THERESA W. GUILBERT (MD) – Pediatric Pulmonology Physician, NPI 1861466674

THERESA W. GUILBERT (MD) is a healthcare provider. based in Cincinnati, Ohio. specializing in PULMONARY DISEASE. They hold the professional credentials MD. They hold a License No. 35.122502 (OH). The NPI Number for THERESA W. GUILBERT (MD) is 1861466674

Main info

Female
34 Years Of Experience
Accepts Medicare Assignment
Name
THERESA W. GUILBERT (MD)
NPI
1861466674
Phone
(513) 803-0493
Address
3333 BURNET AVE
Enumeration Date
16 February 2006
Last Update Date
17 April 2015

Doctor Profile

Medical School Name
UNIVERSITY OF MINNESOTA MEDICAL SCHOOL
Secondary Phone
5136364200
Graduation Year
1992 (34 years ago)
PAC ID
3779588157
Group Practice PAC ID
8426955733
Professional Enrollment ID
I20140217000683
Address ID
OH452293026CI3333XAVEX300
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

850 PULMONARY DISEASE in OH

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Provider Addresses for THERESA W. GUILBERT (MD)

  • Cincinnati Children’s Hospital Medical Center, 3333, Burnet Avenue, Pill Hill, Corryville, Cincinnati, Hamilton County, Ohio, 45229-3026, United States

    ML 2021

    CINCINNATI, OH 452293026

    Phone: (513) 803-0493

    Fax: (513) 636-4615

    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)

CMS reports 77 Open Payments records for all available years, with a total value of $60,004.

Total Amount is formed as General ($46,318) + Research ($13,686) + Ownership ($0) = $60,004.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($22,538).

Total Amount

$60,004

General + Research + Ownership

Payments

77

Total payment records

General Amount

$46,318

General payments

Research Amount

$13,686

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2014-02-17

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
I20140217000683IPulmonary DiseaseOHTBD

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.

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

Insurance plans in this area (ZIP 45229)

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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: 8426955733View full group profile

Reviews

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Frequently asked questions

Does THERESA W. GUILBERT (MD) have a public NPI I can cite?
Public records show THERESA W. GUILBERT (MD) under NPI 1861466674.
Is THERESA W. GUILBERT (MD) currently accepting referrals based on NPI status?
Registry metadata lists THERESA W. GUILBERT (MD) as active.
What services align with THERESA W. GUILBERT (MD)'s listing?
THERESA W. GUILBERT (MD)'s public classification highlights Pediatric Pulmonology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to THERESA W. GUILBERT (MD)?
THERESA W. GUILBERT (MD) is associated with Cincinnati, Ohio in the same public data insurers reference.
Why is information missing for THERESA W. GUILBERT (MD)?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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