Organization Active NPI

Robert C. Hsieh, M.D.,P.a.

  • Ophthalmology Physician
  • Riverdale, MD
National Provider Identifier
1265762280
Registry record updated Jan 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
Legal business name
ROBERT C. HSIEH, M.D.,P.A.
Practice address
6510 Kenilworth Ave
Suite 1300
Riverdale, MD 20737-1339
Phone
(301) 699-1166
Fax
(301) 209-9456
NPI assigned
Jan 14, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 14, 2010

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

Authorized official

Name
Ms. Donna Boicourt
Title
Office Manager
Phone
(301) 699-1166

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207W00000X Primary

Addresses

Primary practice location

6510 Kenilworth Ave
Suite 1300
Riverdale, MD 20737-1339

Mailing address

6510 Kenilworth Ave
Suite 1300
Riverdale, MD 20737-1339
Phone (301) 699-1166

Other identifiers 1

IdentifierTypeStateIssuer
252351500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100212000411 DC Part B Supplier - Clinic/Group Practice 5597809616 Receives reassigned benefits from 1 practitioner
Practice locations: Riverdale, MD

National Provider Directory

National Provider Directory

Locations

6510 Kenilworth Ave
Ste 1300
Riverdale, MD 20737
Phone (301) 699-1166

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1263427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263427200000",
    "number": "1265762280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6510 KENILWORTH AVE",
            "address_2": "SUITE 1300",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371339",
            "telephone_number": "301-699-1166",
            "fax_number": "301-209-9456"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6510 KENILWORTH AVE",
            "address_2": "SUITE 1300",
            "city": "RIVERDALE",
            "state": "MD",
            "postal_code": "207371339",
            "telephone_number": "301-699-1166",
            "fax_number": "301-209-9456"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT C. HSIEH, M.D.,P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-14",
        "last_updated": "2010-01-14",
        "status": "A",
        "authorized_official_last_name": "BOICOURT",
        "authorized_official_first_name": "DONNA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "301-699-1166",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "252351500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Riverdale, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.