NPIMap

Individual provider Active NPI

Gregory V Guard, MD

  • Emergency Medicine Physician
  • Bloomington, IL
National Provider Identifier
1528026515
Registry record updated Jul 6, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
036071753 Issued in IL
Practice address
2200 E Washington St
Bloomington, IL 61701-4364
Phone
(309) 665-5925
NPI assigned
May 2, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 036071753 IL Primary

Addresses

Primary practice location

2200 E Washington St
Bloomington, IL 61701-4364

Mailing address

2538 Momentum PL
Chicago, IL 60689-0001
Phone (616) 975-1845

Other identifiers 1

IdentifierTypeStateIssuer
P00645055OtherILRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20040309001381 IL Practitioner - Internal MedicinePractitioner - Emergency Medicine 2668360751 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
City of ClintonGroup PAC ID 0042203127, 19 clinicians
Epss LLC - East SeriesGroup PAC ID 8729213459, 11 clinicians

Practice addresses (Care Compare)

422 W White St
Clinton, IL 61727-2272
Phone (217) 935-9571

Hospital & facility affiliations

  • Hopedale Hospital Hospital, Hopedale, IL, CCN 141330
  • Warner Hospital and Health Services Hospital, Clinton, IL, CCN 141303

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036071753ILMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pekin Memorial Hospital CurrentSince Sep 15, 2017 Accepting new patients
Hopedale Medical Foundation CurrentSince Jan 1, 2026 Accepting new patients
Epss LLC - Central Series Emergency Medicine CurrentSince Oct 30, 2017 Accepting new patients
City of Clinton CurrentSince Mar 12, 2014 Accepting new patients
City of Clinton CurrentSince Mar 12, 2014 Accepting new patients
K M B S C Current Accepting new patients
Pekin Memorial Hospital CurrentSince Sep 15, 2017 Accepting new patients
Comprehensive Emergency Solutions SC Emergency Medicine Past Accepting new patients
New Century Physicians of Western Illinois, Inc Emergency Medicine Past Accepting new patients
Stephen C. Thompson, M.D.,S.C. Past Accepting new patients
Proctor Emergency Physicians, P.C. Emergency Medicine Past Accepting new patients
Prairie Emergency Group, LTD. Past Accepting new patients
Central Illinois Neuroradiology, LTD Past Accepting new patients

Locations

422 W White St
Clinton, IL 61727
Phone (217) 935-9570

101 S Major St
Eureka, IL 61530
Phone (309) 268-2172

107 Tremont St
Hopedale, IL 61747
Phone (309) 343-1000

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 2

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": "1146528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246838400000",
    "number": "1528026515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2538 MOMENTUM PL",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606890001",
            "telephone_number": "616-975-1845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 E WASHINGTON ST",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617014364",
            "telephone_number": "309-665-5925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUARD",
        "first_name": "GREGORY",
        "middle_name": "V",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-02",
        "last_updated": "2009-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036071753",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00645055",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bloomington, IL

Sources for this page

Verify at the official NPI Registry.