Individual provider Active NPI

Kenneth C Hsiao, MD

  • Urology Physician
  • Walnut Creek, CA
National Provider Identifier
1265427975
Registry record updated Feb 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
A101408 Issued in CA
Practice address
355 Lennon LN
Suite 205
Walnut Creek, CA 94598-2418
Phone
(925) 935-0627
Fax
(925) 935-3547
NPI assigned
Sep 19, 2005
Last updated
Feb 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X A101408 CA Primary

Addresses

Primary practice location

355 Lennon LN
Suite 205
Walnut Creek, CA 94598-2418

Mailing address

355 Lennon LN Ste 205
Walnut Creek, CA 94598-2475
Phone (925) 935-0627

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20080304000926 CA Practitioner - Urology 8224009535 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Warren Alpert Medical School of Brown University, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Bass Medical GroupGroup PAC ID 9032111281, 292 clinicians

Practice addresses (Care Compare)

112 La Casa Via
Suite 200
Walnut Creek, CA 94598-3011
Phone (925) 951-5806

1505 Saint Alphonsus Way
Alamo, CA 94507-1570
Phone (925) 932-6330

2637 Shadelands Dr
Walnut Creek, CA 94598-2512
Phone (925) 378-4512

365 Lennon LN
Walnut Creek, CA 94598-5915

6600 Lone Tree Way
Brentwood, CA 94513-5256
Phone (925) 932-6330

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.02 of 100Reported as individual
Quality
89.02
Promoting interoperability
100
Improvement activities
40
Cost
97.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A101408CAMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
John Muir Trauma Physicians Billing Service Current Accepting new patients
Bass Medical Group Current Accepting new patients
Bass Medical Group CurrentSince Jan 1, 2019 Accepting new patients
Bass Medical Group CurrentSince Jan 1, 2019 Accepting new patients
John Muir Trauma Physicians Billing Service Urology CurrentSince Jun 21, 2018 Accepting new patients
University Urologists, Inc., PC Urology Past Accepting new patients
Bass Medical Group Specialist Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

1505 Saint Alphonsus Way
Alamo, CA 94507
Phone (925) 837-4225

6600 Lone Tree Way
Brentwood, CA 94513
Phone (925) 433-8786

3300 Webster St
Ste 710
Oakland, CA 94609
Phone (510) 465-5800

1455 Montego
Ste 102
Walnut Creek, CA 94598
Phone (925) 935-0627

1601 Ygnacio Valley Rd
Walnut Creek, CA 94598
Phone (925) 295-1545

2255 Ygnacio Valley Rd
Ste T
Walnut Creek, CA 94598
Phone (925) 289-1808

355 Lennon Ln
Ste 205
Walnut Creek, CA 94598
Phone (925) 935-0627

365 Lennon Ln
Ste 250
Walnut Creek, CA 94598
Phone (925) 627-3424

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: khsiao161540@hisp.ehr.sutterhealth.org
  • Direct secure messaging: khsiao17820@ehr.johnmuirhealth.com

Organizations & group practices 8

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 4

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": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738886400000",
    "number": "1265427975",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 LENNON LN STE 205",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982475",
            "telephone_number": "925-935-0627",
            "fax_number": "925-935-3547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 LENNON LN",
            "address_2": "SUITE 205",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945982418",
            "telephone_number": "925-935-0627",
            "fax_number": "925-935-3547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSIAO",
        "first_name": "KENNETH",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2025-02-07",
        "certification_date": "2025-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "A101408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

Verify at the official NPI Registry.