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SUJIE GU
NPI 1083428072
Counselor - Mental Health in Medford, MA

Active since February 03, 2025PECOS Enrolled
200 BOSTON AVE STE 1925, MEDFORD, MA 02155(617) 533-0416 Get Directions Write a Review

NPPES record last updated: February 3, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sujie Gu NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SUJIE GU (NPI 1083428072) is an individual mental health provider in Medford, Massachusetts and active in the NPI registry since February 2025. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1083428072
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameSUJIE GU
Location Address200 BOSTON AVE STE 1925Medford, MA 02155-4243
Mailing Address55 Station Lndg Apt 336wMedford, MA 02155-5029
Phone(617) 533-0416
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateFebruary 3, 2025
NPPES CertifiedFebruary 1, 2025
✔ NPI 1083428072 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
200 BOSTON AVE STE 1925, Medford, MA 02155
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Harvard Pilgrim Health Care.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sujie Gu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4880165364
PECOS Enrollment IDI20260605000219
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sujie Gu reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Adelis Health PLLC
Same address
Mental Health
200 BOSTON AVE STE 1925
Medford, MA 02155
  • Reassigned Medicare billing, Massachusetts enrollment
  • 6 clinicians in this Medicare group
NPI 1225808785 (617) 533-0416

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

XIAOTIANYI DONG
Counselor (Mental Health)
200 BOSTON AVE STE 1925
MEDFORD, MA 02155
Middlesex County (617) 533-0416
ADELIS HEALTH PLLC
Counselor (Mental Health)
200 BOSTON AVE STE 1925
MEDFORD, MA 02155
Middlesex County (617) 533-0416
MOLLIE PRATT
Counselor (Mental Health)
200 BOSTON AVE STE 1925
MEDFORD, MA 02155
Middlesex County (781) 498-6035
JEFF MORRISON
Counselor (Professional)
200 BOSTON AVE STE 1925
MEDFORD, MA 02155
Middlesex County (617) 315-8256
ZIJIAN QIU
Counselor (Mental Health)
200 BOSTON AVE STE 1925
MEDFORD, MA 02155
Middlesex County (812) 606-1444
SRILEKHA MAHI VANGALA
Counselor (Mental Health)
200 BOSTON AVE STE 1925
MEDFORD, MA 02155
Middlesex County (617) 533-0416
NICHOLAS WHITE
Counselor
200 BOSTON AVE STE 1925
MEDFORD, MA 02155
Middlesex County (781) 628-2276
SILVANA MARIA ZAMBRANO ALMENARA
Counselor
200 BOSTON AVE STE 1925
MEDFORD, MA 02155
Middlesex County (617) 533-0416

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sujie Gu's NPI number?

The NPI number for Sujie Gu is 1083428072. It was assigned to this individual provider in the NPPES registry on February 3, 2025.

Where is Sujie Gu located?

Sujie Gu practices at 200 Boston Ave Ste 1925, Medford, MA 02155. The listed phone number is (617) 533-0416.

What is Sujie Gu's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

Is Sujie Gu enrolled in Medicare?

Yes. Sujie Gu is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sujie Gu's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sujie Gu reassigns Medicare benefits to Adelis Health PLLC (Medford, MA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sujie Gu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sujie Gu accept?

Health plans from Harvard Pilgrim Health Care list Sujie Gu as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sujie Gu was last updated on February 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.