NPIMap

Individual provider Active NPI

Alice Lynn Hsu, MD

  • Nephrology Physician
  • Garland, TX
National Provider Identifier
1114144052
Registry record updated Jul 13, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
L9739 Issued in TX
Practice address
7150 N President George Bush Hwy Ste 205
Garland, TX 75044-2210
Phone
(972) 276-0139
Fax
(972) 276-0149
NPI assigned
Apr 20, 2007
Last updated
Jul 13, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X L9739 TX Primary

Addresses

Primary practice location

7150 N President George Bush Hwy Ste 205
Garland, TX 75044-2210

Mailing address

4708 Alliance Blvd
Suite 600
Plano, TX 75093-5368
Phone (469) 467-0011

Other practice location 1

4708 Alliance Blvd Ste 600
Plano, TX 75093-5368
Phone (469) 467-0011

Other identifiers 2

IdentifierTypeStateIssuer
196441305MedicaidTX
196441304MedicaidTX

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070823001009 TX Practitioner - NephrologyPractitioner - Internal Medicine 1456443217 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
Washington University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

7150 N President George Bush Hwy
Suite 205
Garland, TX 75044-2210
Phone (972) 276-0139

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.91 of 100Reported as individual
Quality
81.27
Promoting interoperability
96
Improvement activities
40
Cost
71.78

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L3389TXMDNephrology Physician
L9739TXMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Kidney Care of North Texas, P.L.L.C. Nephrology CurrentSince Dec 15, 2009 Accepting new patients
Advanced Kidney Care of North Texas, P.L.L.C. Nephrology CurrentSince Dec 15, 2009 Accepting new patients
Winds Dialysis LLC PastSince Feb 1, 2018 Accepting new patients
Russell Dialysis LLC PastSince May 1, 2012 Accepting new patients

Locations

7150 N President George Bush Hwy
Ste 205
Garland, TX 75044
Phone (972) 276-0139

4708 Alliance Blvd
Ste 600
Plano, TX 75093
Phone (469) 467-0011

Interoperability endpoints

  • Direct secure messaging: alice.hsu.1@2940.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/2940/brand/1/csg/1/fhir/r4

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 8

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": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594598400000",
    "number": "1114144052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4708 ALLIANCE BLVD",
            "address_2": "SUITE 600",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750935368",
            "telephone_number": "469-467-0011",
            "fax_number": "469-467-4923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7150 N PRESIDENT GEORGE BUSH HWY STE 205",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "750442210",
            "telephone_number": "972-276-0139",
            "fax_number": "972-276-0149"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4708 Alliance Blvd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750935368",
            "country_code": "US",
            "telephone_number": "469-467-0011",
            "fax_number": "469-467-4923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HSU",
        "first_name": "ALICE",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2020-07-13",
        "certification_date": "2020-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "L9739",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196441305",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "196441304",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.