Individual provider Active NPI

Hsiao-Chun Yu, DPM

  • Podiatrist
  • Las Cruces, NM
National Provider Identifier
1053304261
Registry record updated Oct 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
200 Issued in NM
Practice address
780 S Walnut St
Suite 3
Las Cruces, NM 88001-1425
Phone
(505) 525-3980
Fax
(505) 526-8529
NPI assigned
Aug 24, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 200 NM Primary

Addresses

Primary practice location

780 S Walnut St
Suite 3
Las Cruces, NM 88001-1425

Mailing address

780 S Walnut St
Suite 3
Las Cruces, NM 88001-1425
Phone (505) 525-3980

Other identifiers 5

IdentifierTypeStateIssuer
NM005365OtherNMBC/BS
88001A003OtherNMTRICARE (WPS)
63033MedicaidNM
0469220001OtherNMDMERC
28155OtherNMPRESBYTERIAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/16336/brand/1/csg/1/fhir/r4

NPI Registry JSON

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

{
    "created_epoch": "1124841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193616000000",
    "number": "1053304261",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "780 S WALNUT ST",
            "address_2": "SUITE 3",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011425",
            "telephone_number": "505-525-3980",
            "fax_number": "505-526-8529"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "780 S WALNUT ST",
            "address_2": "SUITE 3",
            "city": "LAS CRUCES",
            "state": "NM",
            "postal_code": "880011425",
            "telephone_number": "505-525-3980",
            "fax_number": "505-526-8529"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YU",
        "first_name": "HSIAO-CHUN",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-24",
        "last_updated": "2007-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NM",
            "license": "200",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "NM005365",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE (WPS)",
            "identifier": "88001A003",
            "state": "NM"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "63033",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC",
            "identifier": "0469220001",
            "state": "NM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRESBYTERIAN",
            "identifier": "28155",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Cruces, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.