Individual provider Active NPI

Machcuong Ho, MSN, APRN, FNP-BC/C

  • Nurse Practitioner
  • East Longmeadow, MA
National Provider Identifier
1194443242
Registry record updated Nov 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN2334832 Issued in MA
Practice address
294 N Main St
East Longmeadow, MA 01028-1838
Phone
(413) 224-1009
NPI assigned
Aug 16, 2022
Last updated
Nov 29, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 000000 MA
Nurse Practitioner 363L00000X RN2334832 MA Primary

Addresses

Primary practice location

294 N Main St
East Longmeadow, MA 01028-1838

Mailing address

294 N Main St Ste 101
East Longmeadow, MA 01028-1879
Phone (413) 224-1009

Other identifiers 1

IdentifierTypeStateIssuer
RN2334832OtherMAAESTHETIC MEDICINE, MENS HEALTH

Other names 1

  • David Machcuong Ho Other name

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL http://calimedicalspa.com/ Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251212003095 MA Practitioner - Nurse Practitioner 1850885179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Physician Services LLCGroup PAC ID 1456348127, 15 clinicians

Practice addresses (Care Compare)

95 Frank B Murray St
Springfield, MA 01103-1106
Phone (413) 301-6019

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science - Nursing, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN2334832MAMDNurse Practitioner
000000MAMDPrevention Professional

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Physician Services LLC Nurse Practitioner CurrentSince Oct 17, 2025 Accepting new patients

Locations

90 Everett Ave
Chelsea, MA 02150
Phone (413) 301-6019

779 Dudley St
Dorchester, MA 02125
Phone (413) 301-6019

294 N Main St
East Longmeadow, MA 01028
Phone (413) 525-3958

294 N Main St
Ste 101
East Longmeadow, MA 01028
Phone (413) 525-1870

1200 Converse St
Ste L3
Longmeadow, MA 01106
Phone (413) 567-4200

95 Frank B Murray St
Springfield, MA 01103
Phone (413) 285-8586

554 Main St
Worcester, MA 01608
Phone (413) 301-6019

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

NPI Registry JSON

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

{
    "created_epoch": "1660608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1701216000000",
    "number": "1194443242",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "294 N MAIN ST STE 101",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281879",
            "telephone_number": "413-224-1009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "294 N MAIN ST",
            "city": "EAST LONGMEADOW",
            "state": "MA",
            "postal_code": "010281838",
            "telephone_number": "413-224-1009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "MACHCUONG",
        "name_prefix": "Mr.",
        "credential": "MSN, APRN, FNP-BC/C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-08-16",
        "last_updated": "2023-11-29",
        "certification_date": "2022-09-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "MA",
            "license": "000000",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MA",
            "license": "RN2334832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AESTHETIC MEDICINE, MENS HEALTH",
            "identifier": "RN2334832",
            "state": "MA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "http://calimedicalspa.com/",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Aesthetic Medicine",
            "address_1": "294 N Main St",
            "city": "East Longmeadow",
            "state": "MA",
            "country_code": "US",
            "postal_code": "010281838",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "DAVID MACHCUONG",
            "last_name": "HO",
            "credential": "MSN, APRN, FNP-BC/C",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Longmeadow, MA

Sources for this page

Verify at the official NPI Registry.