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THERESA W. GUILBERT MD
NPI 1861466674
Pediatrics - Pediatric Pulmonology in Cincinnati, OH

Active since February 16, 2006PECOS EnrolledAccepts Medicare Assignment
3333 BURNET AVE, ML 2021, CINCINNATI, OH 45229(513) 803-0493(513) 636-4615 Get Directions Write a Review

NPPES record last updated: April 17, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Theresa W. Guilbert Md NPPES

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

THERESA W. GUILBERT MD (NPI 1861466674) is an individual pediatric pulmonology provider in Cincinnati, Ohio, licensed in Ohio (35.122502) and active in the NPI registry since February 2006. She is enrolled in Medicare PECOS, is affiliated with Cincinnati Children's Hospital Medical Center, and is a graduate of University Of Minnesota Medical School (1992).

NPPES Registry Identity

NPI1861466674
Entity TypeIndividualFemale
Primary Taxonomy2080P0214X
Provider Legal NameTHERESA W. GUILBERTCredential: MD
Location Address3333 BURNET AVE, ML 2021Cincinnati, OH 45229-3026
Mailing Address3333 Burnet Ave, Ml 2021Cincinnati, OH 45229-3026 · (513) 803-0493 · Fax (513) 636-4615
Phone(513) 803-0493
Fax(513) 636-4615
Sole ProprietorNo
Medical School CMSUniversity Of Minnesota Medical SchoolGraduated 1992
Enumeration DateFebruary 16, 2006
Last NPPES UpdateApril 17, 2015
✔ NPI 1861466674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Pediatric PulmonologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0214X
License✔ Licensed in OH · 35.122502
Definition
A pediatrician dedicated to the prevention and treatment of all respiratory diseases affecting infants, children and young adults. This specialist is knowledgeable about the growth and development of the lung, assessment of respiratory function in infants and children, and experienced in a variety of invasive and noninvasive diagnostic techniques.
3333 BURNET AVE, Cincinnati, OH 45229
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include CareSource, MedMutual.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

Theresa W. Guilbert Md 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 ID3779588157
PECOS Enrollment IDI20140217000683
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.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

OwnershipVoluntary non-profit - Private
CMS Certification Number363300
Location3333 Burnet AvenueCincinnati, OH 45229 · Hamilton County
Emergency services

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.

PREEYACHA PACHARN M.D.
Radiology (Pediatric Radiology)
3333 BURNET AVE, ML 5031
CINCINNATI, OH 45229
Hamilton County (513) 636-4251
BRIAN KEITH TURPIN D.O.
Pediatrics (Pediatric Hematology-Oncology)
3333 BURNET AVE
CINCINNATI, OH 45229
Hamilton County (513) 636-3381
ETHAN J MUSGRAVE M.D.
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3333 BURNET AVE, ML 3014
CINCINNATI, OH 45229
Hamilton County (513) 636-4788
KATHRYN WEAVER M.D.
Medical Genetics (Clinical Genetics (M.D.))
3333 BURNET AVE, ML 4006
CINCINNATI, OH 45229
Hamilton County (513) 636-4760
ROBIN T COTTON, MD, INC
Otolaryngology (Pediatric Otolaryngology)
3333 BURNET AVE, MLC 2018
CINCINNATI, OH 45229
Hamilton County (513) 636-7138
ELIZABETH ANN MOORE CNP
Nurse Practitioner (Acute Care)
3333 BURNET AVE, ML 2003
CINCINNATI, OH 45229
Hamilton County (513) 636-4432
CONSTANCE MARIE MARTIN CNP
Nurse Practitioner (Primary Care)
3333 BURNET AVE, ML 2018
CINCINNATI, OH 45229
Hamilton County (513) 636-4355
EMILY RENAE LY LSW
Case Manager/Care Coordinator
3333 BURNET AVE
CINCINNATI, OH 45229
Hamilton County (513) 803-6316

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 Theresa Guilbert's NPI number?

The NPI number for Theresa Guilbert is 1861466674. It was assigned to this individual provider in the NPPES registry on February 16, 2006.

Where is Theresa Guilbert located?

Theresa Guilbert practices at 3333 Burnet Ave Ml 2021, Cincinnati, OH 45229. The listed phone number is (513) 803-0493.

What is Theresa Guilbert's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Pulmonology, with taxonomy code 2080P0214X.

Is Theresa Guilbert enrolled in Medicare?

Yes. Theresa Guilbert 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 Theresa Guilbert accept?

Health plans from CareSource and MedMutual list Theresa Guilbert 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.

Is Theresa Guilbert affiliated with any hospitals?

According to CMS data, Theresa Guilbert is affiliated with Cincinnati Children's Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Theresa Guilbert was last updated on April 17, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.