Active NPI
Hau Trung La, MD
- Family Medicine Physician
- Smyrna, TN
National Provider Identifier
1164613535
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(4) exclusion effective May 20, 2024.
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD42545
- Practice address
- 713B President PL
Smyrna, TN 37167-5652 - Phone
- (615) 930-2162
- Fax
- (615) 930-2163
- NPI assigned
- Aug 9, 2007
- Last updated
- Oct 14, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD42545 | TN | Primary |
Addresses
Primary practice location
713B President PL
Smyrna, TN 37167-5652
Mailing address
205 5TH Ave E
Springfield, TN 37172-2435
Phone (615) 384-7500
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ahtla@hotmail.com | Direct |
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD42545 | TN | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1186617600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571011200000",
"number": "1164613535",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 5TH AVE E",
"city": "SPRINGFIELD",
"state": "TN",
"postal_code": "371722435",
"telephone_number": "615-384-7500",
"fax_number": "615-752-5738"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "713B PRESIDENT PL",
"city": "SMYRNA",
"state": "TN",
"postal_code": "371675652",
"telephone_number": "615-930-2162",
"fax_number": "615-930-2163"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LA",
"first_name": "HAU",
"middle_name": "TRUNG",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-08-09",
"last_updated": "2019-10-14",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "MD42545",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ahtla@hotmail.com",
"affiliation": "N",
"endpointDescription": "email",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "pdf",
"address_1": "713B President Pl",
"city": "Smyrna",
"state": "TN",
"country_code": "US",
"postal_code": "371675652",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Smyrna, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.