KENI GU (M.D.) – Anatomic Pathology & Clinical Pathology Physician, NPI 1508088097

KENI GU (M.D.) is a healthcare provider. based in Addison, Texas. specializing in PATHOLOGY. They hold the professional credentials M.D.. They hold a License No. 062213 (GA). The NPI Number for KENI GU (M.D.) is 1508088097

Main info

Male
41 Years Of Experience
Accepts Medicare Assignment
Name
KENI GU (M.D.)
NPI
1508088097
Phone
(317) 275-8000
Address
14275 MIDWAY RD
Enumeration Date
3 May 2007
Last Update Date
8 November 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7067378382
Graduation Year
1985 (41 years ago)
PAC ID
7214008101
Group Practice PAC ID
3779574546
Professional Enrollment ID
I20090708000784
Address ID
GA309012612AU1350XWAYX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience76
Completeness75
Years active:19State licenses:2Digital endpointsOther names

391 PATHOLOGY in GA

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Provider Addresses for KENI GU (M.D.)

  • 14275, Midway Road, Addison, Dallas County, Texas, 75001, United States

    SUITE 400

    ADDISON, TX 750013614

    Phone: (317) 275-8000

    Fax: (610) 271-4245

    Type: Mailing

  • University Hospital, 1350, Walton Way, Augusta, Richmond County, Georgia, 30901, United States

    AUGUSTA, GA 309012612

    Phone: (317) 275-8072

    Fax: (317) 275-8124

    Type: Location

  • 8 MEMORIAL MEDICAL CT STE 1

    GREENVILLE, SC 296054400

    Phone: (864) 295-3492

    Fax: (864) 295-4817

    Type: Mailing

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: 2026-02-28

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20090708000784IPathologyGATBD
I20260228000708IPathologyFLTBD

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
88305Pathology examination of tissue using a microscope, intermediate complexity288143$0
88341Special stained specimen slides to examine tissue, each additional procedure19047$0
88313Special stained specimen slides to examine tissue including interpretation and report12135$0
88342Special stained specimen slides to examine tissue, initial procedure11072$0
88307Pathology examination of tissue using a microscope, moderately high complexity8048$0
View full utilization report →

Insurance plans in this area (ZIP 75001)

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Provider's Procedures

KENI GU (M.D.) performs procedures in PATHOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PATHOLOGYGA88304Pathology examination of tissue using a microscope, moderately low complexity171162
PATHOLOGYGA88307Pathology examination of tissue using a microscope, moderately high complexity12179
PATHOLOGYGA88312Special stained specimen slides to identify organisms including interpretation and report3928
PATHOLOGYGA88342Tissue or cell analysis by immunologic technique342274

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: 3779574546View full group profile
NameSpecialtyState
P A T H O L O G YTX
P A T H O L O G YTX
P A T H O L O G YTX
-NC

Reviews

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Frequently asked questions

What federal number belongs to KENI GU (M.D.)?
The federal identifier for KENI GU (M.D.) is NPI 1508088097.
Is KENI GU (M.D.) currently active in the NPI registry?
CMS-published data lists KENI GU (M.D.) as an active registrant.
What field does KENI GU (M.D.) work in?
You can think of KENI GU (M.D.) as practicing within Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Where does public data place KENI GU (M.D.)?
The snapshot lists Addison, Texas for KENI GU (M.D.); download NPPES for the complete set.
How can I contact KENI GU (M.D.)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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