Individual provider Active NPI

Robert P. Guillerman, M.D.

  • Pediatric Radiology Physician
  • Cincinnati, OH
National Provider Identifier
1467442822
Registry record updated Nov 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Radiology PhysicianTaxonomy code 2085P0229X
License
35.074135 Issued in OH
Practice address
3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone
(513) 636-4251
Fax
(513) 636-8145
NPI assigned
Oct 26, 2005
Last updated
Nov 6, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Radiology Physician 2085P0229X 35593 KY
Pediatric Radiology Physician 2085P0229X 35.074135 OH Primary
Diagnostic Radiology Physician 2085R0202X 35.074135 OH
Diagnostic Radiology Physician 2085R0202X L5353 TX

Addresses

Primary practice location

3333 Burnet Ave
Cincinnati, OH 45229-3026

Mailing address

3333 Burnet Ave - Ml5031
Cincinnati, OH 45229-3026
Phone (513) 636-4251

Other practice location 1

12951 South Fwy
Houston, TX 77047-1923
Phone (713) 526-5771

Other practice location 2

3188 Belleview Ave
Cincinnati, OH 45219-2369
Phone (513) 584-1000

Other practice location 3

800 Rose St
Lexington, KY 40536-3026
Phone (859) 323-2222

Other identifiers 3

IdentifierTypeStateIssuer
2119362MedicaidOH
152633701MedicaidTX
152633703MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OH, KY3 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
I20120423000712 TX Practitioner - Diagnostic Radiology 5991966780 Reassigns benefits to 2 organizations
I20230928002493 OH Practitioner - Diagnostic Radiology 5991966780 Reassigns benefits to 2 organizations
I20231129002481 KY Practitioner - Diagnostic Radiology 5991966780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Washington University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3333 Burnet Ave
Cincinnati, OH 45229-3026
Phone (513) 636-4200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L5353TXMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Singleton Associates PA Pediatric Radiology CurrentSince Aug 19, 2002 Accepting new patients
Children's Hospital Medical Center CurrentSince Aug 10, 2023 Accepting new patients
University of Kentucky Diagnostic Radiology CurrentSince Nov 15, 2023 Accepting new patients
University of Cincinnati Physicians Company, LLC CurrentSince Sep 13, 2023 Accepting new patients
Texas Children's Physician Group CurrentSince Apr 3, 2015 Accepting new patients

Locations

3341 Solutions Ctr
Chicago, IL 60677

800 Rose St
Lexington, KY 40536
Phone (859) 257-8562

2123 Auburn Ave
#A28
Cincinnati, OH 45219
Phone (513) 585-0523

3188 Bellevue Ave
Cincinnati, OH 45219
Phone (513) 558-5281

3199 Highland Ave
Cincinnati, OH 45219
Phone (513) 475-7777

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

3333 Burnet Ave
#5021
Cincinnati, OH 45229
Phone (513) 636-4225

3333 Burnet Ave
#5031
Cincinnati, OH 45229
Phone (513) 636-4251

7690 Discovery Dr
West Chester, OH 45069
Phone (513) 475-7425

8611 N Mopac Expy
Austin, TX 78759
Phone (713) 816-1250

1110 N Sarah Dewitt Dr
Gonzales, TX 78629
Phone (830) 672-3845

6701 Fannin St
Houston, TX 77030
Phone (832) 822-1764

6720 Bertner Ave
#270
Houston, TX 77030
Phone (832) 355-4092

6720 Bertner Ave
Va Hospital, TX 77030
Phone (713) 785-8537

Organizations & group practices 5

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 1

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": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699228800000",
    "number": "1467442822",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE - ML5031",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-4251",
            "fax_number": "513-636-8145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 BURNET AVE",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452293026",
            "telephone_number": "513-636-4251",
            "fax_number": "513-636-8145"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12951 South Fwy",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770471923",
            "country_code": "US",
            "telephone_number": "713-526-5771",
            "fax_number": "713-526-2036",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3188 Belleview Ave",
            "address_purpose": "LOCATION",
            "city": "Cincinnati",
            "state": "OH",
            "postal_code": "452192369",
            "country_code": "US",
            "telephone_number": "513-584-1000",
            "fax_number": "513-245-3672",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Rose St",
            "address_purpose": "LOCATION",
            "city": "Lexington",
            "state": "KY",
            "postal_code": "405363026",
            "country_code": "US",
            "telephone_number": "859-323-2222",
            "fax_number": "859-323-5090",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUILLERMAN",
        "first_name": "ROBERT",
        "middle_name": "P.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-26",
        "last_updated": "2023-11-06",
        "certification_date": "2023-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "KY",
            "license": "35593",
            "primary": false
        },
        {
            "code": "2085P0229X",
            "taxonomy_group": "",
            "desc": "Radiology, Pediatric Radiology",
            "state": "OH",
            "license": "35.074135",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35.074135",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "L5353",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2119362",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152633701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152633703",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cincinnati, OH

Sources for this page

Verify at the official NPI Registry.