Active NPI
Zhijun Guo, MD
- Neurology Physician
- Michigan City, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 01071598A
- Practice address
- 3500 Franciscan Way Ste 300
Michigan City, IN 46360-0033 - Phone
- (219) 877-1101
- Fax
- (219) 877-1187
- NPI assigned
- Sep 19, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 35-087293 | OH | |
| Neurology Physician | 2084N0400X | TP561 | KY | |
| Neurology Physician | 2084N0400X | 01071598A | IN | Primary |
Addresses
Primary practice location
3500 Franciscan Way Ste 300
Michigan City, IN 46360-0033
Mailing address
PO Box 781076
Detroit, MI 48278-1076
Phone (317) 528-4800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200845220 | Medicaid | IN | |
| 2627769 | Medicaid | OH | |
| 000000784257 | Other | ANTHEM |
Other names 1
- Chichun Guo
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | zguo491580@Direct.FranciscanAlliance.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20121020000037 | IN | Practitioner - Neurology | 6305850371 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Franciscan Physician Network
Practice addresses (Care Compare)
3500 Franciscan Way
Suite 300
Michigan City, IN 46360-0021
Phone (219) 878-8326
Hospital & facility affiliations
- Franciscan Health Michigan City
- Northwest Health-la Porte
- The University of Chicago Medical Center
- Franciscan Health Crown Point
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01071598A | IN | MD | Neurology Physician |
| 35-087293 | OH | MD | Neurology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franciscan Physician Network | Current | Accepting new patients | |
| Franciscan Physician Network | Current | Accepting new patients | |
| Medache Clinic, LLC | Neurology | Past | Accepting new patients |
| Riverhills Healthcare, Inc. | Neurology | Past | Accepting new patients |
| Riverhills Healthcare Inc | Neurology | Past | Accepting new patients |
Locations
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
3500 Franciscan Way
Ste 300
Michigan City, IN 46360
Phone (219) 214-4633
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
Interoperability endpoints
- zguo491580@direct.franciscanalliance.org
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.822
Organizations & group practices 6
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.
-
- Podiatrist
- Munster, IN
- NPI 1093188229
-
- Clinic/Center
- Lafayette, IN
- NPI 1992543250
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Michigan City, IN
- NPI 1710051941
Hospital
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1508956509
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1718841600000",
"number": "1467559906",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 781076",
"city": "DETROIT",
"state": "MI",
"postal_code": "482781076",
"telephone_number": "317-528-4800",
"fax_number": "317-865-1479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3500 FRANCISCAN WAY STE 300",
"city": "MICHIGAN CITY",
"state": "IN",
"postal_code": "463600033",
"telephone_number": "219-877-1101",
"fax_number": "219-877-1187"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUO",
"first_name": "ZHIJUN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-19",
"last_updated": "2024-06-20",
"certification_date": "2024-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "OH",
"license": "35-087293",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "KY",
"license": "TP561",
"primary": false
},
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "IN",
"license": "01071598A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200845220",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2627769",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000784257",
"state": null
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "zguo491580@Direct.FranciscanAlliance.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "3500 Franciscan Way Ste 300",
"city": "Michigan City",
"state": "IN",
"country_code": "US",
"postal_code": "463600021",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"first_name": "CHICHUN",
"last_name": "GUO",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Michigan City, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2024; 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.