GUEORGUI S GUEORGUIEV (M.D.) – Family Medicine Physician, NPI 1356336952

GUEORGUI S GUEORGUIEV (M.D.) is a healthcare provider. based in Ottawa, Illinois. specializing in FAMILY PRACTICE. They hold the professional credentials M.D.. They hold a License No. 036105269 (IL). The NPI Number for GUEORGUI S GUEORGUIEV (M.D.) is 1356336952

Main info

Male
30 Years Of Experience
Accepts Medicare Assignment
Name
GUEORGUI S GUEORGUIEV (M.D.)
NPI
1356336952
Phone
(815) 433-1010
Address
1614 E NORRIS DR
Enumeration Date
20 September 2005
Last Update Date
25 March 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8154331010
Graduation Year
1996 (30 years ago)
PAC ID
4981694064
Group Practice PAC ID
9133029861
Professional Enrollment ID
I20040512001483
Address ID
IL613503681OT1614XDRXX402
Telehealth
Yes
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

5,037 FAMILY PRACTICE in IL

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Provider Addresses for GUEORGUI S GUEORGUIEV (M.D.)

  • 1614, East Norris Drive, Ottawa, LaSalle County, Illinois, 61350, United States

    OTTAWA, IL 613503681

    Phone: (815) 433-1010

    Fax: (815) 433-0067

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2004-05-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040512001483IFamily PracticeILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample328203$0
99214Established patient office or other outpatient visit, 30-39 minutes9690$0
96372Injection of drug or substance under skin or into muscle6216$0
J3420Injection, vitamin b-12 cyanocobalamin, up to 1000 mcg5111$0
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes2822$0
View full utilization report →

Insurance plans in this area (ZIP 61350)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 9133029861View full group profile
NameSpecialtyState
Internal MedicineIL
Clinical Social WorkerIL
Nurse PractitionerIL
Clinical Social WorkerIL
Nurse PractitionerIL
Certified Registered Nurse Anesthetist (Crna)IL
-IL
Radiation OncologyIL
-IL
Mental Health CounselorIL

Reviews

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Frequently asked questions

What is the standard ID for GUEORGUI S GUEORGUIEV (M.D.) in the U.S.?
In the U.S., GUEORGUI S GUEORGUIEV (M.D.) is identified by NPI 1356336952.
Quick check: is GUEORGUI S GUEORGUIEV (M.D.) active?
Public NPPES data shows GUEORGUI S GUEORGUIEV (M.D.) with an active NPI status right now.
Which specialty label fits GUEORGUI S GUEORGUIEV (M.D.)?
NPPES ties GUEORGUI S GUEORGUIEV (M.D.) to Family Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is GUEORGUI S GUEORGUIEV (M.D.) tied to Ottawa, Illinois?
If you are local to Ottawa, Illinois, GUEORGUI S GUEORGUIEV (M.D.) may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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