NPIMap

Individual provider Active NPI

George Edward Guju Jr., AGACNP

  • Acute Care Nurse Practitioner
  • Fairfield, OH
National Provider Identifier
1164038725
Registry record updated Sep 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
RN.416813 Issued in OH
Practice address
925 Deis Dr
Fairfield, OH 45014-8130
Phone
(513) 841-7900
NPI assigned
Sep 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X RN.416813 OH Primary

Addresses

Primary practice location

925 Deis Dr
Fairfield, OH 45014-8130

Mailing address

3943 Holman Cir
Cincinnati, OH 45236-3918
Phone (513) 509-7618

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201111001332 OH Practitioner - Nurse Practitioner 3971913484 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN.416813OHMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Tri State Urologic Services PSC Inc CurrentSince Oct 1, 2020 Accepting new patients
Tri State Urologic Services PSC Inc Acute Care CurrentSince Oct 1, 2020 Accepting new patients
Tri State Urologic Services PSC Inc Current Accepting new patients

Locations

4360 Ferguson Dr
Ste 100
Cincinnati, OH 45245
Phone (513) 841-7750

925 Deis Dr
Fairfield, OH 45014
Phone (513) 841-7900

2000 Joseph E Sanker Blvd
Norwood, OH 45212
Phone (513) 841-7400

Interoperability endpoints

  • Direct secure messaging: georgeguju@tsus.allscriptsdirect.net

Organizations & group practices 10

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 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oxford Physical Therapy and Rehabilitation 432 clinicians
Tri State Urologic Services PSC Inc 74 clinicians

Practice addresses (Care Compare)

7567 Central Parke Blvd
A
Mason, OH 45040-6852

925 Deis Dr
Fairfield, OH 45014-8130
Phone (513) 841-7900

Hospital & facility affiliations

  • Mercy Health - Fairfield Hospital Hospital, Fairfield, OH, CCN 360056
  • Fort Hamilton Hughes Memorial Hospital Hospital, Hamilton, OH, CCN 360132
  • Bethesda North Hospital, Cincinnati, OH, CCN 360179
  • Atrium Medical Center Hospital, Franklin, OH, CCN 360076
  • McCullough-Hyde Memorial Hospital Hospital, Oxford, OH, CCN 360046

Merit-based Incentive Payment System (MIPS)

Final score
93.83 of 100Reported as group
Promoting interoperability
98
Improvement activities
40
Cost
83.09

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600905600000",
    "number": "1164038725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3943 HOLMAN CIR",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452363918",
            "telephone_number": "513-509-7618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 DEIS DR",
            "city": "FAIRFIELD",
            "state": "OH",
            "postal_code": "450148130",
            "telephone_number": "513-841-7900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUJU",
        "first_name": "GEORGE",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "AGACNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-09-18",
        "last_updated": "2020-09-24",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "OH",
            "license": "RN.416813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfield, OH

Sources for this page

Verify at the official NPI Registry.