Individual provider Active NPI

Rongjun Guo, MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Birmingham, AL
National Provider Identifier
1154555167
Registry record updated May 18, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
MD 33461 Issued in AL
Practice address
619 19TH St S
NP 3544, the University of Alabama at Birmingham
Birmingham, AL 35249-7331
Phone
(610) 306-3088
NPI assigned
May 5, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 18, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X MD 33461 AL Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

619 19TH St S
NP 3544, the University of Alabama at Birmingham
Birmingham, AL 35249-7331

Mailing address

1802 6TH Ave S
3544 North Pavilion, Division of Anatomic Pathology
Birmingham, AL 35233-1932
Phone (610) 306-3088

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, MI, OH3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140908002280 AL Practitioner - Pathology 7012136948 Reassigns benefits to 1 organization
I20180620001521 MI Practitioner - Pathology 7012136948 Reassigns benefits to 1 organization
I20180625003393 OH Practitioner - Pathology 7012136948 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Consultants in Laboratory Medicine of Greater ToledoGroup PAC ID 2860474459, 21 clinicians

Practice addresses (Care Compare)

2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 534-3500

818 Riverside Ave
Adrian, MI 49221-1446
Phone (517) 265-0262

Hospital & facility affiliations

  • Promedica Toledo Hospital Hospital, Toledo, OH, CCN 360068
  • Promedica Monroe Regional Hospital Hospital, Monroe, MI, CCN 230099
  • Promedica Charles and Virginia Hickman Hospital Hospital, Adrian, MI, CCN 230005
  • Bay Park Community Hospital Hospital, Oregon, OH, CCN 360259
  • Memorial Hospital Hospital, Fremont, OH, CCN 360156

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD 33461ALMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Haematology-Oncology Associates of Ohio and Michigan PC Current Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Sep 1, 2014 Accepting new patients
Consultants in Laboratory Medicine of Greater Toledo Anatomic Pathology & Clinical Pathology CurrentSince Jul 2, 2018 Accepting new patients

Locations

619 19th St S
Birmingham, AL 35249

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

1802 6th Ave S
#3544N
Birmingham, AL 35233

619 19th St S
#3544
Birmingham, AL 35249
Phone (610) 306-3088

11025 Rca Center Dr
Ste 300
Palm Beach Gardens, FL 33410
Phone (561) 383-3820

818 Riverside Ave
Adrian, MI 49221
Phone (517) 263-0711

274 E Chicago St
Coldwater, MI 49036
Phone (517) 279-5400

1200 Ralston Ave
Defiance, OH 43512
Phone (419) 783-6944

501 Van Buren St
Fostoria, OH 44830
Phone (419) 435-7734

715 S Taft Ave
Fremont, OH 43420
Phone (419) 332-7321

2801 Bay Park Dr
Oregon, OH 43616
Phone (419) 690-7652

5200 Harroun Rd
Sylvania, OH 43560
Phone (419) 824-1305

2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111

2130 W Central Ave
Ste 300
Toledo, OH 43606
Phone (419) 534-3500

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 7

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": "1241481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431907200000",
    "number": "1154555167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 6TH AVE S",
            "address_2": "3544 NORTH PAVILION, DIVISION OF ANATOMIC PATHOLOGY",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331932",
            "telephone_number": "610-306-3088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 19TH ST S",
            "address_2": "NP 3544, THE UNIVERSITY OF ALABAMA AT BIRMINGHAM",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352497331",
            "telephone_number": "610-306-3088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUO",
        "first_name": "RONGJUN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-05-05",
        "last_updated": "2015-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "AL",
            "license": "MD 33461",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.