Individual provider Active NPI

Guangchen Zou, M.D.

  • Nephrology Physician
  • Saint Charles, MO
National Provider Identifier
1093378994
Registry record updated Aug 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2023033248 Issued in MO
Practice address
1820 Zumbehl Rd Ste 120
Saint Charles, MO 63303-2761
Phone
(314) 801-5350
Fax
(314) 801-5323
NPI assigned
Apr 16, 2019
Last updated
Aug 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 2023033248 MO Primary

Addresses

Primary practice location

1820 Zumbehl Rd Ste 120
Saint Charles, MO 63303-2761

Mailing address

1820 Zumbehl Rd Ste 1237
Saint Charles, MO 63303-2761
Phone (314) 801-5350

Other identifiers 1

IdentifierTypeStateIssuer
377602600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20240820001913 MO Practitioner - Nephrology 0446586598 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mercy Clinic Nephrology, LLCGroup PAC ID 8921327115, 10 clinicians

Practice addresses (Care Compare)

1820 Zumbehl Rd
Suite 120
Saint Charles, MO 63303-2761
Phone (314) 801-5350

615 S Ballas Rd
Admin 5TH Floor
St Louis, MO 63141-8221

615 S New Ballas Rd
Administration Building 5TH Floor
St Louis, MO 63141-8221

621 S New Ballas Rd
437A Mercy Clinic Nephrology Medical to
Saint Louis, MO 63141-8259
Phone (314) 251-6344

901 Patients 1St Dr
Suite 3300
Washington, MO 63090-4700
Phone (636) 231-6260

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Clinic Nephrology LLC Nephrology CurrentSince Jul 29, 2024 Accepting new patients

Locations

1820 Zumbehl Rd
Ste 120
Saint Charles, MO 63303
Phone (314) 801-5350

621 S New Ballas Rd
Ste 437A
Saint Louis, MO 63141
Phone (314) 251-3880

901 Patients First Dr
Washington, MO 63090
Phone (636) 239-7500

Interoperability endpoints

  • Direct secure messaging: gzou982488@direct.hopkinsmedicine.org

Organizations & group practices 1

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 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": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723593600000",
    "number": "1093378994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 ZUMBEHL RD STE 1237",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633032761",
            "telephone_number": "314-801-5350",
            "fax_number": "314-801-5323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 ZUMBEHL RD STE 120",
            "city": "SAINT CHARLES",
            "state": "MO",
            "postal_code": "633032761",
            "telephone_number": "314-801-5350",
            "fax_number": "314-801-5323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZOU",
        "first_name": "GUANGCHEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-16",
        "last_updated": "2024-08-14",
        "certification_date": "2024-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "MO",
            "license": "2023033248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "377602600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Charles, MO

Sources for this page

Verify at the official NPI Registry.