Individual provider Active NPI

Yan Gu, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
National Provider Identifier
1568460475
Registry record updated Mar 14, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
M0098 Issued in TX
Practice address
2525 West Bellfort Street
Ste 120
Houston, TX 77054-5024
Phone
(713) 741-6677
Fax
(713) 748-5860
NPI assigned
Jul 13, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X M0098 TX Primary

Addresses

Primary practice location

2525 West Bellfort Street
Ste 120
Houston, TX 77054-5024

Mailing address

P.O. Box 421849
Houston, TX 77242-1849
Phone (713) 559-6929

Other identifiers 2

IdentifierTypeStateIssuer
174212401MedicaidTX
P00270510OtherTXRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20050627000588 TX Practitioner - Pathology 8628013935 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M0098TXMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brown & Associates Medical Laboratories, LLP Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2005 Accepting new patients
Brown & Associates Medical Laboratories LLP Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2005 Accepting new patients

Locations

1313 Hermann Dr
Houston, TX 77004
Phone (713) 527-5000

8076 El Rio St
Houston, TX 77054
Phone (713) 481-3536

2525 W Bellfort Ave
Ste 120
Houston, TX 77054
Phone (713) 683-2975

1705 Jackson St
Richmond, TX 77469
Phone (281) 341-3000

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1121212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1520985600000",
    "number": "1568460475",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 421849",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772421849",
            "telephone_number": "713-559-6929",
            "fax_number": "713-559-6928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 WEST BELLFORT STREET",
            "address_2": "STE 120",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770545024",
            "telephone_number": "713-741-6677",
            "fax_number": "713-748-5860"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GU",
        "first_name": "YAN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-07-13",
        "last_updated": "2018-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "M0098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174212401",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00270510",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.