Individual provider Active NPI

Anthony Trivino Hsu, D.O.

  • Ophthalmology Physician
  • Novi, MI
National Provider Identifier
1336349547
Registry record updated Oct 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
5101017422 Issued in MI
Practice address
26850 Providence Pkwy Ste 360
Novi, MI 48374-1261
Phone
(248) 697-2822
Fax
(888) 443-3187
NPI assigned
Jul 25, 2007
Last updated
Oct 19, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 5101017422 MI Primary

Addresses

Primary practice location

26850 Providence Pkwy Ste 360
Novi, MI 48374-1261

Mailing address

26850 Providence Pkwy Ste 310
Novi, MI 48374-1259
Phone (248) 697-2822

Other identifiers 2

IdentifierTypeStateIssuer
1336349547MedicaidMI
200000033173OtherMIPHYSICIANS HEALTH PLAN

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
I20120804000095 MI Practitioner - Ophthalmology 8123291002 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Ophthalmology
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial HospitalGroup PAC ID 8527976497, 210 clinicians

Practice addresses (Care Compare)

3337 Britton Rd
Perry, MI 48872-9706
Phone (517) 625-3004

802 W King St a
Memorial Healthcare Ophthalmology
Owosso, MI 48867-2100
Phone (989) 288-3300

802 W King St C
MH Diabetes and Endocrinology
Owosso, MI 48867-2100
Phone (989) 729-4131

802 W King St E
Memorial Healthcare
Owosso, MI 48867-2100
Phone (989) 723-5211

802 W King St J
MH Pulmonology and Sleep Medicine
Owosso, MI 48867-2100
Phone (989) 729-4071

802 W King St M
MH Pediatric Medicine 3Rd FLR
Owosso, MI 48867-2100
Phone (989) 729-4100

802 W King St O
Memorial Healthcare
Owosso, MI 48867-2100
Phone (989) 723-5211

826 W King St
Owosso, MI 48867-2120

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Cataract surgery54

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
5101017422MIMDOphthalmology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
Novi Ophthalmology, PC Ophthalmology CurrentSince May 1, 2021 Accepting new patients
Memorial Hospital CurrentSince Jan 1, 2026 Accepting new patients
Lansing Ophthalmology, P.C. Ophthalmology Past Accepting new patients
Lansing Ophthalmology, PC Past Accepting new patients
Comorin Kidneycare PLLC PastSince May 1, 2021 Accepting new patients
Memorial Hospital Past Accepting new patients
Lansing Ophthalmology, P.C. Ophthalmology Past Accepting new patients

Locations

1225 S Latson Rd
Ste 260
Howell, MI 48843
Phone (517) 541-4444

37595 7 Mile Rd
Ste 410
Livonia, MI 48152
Phone (734) 288-3370

26850 Providence Pkwy
Ste 310
Novi, MI 48374
Phone (248) 380-9630

26850 Providence Pkwy
Ste 360
Novi, MI 48374
Phone (248) 319-3000

802 W King St
Ste A
Owosso, MI 48867
Phone (517) 393-2020

3337 Britton Rd
Perry, MI 48872
Phone (517) 625-3004

Interoperability endpoints

  • Direct secure messaging: ahsu1132606@direct.hfhs.org

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

Hospital & facility affiliations 1

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": "1185321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1336349547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY STE 310",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741259",
            "telephone_number": "248-697-2822",
            "fax_number": "888-443-3187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26850 PROVIDENCE PKWY STE 360",
            "city": "NOVI",
            "state": "MI",
            "postal_code": "483741261",
            "telephone_number": "248-697-2822",
            "fax_number": "888-443-3187"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "ANTHONY",
        "middle_name": "TRIVINO",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-25",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "5101017422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1336349547",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHYSICIANS HEALTH PLAN",
            "identifier": "200000033173",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Novi, MI

Sources for this page

Verify at the official NPI Registry.