LIDAN GU
NPI 1164859443
Psychologist - Clinical Child & Adolescent in Minneapolis, MN
About Lidan Gu NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIDAN GU (NPI 1164859443) is an individual clinical child & adolescent provider in Minneapolis, Minnesota, licensed in Minnesota (5673) and active in the NPI registry since October 2013. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Lidan Gu is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignments
5Medicare enrollment records show Lidan Gu reassigns Medicare billing to 5 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 3,633 clinicians in this Medicare group
Minneapolis, MN 55415
- Reassigned Medicare billing, Minnesota enrollment
- 1,453 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 4,038 clinicians in this Medicare group
Minneapolis, MN 55454
- Reassigned Medicare billing, Minnesota enrollment
- 2,373 clinicians in this Medicare group
Minneapolis, MN 55455
- Reassigned Medicare billing, Minnesota enrollment
- 1,662 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Medicare Quality Performance CMS QPP · MIPS
Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MINNEAPOLIS, MN 55404
MINNEAPOLIS, MN 55404
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 Lidan Gu's NPI number?
The NPI number for Lidan Gu is 1164859443. It was assigned to this individual provider in the NPPES registry on October 2, 2013.
Where is Lidan Gu located?
Lidan Gu practices at 2525 Chicago Ave Mail Stop 17-217, Minneapolis, MN 55404. The listed phone number is (612) 813-6568.
What is Lidan Gu's specialty?
The primary specialty registered for this NPI is Psychologist, specializing in Clinical Child & Adolescent, with taxonomy code 103TC2200X.
Is Lidan Gu enrolled in Medicare?
Yes. Lidan Gu is registered in the Medicare PECOS enrollment system.
Which organizations bill Medicare for Lidan Gu's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Lidan Gu reassigns Medicare benefits to 5 organizations: Fairview Express Care (Minneapolis, MN), University Of Minnesota Physicians (Minneapolis, MN), Fairview Health Services (Minneapolis, MN), Fairview Specialty Services (Minneapolis, MN) and University Of Minnesota Health Clinics And Surgery Center Inc (Minneapolis, MN). Each 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 Lidan Gu's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Lidan Gu accept?
Health plans from Sanford Health Plan list Lidan 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 Lidan Gu was last updated on October 2, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years 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.
# Lidan Gu · NPI 1164859443
Clinical Child & Adolescent provider in Minneapolis, Minnesota. Individual provider, active in the CMS NPPES registry since October 2, 2013.
## Identity
- **NPI:** 1164859443 (Entity type: Individual)
- **Enumerated:** October 2, 2013
- **Primary specialty:** Psychologist - Clinical Child & Adolescent · taxonomy 103TC2200X
- **State license:** 5673 (Minnesota)
- **Sole proprietor:** No
## Practice location
- **Address:** 2525 CHICAGO AVE, MAIL STOP 17-217, Minneapolis, MN 55404-4518
- **Phone:** (612) 813-6568
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Bills Medicare through:** 5 organizations under Medicare reassignment (form CMS-855R): Fairview Express Care (NPI 1053952606, Minneapolis, MN); University Of Minnesota Physicians (NPI 1730586819, Minneapolis, MN); Fairview Health Services (NPI 1013994359, Minneapolis, MN); Fairview Specialty Services (NPI 1043199334, Minneapolis, MN); University Of Minnesota Health Clinics And Surgery Center Inc (NPI 1003485004, Minneapolis, MN) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** October 2, 2013
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Source: [NPI Profile](https://npiprofile.com/npi/1164859443) · Data from the CMS NPPES public registry.