NPIMap

Individual provider Active NPI

Junyan Gu, MD, PHD

  • Vascular Surgery Physician
  • Hagerstown, MD
National Provider Identifier
1144514340
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
D86714 Issued in MD
Practice address
11110 Medical Campus Rd Ste 125
Hagerstown, MD 21742-6799
Phone
(301) 714-4335
NPI assigned
Jun 6, 2011
Last updated
Aug 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X MD474306 PA
Vascular Surgery Physician 2086S0129X D86714 MD Primary

Addresses

Primary practice location

11110 Medical Campus Rd Ste 125
Hagerstown, MD 21742-6799

Mailing address

11110 Medical Campus Rd Ste 125
Hagerstown, MD 21742-6799
Phone (301) 714-4335

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, PA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210325000154 MD Practitioner - Vascular SurgeryPractitioner - General Surgery 7810216736 Reassigns benefits to 1 organization
I20210721003545 PA Practitioner - Vascular Surgery 7810216736 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Samer Saiedy MD PAGroup PAC ID 5698850956, 15 clinicians
Meritus Medical Center IncGroup PAC ID 7113811795, shared by 8 NPIs, 730 clinicians

Practice addresses (Care Compare)

110 Old Padonia Rd
Suite 101
Cockeysville, MD 21030-4944
Phone (410) 825-4530

1110 Professional CT
Suite 100
Hagerstown, MD 21740-5944
Phone (301) 714-4335

11110 Medical Campus Rd
Hagerstown, MD 21742-6700

11110 Medical Campus Rd
Suite 125
Hagerstown, MD 21742-6799
Phone (301) 714-4335

11116 Medical Campus Rd
Hagerstown, MD 21742-6710
Phone (301) 714-4335

121 Chambers Hill Dr
Chambersburg, PA 17201-7302
Phone (410) 825-4530

1500 Blenhiem Farm LN
Havre de Grace, MD 21078-2042
Phone (410) 942-1000

25 Monument Rd
Suite 105
York, PA 17403-5049
Phone (717) 741-9345

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)84
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D86714MDMDVascular Surgery Physician
MD474306PAMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samer Saiedy, MD PA CurrentSince Mar 1, 2021 Accepting new patients
Podiatry Associates, P.a. Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

110 Old Padonia Rd
Ste 201
Cockeysville, MD 21030
Phone (410) 825-4530

11110 Medical Campus Rd
Ste 125
Hagerstown, MD 21742
Phone (301) 714-4330

1500 Blenhiem Farm Ln
Hvre de Grace, MD 21078
Phone (410) 825-4530

1212 York Rd
Ste B201
Lutherville Timonium, MD 21093
Phone (410) 337-7755

121 Chambers Hill Dr
Chambersburg, PA 17201
Phone (410) 825-4530

25 Monument Rd
Ste 105
York, PA 17403
Phone (717) 741-9345

Interoperability endpoints

  • Direct secure messaging: junyan.gu.1@16925.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1307318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1144514340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 125",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426799",
            "telephone_number": "301-714-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11110 MEDICAL CAMPUS RD STE 125",
            "city": "HAGERSTOWN",
            "state": "MD",
            "postal_code": "217426799",
            "telephone_number": "301-714-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GU",
        "first_name": "JUNYAN",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-06",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "PA",
            "license": "MD474306",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "MD",
            "license": "D86714",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hagerstown, MD

Sources for this page

Verify at the official NPI Registry.