Individual provider Active NPI

Jack Ming Hsu, M.D.

  • Otolaryngology Physician
  • Front Royal, VA
National Provider Identifier
1114956430
Registry record updated Feb 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
0101257635 Issued in VA
Practice address
120 N Commerce Ave
Front Royal, VA 22630-2660
Phone
(540) 635-0795
NPI assigned
Jun 30, 2006
Last updated
Feb 28, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 220276 NY
Otolaryngology Physician 207Y00000X 0101257635 VA Primary

Addresses

Primary practice location

120 N Commerce Ave
Front Royal, VA 22630-2660

Mailing address

120 N Commerce Ave
Front Royal, VA 22630-2660
Phone (540) 635-0795

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address jhsu112686@soc.inova.org
Direct Messaging Address jhsu112686@soc.inova.org
Direct Messaging Address jhsu112686@soc.inova.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20150311000604 VA Practitioner - Otolaryngology 6901993450 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren Memorial Hospital, Inc.Group PAC ID 2365330347, 121 clinicians

Practice addresses (Care Compare)

120 N Commerce St
Suite 230 245 255
Front Royal, VA 22630-2660
Phone (540) 635-0800

1840 Amherst St
Winchester, VA 22601-2808
Phone (540) 536-8000

351 Valley Health Way
Front Royal, VA 22630-6480
Phone (540) 636-0300

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision13

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Winchester Medical Center CurrentSince Apr 7, 2020 Accepting new patients
Warren Memorial Hospital, Inc. Current Accepting new patients
Valley Physician Enterprise, Inc. CurrentSince Apr 1, 2015 Accepting new patients
Warren Memorial Hospital, Inc. CurrentSince Aug 1, 2018 Accepting new patients
Winchester Medical Center, Inc. CurrentSince Apr 7, 2020 Accepting new patients
Valley Physician Enterprise, Inc CurrentSince Apr 1, 2015 Accepting new patients
Warren Memorial Hospital, Inc. Otolaryngology CurrentSince Aug 1, 2018 Accepting new patients
Winchester Medical Center Current Accepting new patients
Warren Memorial Hospital, Inc. Otolaryngology Past Accepting new patients

Locations

1000 N Shenandoah Ave
Front Royal, VA 22630
Phone (540) 636-0300

120 N Commerce Ave
Front Royal, VA 22630
Phone (540) 635-0730

120 N Commerce Ave
Ste 203
Front Royal, VA 22630

120 N Commerce Ave
Ste 245
Front Royal, VA 22630
Phone (540) 635-0795

120 N Commerce Ave
Ste 255
Front Royal, VA 22630
Phone (540) 635-0800

351 Valley Health Way
Front Royal, VA 22630
Phone (540) 636-0300

1840 Amherst St
Winchester, VA 22601
Phone (540) 536-8700

220 Campus Blvd
Ste 100
Winchester, VA 22601

Interoperability endpoints

  • Direct secure messaging: jhsu112686@valleyhealth.direct-ci.com

Organizations & group practices 9

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 5

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614470400000",
    "number": "1114956430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 N COMMERCE AVE",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302660",
            "telephone_number": "540-635-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 N COMMERCE AVE",
            "city": "FRONT ROYAL",
            "state": "VA",
            "postal_code": "226302660",
            "telephone_number": "540-635-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "JACK",
        "middle_name": "MING",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2021-02-28",
        "certification_date": "2021-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "220276",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "VA",
            "license": "0101257635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhsu112686@soc.inova.org",
            "affiliation": "N",
            "address_1": "120 N Commerce Ave",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226302660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhsu112686@soc.inova.org",
            "affiliation": "N",
            "address_1": "1000 N Shenandoah Ave",
            "city": "Front Royal",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226303547",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jhsu112686@soc.inova.org",
            "affiliation": "N",
            "address_1": "1840 Amherst St",
            "city": "Winchester",
            "state": "VA",
            "country_code": "US",
            "postal_code": "226012808",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Front Royal, VA

Sources for this page

Verify at the official NPI Registry.