Jimson Chiu Hung Tse, MD

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

36463 Issued in WI

Practice address

400 Celebration PL
Kissimmee, FL 34747-4970

Phone

(407) 303-4000

NPI assigned

Oct 27, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Stateline Anesthesiologists SC

  • Anesthesiology Physician
  • Beloit, WI
  • NPI 1316937519
  NPD Authorized official
• US Anesthesia Partners of Florida Inc.

  • Anesthesiology Physician
  • Maitland, FL
  • NPI 1518910520
  NPD
• Hart Road Pathology SC

  • Clinical Pathology Physician
  • Beloit, WI
  • NPI 1740459072
  NPD (past)

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670284800000",
    "number": "1073503272",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10055 COVERED MOSS DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328366886",
            "telephone_number": "608-295-8533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CELEBRATION PL",
            "city": "KISSIMMEE",
            "state": "FL",
            "postal_code": "347474970",
            "telephone_number": "407-303-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1969 W Hart Rd",
            "address_2": "Beloit Memorial Hospital",
            "address_purpose": "LOCATION",
            "city": "Beloit",
            "state": "WI",
            "postal_code": "535112230",
            "country_code": "US",
            "telephone_number": "608-362-7444",
            "fax_number": "608-362-0417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSE",
        "first_name": "JIMSON",
        "middle_name": "CHIU HUNG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2022-12-06",
        "certification_date": "2022-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "36463",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEANCARE",
            "identifier": "11094",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32147900",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Denise Trujillo Herrera
• Leomaris A Trujillo Santiago, M.D.
• Alejandro Trujillo
• Ana Gabriela Trujillo
• Trust Home Health Care Corp
• Adiva Tucker
• Brittenay Denise Tucker, RPH
• Nicole Rochelle Tucker, DPT
• Olga N Tuero
• Megan Ann Tufano

• Anesthesiology Physician in Kissimmee, FL
• Providers in Kissimmee, FL by specialty
• Anesthesiology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.