Individual provider Active NPI

Eileen Rodriguez Hsu, M.D.

  • Pediatrics Physician
  • Rochester, IN
National Provider Identifier
1033446984
Registry record updated Nov 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
01040079A Issued in IN
Practice address
740 N State Road 25
Rochester, IN 46975-9785
Phone
(574) 223-6080
Fax
(574) 224-6080
NPI assigned
Nov 13, 2009
Last updated
Nov 13, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 13, 2009

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 01040079A IN Primary

Addresses

Primary practice location

740 N State Road 25
Rochester, IN 46975-9785

Mailing address

740 N State Road 25
Rochester, IN 46975-9785
Phone (574) 223-6080

Other identifiers 1

IdentifierTypeStateIssuer
100335850AMedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140811001809 IN Practitioner - Pediatric Medicine 9436376753 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Pulaski Memorial Hospital CurrentSince Jun 18, 2014 Accepting new patients
Pulaski Memorial Hospital Current Accepting new patients
Pulaski Memorial Hospital CurrentSince Jun 18, 2014 Accepting new patients

Locations

540 Hospital Dr
Winamac, IN 46996
Phone (574) 935-4327

616 E 13th St
Winamac, IN 46996
Phone (574) 946-2100

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1258070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258070400000",
    "number": "1033446984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "740 N STATE ROAD 25",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469759785",
            "telephone_number": "574-223-6080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "740 N STATE ROAD 25",
            "city": "ROCHESTER",
            "state": "IN",
            "postal_code": "469759785",
            "telephone_number": "574-223-6080",
            "fax_number": "574-224-6080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "EILEEN",
        "middle_name": "RODRIGUEZ",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-13",
        "last_updated": "2009-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IN",
            "license": "01040079A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100335850A",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, IN

Sources for this page

Verify at the official NPI Registry.