Individual provider Active NPI

Gene L Hwang, MD

  • Internal Medicine Physician
  • New Buffalo, MI
National Provider Identifier
1245213073
Registry record updated Apr 14, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301048288 Issued in MI
Practice address
225 S Whittaker St
New Buffalo, MI 49117-1377
Phone
(269) 469-0202
NPI assigned
Nov 25, 2005
Last updated
Apr 14, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301048288 MI Primary

Addresses

Primary practice location

225 S Whittaker St
New Buffalo, MI 49117-1377

Mailing address

225 S Whittaker St
New Buffalo, MI 49117-1377
Phone (269) 469-0202

Other identifiers 2

IdentifierTypeStateIssuer
0110069OtherMIBLUE CROSS BLUE SHIELD MI
71020000110069OtherMIFEDERAL BLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20061006000500 MI Practitioner - Internal Medicine 3476559873 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

225 S Whittaker St
New Buffalo, MI 49117-1377
Phone (269) 469-0202

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301048288MIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Buffalo Medical Center PC CurrentSince Aug 23, 2000 Accepting new patients
Harbor Country Gynecology PLLC PastSince Aug 1, 2006 Accepting new patients

Organizations & group practices 2

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": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1208131200000",
    "number": "1245213073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 S WHITTAKER ST",
            "city": "NEW BUFFALO",
            "state": "MI",
            "postal_code": "491171377",
            "telephone_number": "269-469-0202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 S WHITTAKER ST",
            "city": "NEW BUFFALO",
            "state": "MI",
            "postal_code": "491171377",
            "telephone_number": "269-469-0202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HWANG",
        "first_name": "GENE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2008-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301048288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD MI",
            "identifier": "0110069",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL BLUE CROSS",
            "identifier": "71020000110069",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New Buffalo, MI

Sources for this page

Verify at the official NPI Registry.