NPIMap

Individual provider Active NPI

Allen Gu, MD

  • Ophthalmology Physician
  • Phoenix, AZ
National Provider Identifier
1750822185
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
74056 Issued in AZ
Practice address
1750 E Glendale Ave
Phoenix, AZ 85020-4328
Phone
(602) 242-4928
Fax
(602) 249-4813
NPI assigned
Mar 18, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X MD61495259 WA
Ophthalmology Physician 207W00000X MD218340 OR
Ophthalmology Physician 207W00000X 74056 AZ Primary

Addresses

Primary practice location

1750 E Glendale Ave
Phoenix, AZ 85020-4328

Mailing address

10063 Toulouse Dr
Shreveport, LA 71106-8522
Phone (318) 350-8141

Other practice location 1

10063 Toulouse Dr
Shreveport, LA 71106-8522
Phone (318) 350-8141

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, OR, AZ3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20240116000574 WA Practitioner - Ophthalmology 5890045736 Reassigns benefits to 1 organization
I20240116000738 OR Practitioner - Ophthalmology 5890045736 Reassigns benefits to 1 organization
I20241010001222 AZ Practitioner - Ophthalmology 5890045736 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Louisiana State University School of Medicine in Shreveport, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Retina Consultants LTDGroup PAC ID 4486547395, 15 clinicians
District Medical Group IncGroup PAC ID 7315086691, 454 clinicians

Practice addresses (Care Compare)

1750 E Glendale Ave
Phoenix, AZ 85020-5505
Phone (602) 242-4928

2601 E Roosevelt St
Phoenix, AZ 85008-4973
Phone (602) 344-5011

Hospital & facility affiliations

  • Valleywise Health Medical Center Hospital, Phoenix, AZ, CCN 030022

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
74056AZMDOphthalmology Physician
MD218340ORMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
District Medical Group, Inc CurrentSince Oct 4, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Ophthalmology CurrentSince Jan 8, 2024 Accepting new patients
District Medical Group, Inc CurrentSince Oct 4, 2024 Accepting new patients
District Medical Group, Inc Current Accepting new patients
Manor Care of Salmon Creek Wa, Association Ophthalmology CurrentSince Jan 8, 2024 Accepting new patients
Associated Retina Consultants, LTD. CurrentSince Sep 2, 2024 Accepting new patients
Kaiser Foundation Health Plan of the Northwest Ophthalmology Current Accepting new patients
Kaiser Foundation Health Plan of the Northwest CurrentSince Jan 8, 2024 Accepting new patients
District Medical Group, Inc Past Accepting new patients
Associated Retina Consultants, LTD. Ophthalmology PastSince Sep 2, 2024 Accepting new patients

Locations

3513 S Mercy Rd
Gilbert, AZ 85297
Phone (420) 641-5400

1626 N Litchfield Rd
Ste 50
Goodyear, AZ 85395

1626 N Litchfield Rd
Ste 250
Goodyear, AZ 85395

1933 S Alma School Rd
Mesa, AZ 85210

15353 N 91st Ave
Peoria, AZ 85381

2601 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 220-0298

2601 E Roosevelt St
Ste 0D10
Phoenix, AZ 85008

2525 E Roosevelt St
Phoenix, AZ 85008
Phone (602) 344-1015

3141 N 3rd Ave
Phoenix, AZ 85013
Phone (602) 914-1520

2929 E Thomas Rd
Phoenix, AZ 85016
Phone (602) 470-5043

1750 E Glendale Ave
Phoenix, AZ 85020
Phone (602) 216-1144

2517 N Great Western Dr
Ste K
Prescott Valley, AZ 86314

95 Soldiers Pass Rd
Sedona, AZ 86336
Phone (928) 203-1177

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

12100 SE Stevens Ct
Ste 106
Portland, OR 97086
Phone (503) 331-6330

500 NE Multnomah St
Fl 11
Portland, OR 97232

2400 Lancaster Dr NE
Salem, OR 97305
Phone (503) 361-5400

1230 7th Ave
Longview, WA 98632
Phone (360) 575-4801

7101 NE 137th Ave
Vancouver, WA 98682
Phone (360) 418-6000

14406 NE 20th Ave
Vancouver, WA 98686
Phone (360) 418-6001

Interoperability endpoints

  • Direct secure messaging: agu275150@direct.valleywisehealth.org

Organizations & group practices 10

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 12

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": "1489795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1750822185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10063 TOULOUSE DR",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711068522",
            "telephone_number": "318-350-8141"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 E GLENDALE AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204328",
            "telephone_number": "602-242-4928",
            "fax_number": "602-249-4813"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10063 Toulouse Dr",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "711068522",
            "country_code": "US",
            "telephone_number": "318-350-8141",
            "fax_number": "318-350-8141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GU",
        "first_name": "ALLEN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-03-18",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "WA",
            "license": "MD61495259",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OR",
            "license": "MD218340",
            "primary": false
        },
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "AZ",
            "license": "74056",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.