Individual provider Active NPI

Jingtao J Guo, M.D.

  • Ophthalmology Physician
  • Chicago, IL
National Provider Identifier
1649263120
Registry record updated May 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
036-107010 Issued in IL
Practice address
2252 S Canal St Ste 201
Chicago, IL 60616-1838
Phone
(312) 225-5829
NPI assigned
Aug 30, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 036-107010 IL Primary

Addresses

Primary practice location

2252 S Canal St Ste 201
Chicago, IL 60616-1838

Mailing address

2252 S Canal St Ste 201
Chicago, IL 60616-1838
Phone (312) 225-5829

Other identifiers 1

IdentifierTypeStateIssuer
036-107010-2MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20041129000689 IL Practitioner - Ophthalmology 3577528884 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Rush Medical College of Rush University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2252 S Canal St
Suite 201
Chicago, IL 60616-1838
Phone (312) 225-5829

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.04 of 100Reported as group
Quality
100
Improvement activities
40
Cost
70.12

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery74

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-107010ILMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Chicago Eye Care and Lasers S C Ophthalmology CurrentSince Apr 13, 2005 Accepting new patients

Locations

2252 S Canal St
Ste 201
Chicago, IL 60616
Phone (312) 225-5829

2252 S Canal St
Ste 2
Chicago, IL 60616
Phone (312) 225-5829

Organizations & group practices 1

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.

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": "1125360000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1653609600000",
    "number": "1649263120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2252 S CANAL ST STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161838",
            "telephone_number": "312-225-5829"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2252 S CANAL ST STE 201",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606161838",
            "telephone_number": "312-225-5829"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUO",
        "first_name": "JINGTAO",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-30",
        "last_updated": "2022-05-27",
        "certification_date": "2022-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036-107010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-107010-2",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.