Active NPI
Michael Z Guo, M.D.
- Neurology Physician
- Stony Brook, NY
National Provider Identifier
1760456461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurology Physician
- License
- 222499
- Practice address
- 2500 Nesconset Hwy BLDG 5B
Stony Brook, NY 11790-2552 - Phone
- (631) 675-9508
- Fax
- (631) 675-9511
- NPI assigned
- Feb 17, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | 222499 | NY | Primary |
Addresses
Primary practice location
2500 Nesconset Hwy BLDG 5B
Stony Brook, NY 11790-2552
Mailing address
2500 Nesconset Hwy BLDG 5B
Stony Brook, NY 11790-2552
Phone (631) 675-9508
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 02196041 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pain Management
- Education
- Other, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
2500 Nesconset Hwy
BLDG 5B
Stony Brook, NY 11790-2552
Phone (631) 675-9508
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Comprehensive Neurology of Long Island PC | Current | Accepting new patients |
Locations
2500 Nesconset Hwy
Bldg 5B
Stony Brook, NY 11790
Phone (347) 804-4651
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AIEDCA/Endpoint/AIEDCA
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.
-
- Neuromusculoskeletal Medicine & OMM Physician
- Stony Brook, NY
- NPI 1891136073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140134400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459987200000",
"number": "1760456461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2500 NESCONSET HWY BLDG 5B",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117902552",
"telephone_number": "631-675-9508",
"fax_number": "631-675-9511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 NESCONSET HWY BLDG 5B",
"city": "STONY BROOK",
"state": "NY",
"postal_code": "117902552",
"telephone_number": "631-675-9508",
"fax_number": "631-675-9511"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUO",
"first_name": "MICHAEL",
"middle_name": "Z",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-17",
"last_updated": "2016-04-07",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "NY",
"license": "222499",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "02196041",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stony Brook, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2016; 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.