DR. JIANSAN GU MD
NPI 1386102960
Student in an Organized Health Care Education/Training Program in Chicago, IL

Q: What is Jiansan Gu's NPI number?

The NPI number for Jiansan Gu is 1386102960. It was assigned to this individual provider in the NPPES registry on March 4, 2019.

Q: What is Jiansan Gu's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Jiansan Gu was last updated on October 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.

Active since March 04, 2019PECOS Enrolled

600 S PAULINA ST STE 403, CHICAGO, IL 60612(646) 703-3998 Get Directions Write a Review

NPPES record last updated: October 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 13, 2022, Apr 3, 2019, Mar 4, 2019 (3 updates tracked since 2019).

On this page

About Dr. Jiansan Gu Md NPPES

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

DR. JIANSAN GU MD (NPI 1386102960) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since March 2019. He is enrolled in Medicare PECOS and maintains a secondary practice location in Chicago.

NPPES Registry Identity

NPI1386102960

Entity TypeIndividualMale

Primary Taxonomy390200000X

Provider Legal NameDR. JIANSAN GUCredential: MD

Location Address600 S PAULINA ST STE 403Chicago, IL 60612-3806

Mailing Address600 S Paulina St Ste 403Chicago, IL 60612-3806

Phone(646) 703-3998

Sole ProprietorYes

Enumeration DateMarch 4, 2019

Last NPPES UpdateOctober 13, 20223 updates tracked since enumeration

NPPES CertifiedJune 14, 2022

✔ NPI 1386102960 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X · License 036158781 (IL)

600 S PAULINA ST STE 403, Chicago, IL 60612

Open in Google Maps ↗

Secondary Practice Location 1

Location 17447 W Talcott Ave Ste 182Chicago, IL 60631-3712 · Phone (773) 792-5155

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

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.

ROHAN PISHARODY MD

Psychiatry & Neurology (Neurology)