Individual provider Active NPI

Xiong Guo, M.D.

  • Emergency Medicine Physician
  • Noblesville, IN
National Provider Identifier
1861418709
Registry record updated Mar 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
01056697A Issued in IN
Practice address
14645 Hazel Dell Rd
Noblesville, IN 46062-7066
Phone
(317) 922-2090
Fax
(317) 574-1875
NPI assigned
Jul 14, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 19841 WV
Emergency Medicine Physician 207P00000X 20694 OK
Emergency Medicine Physician 207P00000X 036-112914 IL
Emergency Medicine Physician 207P00000X 01056697A IN Primary

Addresses

Primary practice location

14645 Hazel Dell Rd
Noblesville, IN 46062-7066

Mailing address

250 N Shadeland Ave
Indianapolis, IN 46219-4959

Other practice location 1

1578 Charity Chase Dr
Westfield, IN 46074-8908
Phone (317) 844-5674

Other identifiers 1

IdentifierTypeStateIssuer
200392970MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address xiongguo@direct.iuhealth.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20040216000789 IN Practitioner - Emergency Medicine 5395630784 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cep America LLCGroup PAC ID 6608056171, 995 clinicians

Practice addresses (Care Compare)

1606 N 7TH St
Terre Haute, IN 47804-2706
Phone (812) 238-7523

Hospital & facility affiliations

  • Union Hospital Inc Hospital, Terre Haute, IN, CCN 150023
  • Union Hospital Clinton Hospital, Clinton, IN, CCN 151326

Merit-based Incentive Payment System (MIPS)

Final score
87.3 of 100Reported as group
Quality
70.94
Improvement activities
40
Cost
92.94

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-112914ILMDEmergency Medicine Physician
20694OKMDEmergency Medicine Physician
19841WVMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cep America LLC Emergency Medicine CurrentSince Mar 1, 2019 Accepting new patients
Indiana University Health Urgent Care Centers, LLC. CurrentSince Mar 1, 2022 Accepting new patients
Cep America LLC Emergency Medicine CurrentSince Mar 1, 2019 Accepting new patients
Indiana University Health Urgent Care Centers, LLC CurrentSince Mar 1, 2022 Accepting new patients
Mid State Logansport Ed Physicians Emergency Medicine Past Accepting new patients
Midwest Medical Management, P.C. Emergency Medicine Past Accepting new patients
Wabash Em I Medical Services PC Past Accepting new patients
Kennekuk Emergency Physicians LLC Emergency Medicine PastSince Oct 1, 2023 Accepting new patients
Illiana Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Northern Indiana Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Northern Indiana Emergency Physicians, LLP Emergency Medicine Past Accepting new patients
Illiana Emergency Physicians LLP Emergency Medicine Past Accepting new patients

Locations

2100 Powell St
Ste 400
Emeryville, CA 94608
Phone (510) 350-2638

1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423

90 E Garner Rd
Brownsburg, IN 46112
Phone (225) 214-1031

801 S Main St
Clinton, IN 47842
Phone (765) 832-1212

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

250 N Shadeland Ave
Ste 130
Indianapolis, IN 46219
Phone (317) 962-4836

14645 Hazel Dell Rd
Ste 120
Noblesville, IN 46062
Phone (317) 922-2090

3901 S 7th St
Terre Haute, IN 47802
Phone (812) 232-0021

1606 N 7th St
Terre Haute, IN 47804
Phone (812) 238-7523

Interoperability endpoints

  • Direct secure messaging: xiongguo@direct.iuhealth.org
  • Direct secure messaging: xguo@unionhealth.cernerdirect.com

Organizations & group practices 12

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 4

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648166400000",
    "number": "1861418709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 N SHADELAND AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462194959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14645 HAZEL DELL RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460627066",
            "telephone_number": "317-922-2090",
            "fax_number": "317-574-1875"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1578 Charity Chase Dr",
            "address_purpose": "LOCATION",
            "city": "Westfield",
            "state": "IN",
            "postal_code": "460748908",
            "country_code": "US",
            "telephone_number": "317-844-5674",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GUO",
        "first_name": "XIONG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2022-03-25",
        "certification_date": "2022-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "WV",
            "license": "19841",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "20694",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IL",
            "license": "036-112914",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01056697A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200392970",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "xiongguo@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "14645 Hazel Dell Rd",
            "city": "Noblesville",
            "state": "IN",
            "country_code": "US",
            "postal_code": "460627066",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

Verify at the official NPI Registry.