Individual provider Active NPI

Zhe Guan

  • Diagnostic Radiology Physician
  • Grand Rapids, MI
National Provider Identifier
1902257488
Registry record updated Jun 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
4301110697 Issued in MI
Practice address
945 Ottawa Ave NW
Grand Rapids, MI 49503-1431
Phone
(616) 732-6200
NPI assigned
Jun 27, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 4301110697 MI Primary

Addresses

Primary practice location

945 Ottawa Ave NW
Grand Rapids, MI 49503-1431

Mailing address

945 Ottawa Ave NW
Grand Rapids, MI 49503-1431

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
I20220517001999 NY Practitioner - Diagnostic Radiology 9830483775 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301110697MIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Modesto Radiology Imaging, Inc. Diagnostic Radiology CurrentSince Mar 2, 2026 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Mar 15, 2022 Accepting new patients
New York University CurrentSince Jun 1, 2022 Accepting new patients
New York City Health and Hospitals Corporation CurrentSince Mar 15, 2022 Accepting new patients
New York University CurrentSince Jun 1, 2022 Accepting new patients

Locations

50 Water St
Fl 3
New York, NY 10004

227 Madison St
New York, NY 10002
Phone (212) 238-7000

227 Madison St
Fl First
New York, NY 10002
Phone (212) 238-7071

13303 Jamaica Ave
Richmond Hill, NY 11418
Phone (718) 206-6942

Organizations & group practices 5

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": "1466985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466985600000",
    "number": "1902257488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 OTTAWA AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 OTTAWA AVE NW",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495031431",
            "telephone_number": "616-732-6200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GUAN",
        "first_name": "ZHE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-06-27",
        "last_updated": "2016-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MI",
            "license": "4301110697",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rapids, MI

Sources for this page

Verify at the official NPI Registry.