Individual provider Active NPI

Michael Wenbin Guo, M.D.

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1780649517
Registry record updated Dec 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
233526 Issued in NY
Practice address
2 Allen St
Unit 3C
New York, NY 10002-5302
Phone
(212) 233-2078
Fax
(212) 233-2079
NPI assigned
Apr 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 233526 NY Primary

Addresses

Primary practice location

2 Allen St
Unit 3C
New York, NY 10002-5302

Mailing address

2 Allen St
Unit 3C
New York, NY 10002-5302
Phone (212) 233-2078

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
I20041112000722 NY Practitioner - Family Practice 1759345457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sandg Medical Office, PCGroup PAC ID 1951365030, 2 clinicians

Practice addresses (Care Compare)

2 Allen St
3C
New York, NY 10002-5382
Phone (212) 233-2078

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
233526NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
S&G Medical Office, PC CurrentSince Jan 1, 2009 Accepting new patients
Ny Downtown Faculty Practice Opd Past Accepting new patients

Locations

2 Allen St
Unit 3C
New York, NY 10002
Phone (212) 233-2078

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989
  • 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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355702400000",
    "number": "1780649517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 ALLEN ST",
            "address_2": "UNIT 3C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100025302",
            "telephone_number": "212-233-2078",
            "fax_number": "212-233-2079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 ALLEN ST",
            "address_2": "UNIT 3C",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100025302",
            "telephone_number": "212-233-2078",
            "fax_number": "212-233-2079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUO",
        "first_name": "MICHAEL",
        "middle_name": "WENBIN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-17",
        "last_updated": "2012-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "233526",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.