GUAT SIA JR. SY (MD) – Colon & Rectal Surgery Physician, NPI 1114929791

Colon & Rectal Surgery Physician

GUAT SIA JR. SY (MD) is a healthcare provider. based in Dearborn, Michigan. specializing in Colon & Rectal Surgery Physician. They hold the professional credentials MD. They hold a License No. 4301040071 (MI). The NPI Number for GUAT SIA JR. SY (MD) is 1114929791

Main info

Male

Sole Proprietor

52 Years Of Experience

Accepts Medicare Assignment

Name

GUAT SIA JR. SY (MD)

NPI

1114929791

Phone

(313) 271-2990

Address

17000 HUBBARD DR

Enumeration Date

12 August 2005

Last Update Date

2 November 2009

Doctor Profile

Medical School Name

OTHER

Secondary Phone

Graduation Year

1974 (52 years ago)

PAC ID

2769532803

Professional Enrollment ID

I20090610000520

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience59

Completeness75

Years active:20State licenses:1Digital endpointsOther names

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Provider Addresses for GUAT SIA JR. SY (MD)

17000, Hubbard Drive, Dearborn, Wayne County, Michigan, 48126, United States
SUITE 700
DEARBORN, MI 481264258
Phone: (313) 271-2990
Fax: (313) 271-1698
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.

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Medicare Enrollment & Revalidation

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

No Medicare enrollment or revalidation data available for this provider in our database.

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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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 48126)

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Frequently asked questions

What number should I use to identify GUAT SIA JR. SY (MD) for billing?

Administrative and clinical systems typically use NPI 1114929791 for GUAT SIA JR. SY (MD).

Should I treat GUAT SIA JR. SY (MD) as an active provider?

Patients and plans typically see GUAT SIA JR. SY (MD) as active in the national extract.

What does the directory say GUAT SIA JR. SY (MD) does?

Insurance directories may phrase it differently, but here GUAT SIA JR. SY (MD) maps to Colon & Rectal Surgery Physician. Clinical services aligned with this taxonomy classification.

What geographic area is tied to GUAT SIA JR. SY (MD)?

GUAT SIA JR. SY (MD) is associated with Dearborn, Michigan in the same public data insurers reference.

Can I verify credentials using only NPI?

NPI confirms identity in the directory; licensure and board certification require separate checks.