Individual provider Active NPI

Qiao Guo, M.D.

  • Anesthesiology Physician
  • Elmhurst, NY
National Provider Identifier
1760624423
Registry record updated Jun 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
60269058 Issued in NY
Practice address
9436 58TH Ave # G4
Elmhurst, NY 11373
Phone
(347) 947-7692
Fax
(347) 947-7680
NPI assigned
Mar 27, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 60269058 NY Primary

Addresses

Primary practice location

9436 58TH Ave # G4
Elmhurst, NY 11373

Mailing address

9436 58TH Ave # G4
Elmhurst, NY 11373-5149
Phone (347) 947-7692

Other practice location 1

5417 5TH Ave
Ste 1
Brooklyn, NY 11220-3153
Phone (347) 560-3774

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140801001375 NY Practitioner - Pain ManagementPractitioner - Anesthesiology 5890911556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
GT Medical PCGroup PAC ID 9931480753, 2 clinicians

Practice addresses (Care Compare)

9436 58TH Ave
Elmhurst, NY 11373-5149
Phone (347) 947-7692

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
60269058NYMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
GT Medical PC CurrentSince Dec 1, 2016 Accepting new patients
Uzma Nasir Physician PC PastSince Jan 3, 2008 Accepting new patients

Locations

9436 58th Ave
Elmhurst, NY 11373
Phone (347) 556-7897

9436 58th Ave
#G4
Elmhurst, NY 11373
Phone (347) 947-7692

Networks

  • Healthfirst Medicare Network H5989
  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H9678

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": "1238112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529625600000",
    "number": "1760624423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9436 58TH AVE # G4",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "113735149",
            "telephone_number": "347-947-7692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9436 58TH AVE # G4",
            "city": "ELMHURST",
            "state": "NY",
            "postal_code": "11373",
            "telephone_number": "347-947-7692",
            "fax_number": "347-947-7680"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5417 5TH AVE",
            "address_2": "STE 1",
            "address_purpose": "LOCATION",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112203153",
            "country_code": "US",
            "telephone_number": "347-560-3774",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUO",
        "first_name": "QIAO",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-03-27",
        "last_updated": "2018-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NY",
            "license": "60269058",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elmhurst, NY

Sources for this page

Verify at the official NPI Registry.