Individual provider Active NPI

Michael Chang-CHI Hsu, M.D.

  • Surgery Physician
  • St Augustine, FL
National Provider Identifier
1043325848
Registry record updated Aug 25, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME99434 Issued in FL
Practice address
201 Health Park Blvd
Ste 107
St Augustine, FL 32086-5796
Phone
(904) 824-4277
Fax
(904) 824-4490
NPI assigned
Aug 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X ME99434 FL Primary

Addresses

Primary practice location

201 Health Park Blvd
Ste 107
St Augustine, FL 32086-5796

Mailing address

201 Health Park Blvd
Ste 107
St Augustine, FL 32086-5796
Phone (904) 824-4277

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20080303000511 FL Practitioner - General Surgery 7719981299 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

201 Health Park Blvd
Suite 107
St Augustine, FL 32086-5770
Phone (904) 824-4277

Hospital & facility affiliations

  • Precise Home Care LLC Home health agency, Jacksonville, FL, CCN 108406
  • Flagler Hospital Hospital, Saint Augustine, FL, CCN 100090

Merit-based Incentive Payment System (MIPS)

Final score
81.78 of 100Reported as apm
Quality
77.66
Promoting interoperability
70.54
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy20
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)59
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Michael Hsu M.D. LLC Surgery CurrentSince Aug 1, 2011 Accepting new patients
Old Moultrie Surgical Center Inc Past Accepting new patients
U.S. Bariatric, Orlando, LLC Surgery Past Accepting new patients
Baystate Medical Practices, Inc Surgery Past Accepting new patients

Locations

201 Health Park Blvd
Ste 107
St Augustine, FL 32086
Phone (904) 819-0101

Interoperability endpoints

  • Direct secure messaging: mhsu744021@direct.shands.ufl.edu

Organizations & group practices 4

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

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1156032000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472083200000",
    "number": "1043325848",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 HEALTH PARK BLVD",
            "address_2": "STE 107",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865796",
            "telephone_number": "904-824-4277",
            "fax_number": "904-824-4490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 HEALTH PARK BLVD",
            "address_2": "STE 107",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320865796",
            "telephone_number": "904-824-4277",
            "fax_number": "904-824-4490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "MICHAEL",
        "middle_name": "CHANG-CHI",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-20",
        "last_updated": "2016-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME99434",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.