Individual provider Active NPI

Benjamin Hsu, MD

  • Dermatology Physician
  • Spokane, WA
National Provider Identifier
1164401444
Registry record updated Apr 5, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD00033906 Issued in WA
Practice address
757 E Holland Ave
Northwest Dermatology
Spokane, WA 99218-1257
Phone
(509) 444-6367
Fax
(509) 444-6371
NPI assigned
Jan 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2010

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
MOHS-Micrographic Surgery Physician 207ND0101X MD00033906 WA
Dermatology Physician 207N00000X MD00033906 WA Primary

Addresses

Primary practice location

757 E Holland Ave
Northwest Dermatology
Spokane, WA 99218-1257

Mailing address

757 E Holland Ave
Northwest Dermatology
Spokane, WA 99218-1257
Phone (509) 444-6367

Other identifiers 2

IdentifierTypeStateIssuer
KQ241OtherWABLUE CROSS IDAHO
1115013MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20040804000056 WA Practitioner - DermatologyPractitioner - Internal Medicine 0143110502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Internal Medicine
Education
Stanford University School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Benjamin Hsu, M.D.,P.SGroup PAC ID 1254221617, 6 clinicians

Practice addresses (Care Compare)

757 E Holland Ave
Spokane, WA 99218-1257
Phone (509) 444-6367

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision226
Removal of skin lesions1045
Removal or shaving of skin growth81
Skin biopsy416

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Benjamin Hsu, M.D.,P.S Dermatology CurrentSince Jan 1, 2002 Accepting new patients

Locations

757 E Holland Ave
Spokane, WA 99218
Phone (509) 444-6367

Interoperability endpoints

  • Direct secure messaging: bhsu@northwestderm.emadirect.md

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1137110400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1270425600000",
    "number": "1164401444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "757 E HOLLAND AVE",
            "address_2": "NORTHWEST DERMATOLOGY",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181257",
            "telephone_number": "509-444-6367",
            "fax_number": "509-444-6371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "757 E HOLLAND AVE",
            "address_2": "NORTHWEST DERMATOLOGY",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992181257",
            "telephone_number": "509-444-6367",
            "fax_number": "509-444-6371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "BENJAMIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-13",
        "last_updated": "2010-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "WA",
            "license": "MD00033906",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00033906",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS IDAHO",
            "identifier": "KQ241",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1115013",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

Verify at the official NPI Registry.