Individual provider Active NPI

Anthony Hoang, MD

  • Obstetrics & Gynecology Physician
  • Brookfield, WI
National Provider Identifier
1376597419
Registry record updated Jun 11, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0037901 Issued in WI
Practice address
21700 Intertech Dr
Springdale Health Center
Brookfield, WI 53045-5197
Phone
(262) 532-8300
Fax
(262) 532-8600
NPI assigned
May 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0037901 WI Primary

Addresses

Primary practice location

21700 Intertech Dr
Springdale Health Center
Brookfield, WI 53045-5197

Mailing address

21700 Intertech Dr
Springdale Health Center
Brookfield, WI 53045-5197
Phone (262) 532-8300

Other identifiers 2

IdentifierTypeStateIssuer
32249600MedicaidWI
1376597419MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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
I20071219000343 WI Practitioner - Obstetrics/Gynecology 3072603604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Northeastern Ohio University College of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1166 Quail CT
Suite 315
Pewaukee, WI 53072-3778
Phone (262) 370-6888

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0037901WIMDObstetrics & Gynecology Physician

Interoperability endpoints

  • Direct secure messaging: ahoangmd6258@direct.froedtert.com

Organizations & group practices 1

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 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": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1339372800000",
    "number": "1376597419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21700 INTERTECH DR",
            "address_2": "SPRINGDALE HEALTH CENTER",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530455197",
            "telephone_number": "262-532-8300",
            "fax_number": "262-532-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21700 INTERTECH DR",
            "address_2": "SPRINGDALE HEALTH CENTER",
            "city": "BROOKFIELD",
            "state": "WI",
            "postal_code": "530455197",
            "telephone_number": "262-532-8300",
            "fax_number": "262-532-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOANG",
        "first_name": "ANTHONY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-22",
        "last_updated": "2012-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "0037901",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32249600",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1376597419",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookfield, WI

Sources for this page

Verify at the official NPI Registry.