LIDAN GU
NPI 1164859443
Psychologist - Clinical Child & Adolescent in Minneapolis, MN

Active since October 02, 2013PECOS EnrolledAccepts Medicare Assignment
81.72/100
CMS Quality Rating
2525 CHICAGO AVE, MAIL STOP 17-217, MINNEAPOLIS, MN 55404(612) 813-6568 Get Directions Write a Review

NPPES record last updated: October 2, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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 and is a graduate of Other (2012).

NPPES Registry Identity

NPI1164859443
Entity TypeIndividualFemale
Primary Taxonomy103TC2200X
Provider Legal NameLIDAN GU
Location Address2525 CHICAGO AVE, MAIL STOP 17-217Minneapolis, MN 55404-4518
Mailing Address2525 Chicago Ave, Mail Stop 17-217Minneapolis, MN 55404-4518 · (612) 813-6568
Sole ProprietorNo
Medical School CMSOtherGraduated 2012
Enumeration DateOctober 2, 2013
NPI 1164859443 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPsychologist · Clinical Child & AdolescentBehavioral Health & Social Service Providers
Taxonomy Code103TC2200X
License Licensed in MN · 5673
Definition

A psychologist who develops and applies scientific knowledge to the delivery of psychological services to infants, toddlers, children and adolescents within their social context. Of particular importance to the specialty of clinical child psychology is an understanding of the basic psychological needs of children and adolescents, and how the family and other social contexts influence the socio-emotional adjustment, cognitive development, behavioral adaptation and health status of children and adolescents.

2525 CHICAGO AVE, Minneapolis, MN 55404

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Lidan Gu is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7618100819
PECOS Enrollment IDI20140423001303
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 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.

81.72/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality69.86
Promoting Interoperability100
Improvement Activities40
Cost59.73

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.

Emergency Medicine (Pediatric Emergency Medicine)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Anesthesiology
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Nurse Practitioner (Pediatrics)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Anesthesiology (Critical Care Medicine)
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Anesthesiology
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Anesthesiology
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Emergency Medicine
2525 CHICAGO AVE
MINNEAPOLIS, MN 55404
Pediatrics
2525 CHICAGO AVE, MAIL STOP 32-B880
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 system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

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 with the weekly NPPES data releases published by CMS.