Individual provider Active NPI

Jin Gu, MD

  • Internal Medicine Physician
  • Towson, MD
National Provider Identifier
1154420727
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D56623 Issued in MD
Practice address
7505 Osler Dr
Suite 312
Towson, MD 21204-7736
Phone
(410) 828-8005
Fax
(410) 828-0537
NPI assigned
Sep 21, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

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 D56623 MD Primary

Addresses

Primary practice location

7505 Osler Dr
Suite 312
Towson, MD 21204-7736

Mailing address

7505 Osler Dr
Suite 312
Towson, MD 21204-7736
Phone (410) 828-8005

Other identifiers 17

IdentifierTypeStateIssuer
0001OtherBSDC
60924901OtherMPOS
7592182OtherANHM
004301000OtherMAMD
5004985OtherCGNA
81709OtherCOV
P00040271OtherMBRR
061656057OtherBSPA
08659000000OtherPHN
2504440OtherAHMO GROUP NUMBER
004301000MedicaidMD
0403724OtherUNHC
60924901OtherBSMD
061656057OtherCOMM
0928824OtherKEYS
2100369OtherMOPA
2504440OtherAHMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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
I20120502000048 MD Practitioner - Internal Medicine 3375617186 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Rehabilitation, LLCGroup PAC ID 9032020490, 1,935 clinicians

Practice addresses (Care Compare)

2600 Compass Rd
Glenview, IL 60026-8001

7505 Osler Dr
Suite 312
Towson, MD 21204-7740
Phone (410) 828-8005

Hospital & facility affiliations

  • Home Call, Inc Home health agency, Westminster, MD, CCN 217115
  • Centerwell Home Health Home health agency, Columbia, MD, CCN 217071
  • Stella Maris, Inc. Home health agency, Timonium, MD, CCN 217072
  • Gilchrist Hospice Care, Inc Hospice, Hunt Valley, MD, CCN 211526
  • University of MD St Joseph Medical Center Hospital, Towson, MD, CCN 210063
  • Greater Baltimore Medical Center Hospital, Baltimore, MD, CCN 210044

Merit-based Incentive Payment System (MIPS)

Final score
92.27 of 100Reported as group
Quality
100
Improvement activities
40
Cost
74.23

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D56623MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Jin Gu MD PA Internal Medicine CurrentSince Jan 1, 2003 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

7505 Osler Dr
Ste 312
Towson, MD 21204
Phone (410) 828-8005

Interoperability endpoints

  • Direct secure messaging: jgu108363@direct.umm.edu

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1158796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1154420727",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7505 OSLER DR",
            "address_2": "SUITE 312",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047736",
            "telephone_number": "410-828-8005",
            "fax_number": "410-828-0537"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7505 OSLER DR",
            "address_2": "SUITE 312",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212047736",
            "telephone_number": "410-828-8005",
            "fax_number": "410-828-0537"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GU",
        "first_name": "JIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-21",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D56623",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSDC",
            "identifier": "0001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MPOS",
            "identifier": "60924901",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANHM",
            "identifier": "7592182",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAMD",
            "identifier": "004301000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CGNA",
            "identifier": "5004985",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COV",
            "identifier": "81709",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MBRR",
            "identifier": "P00040271",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSPA",
            "identifier": "061656057",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHN",
            "identifier": "08659000000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHMO GROUP NUMBER",
            "identifier": "2504440",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004301000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNHC",
            "identifier": "0403724",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSMD",
            "identifier": "60924901",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COMM",
            "identifier": "061656057",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KEYS",
            "identifier": "0928824",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MOPA",
            "identifier": "2100369",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHMO",
            "identifier": "2504440",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

Verify at the official NPI Registry.