Active NPI
Robert P. Guillerman, M.D.
- Pediatric Radiology Physician
- Cincinnati, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Radiology Physician
- License
- 35.074135
- 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, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2119362 | Medicaid | OH | |
| 152633701 | Medicaid | TX | |
| 152633703 | Medicaid | TX |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, OH, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
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
| License | State | Type | Specialty |
|---|---|---|---|
| L5353 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Singleton Associates PA | Pediatric Radiology | Current | Accepting new patients |
| Children's Hospital Medical Center | Current | Accepting new patients | |
| University of Kentucky | Diagnostic Radiology | Current | Accepting new patients |
| University of Cincinnati Physicians Company, LLC | Current | Accepting new patients | |
| Texas Children's Physician Group | Current | 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.
-
dba Cincinnati Children's Hospital Medical Center
- Pediatrics Physician
- Cincinnati, OH
- NPI 1609915784
-
- Family Medicine Physician
- Cincinnati, OH
- NPI 1801840434
-
- Diagnostic Radiology Physician
- Shenandoah, TX
- NPI 1538107875
Pediatric Radiology
-
- Pediatrics Physician
- Houston, TX
- NPI 1861675506
-
- Diagnostic Radiology Physician
- Lexington, KY
- NPI 1770771974
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Cincinnati, OH
- NPI 1548212988
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.