",
"last_name": "MAO",
"prefix": "DR.",
"credential": "MD",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.