NPIMap

Individual provider Active NPI

Hsien Sing Sam Hsieh, MB BCH BAO

  • Surgery Physician
  • Grand Coulee, WA
National Provider Identifier
1265745392
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
MD60533528 Issued in WA
Practice address
411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Phone
(509) 633-1911
Fax
(509) 633-1933
NPI assigned
Jul 19, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD60533528 WA Primary

Addresses

Primary practice location

411 Fortuyn Rd
Grand Coulee, WA 99133-8718

Mailing address

411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Phone (267) 243-5611

Other identifiers 1

IdentifierTypeStateIssuer
2046904MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150929003181 WA Practitioner - General Surgery 5799093480 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Douglas, Grant, Lincoln and Okanogan Counties Public Hospital DistrictGroup PAC ID 9335050285, 40 clinicians

Practice addresses (Care Compare)

411 Fortuyn Rd
Grand Coulee, WA 99133-8718
Phone (509) 633-1753

Hospital & facility affiliations

  • Othello Community Hospital Hospital, Othello, WA, CCN 501318
  • Coulee Medical Center Hospital, Grand Coulee, WA, CCN 501308
  • Confluence Health Hospital Hospital, Wenatchee, WA, CCN 500016

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 Current Accepting new patients
Grant County Public Hospital District 1 Current Accepting new patients
Grant County Public Hospital District 1 CurrentSince Jan 1, 2021 Accepting new patients
Adams County Public Hospital District 3 CurrentSince Nov 9, 2025 Accepting new patients
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 Surgery CurrentSince Sep 1, 2015 Accepting new patients
Grant County Public Hospital District 1 CurrentSince Jan 1, 2021 Accepting new patients
Douglas, Grant, Lincoln & Okanogan Counties Public Hospital District 6 CurrentSince Sep 1, 2015 Accepting new patients

Locations

411 Fortuyn Rd
Grand Coulee, WA 99133
Phone (509) 633-1753

660 S Coolidge St
Moses Lake, WA 98837

2000 S Clover Dr
Moses Lake, WA 98837
Phone (509) 765-5606

801 E Wheeler Rd
Moses Lake, WA 98837
Phone (509) 765-5606

315 N 14th Ave
Othello, WA 99344
Phone (509) 331-2667

Interoperability endpoints

  • Direct secure messaging: hsiehh@cmccares.cernerdirect.com

Organizations & group practices 9

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.

Hospital & facility affiliations 3

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": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265745392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 FORTUYN RD",
            "city": "GRAND COULEE",
            "state": "WA",
            "postal_code": "991338718",
            "telephone_number": "267-243-5611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "411 FORTUYN RD",
            "city": "GRAND COULEE",
            "state": "WA",
            "postal_code": "991338718",
            "telephone_number": "509-633-1911",
            "fax_number": "509-633-1933"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSIEH",
        "first_name": "HSIEN SING SAM",
        "name_prefix": "Dr.",
        "credential": "MB BCH BAO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-19",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD60533528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2046904",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Coulee, WA

Sources for this page

Verify at the official NPI Registry.