Individual provider Active NPI

Timothy Hsu, M.D.

  • Psychiatry Physician
  • Jackson Heights, NY
National Provider Identifier
1427356310
Registry record updated May 14, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
42857 Issued in MI
Practice address
3447 86TH St
Jackson Heights, NY 11372-3350
Phone
(718) 476-0727
Fax
(718) 476-0727
NPI assigned
Mar 2, 2011
Last updated
May 14, 2015By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 14, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 219460 NY
Psychiatry Physician 2084P0800X 42857 MI Primary
Psychiatry Physician 2084P0800X 0101257008 VA

Addresses

Primary practice location

3447 86TH St
Jackson Heights, NY 11372-3350

Mailing address

3447 86TH St
Jackson Heights, NY 11372-3350
Phone (718) 476-0727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20150529002219 DC Practitioner - Psychiatry 8325216831 Reassigns benefits to 1 organization
I20150715001970 VA Practitioner - Psychiatry 8325216831 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42857MIMDPsychiatry Physician
219460NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southwestern Virginia Mental Health Institute CurrentSince Sep 24, 2017 Accepting new patients
Southwestern Virginia Mental Health Institute CurrentSince Sep 24, 2017 Accepting new patients
Inova Health Care Services Psychiatry CurrentSince Jun 15, 2015 Accepting new patients

Locations

8505 Arlington Blvd
Ste 200
Fairfax, VA 22031
Phone (703) 698-8525

224B Cornwall St NW
Leesburg, VA 20176
Phone (703) 771-2894

340 Bagley Cir
Marion, VA 24354
Phone (276) 783-1200

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1299024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1431561600000",
    "number": "1427356310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3447 86TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723350",
            "telephone_number": "718-476-0727",
            "fax_number": "718-476-0727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3447 86TH ST",
            "city": "JACKSON HEIGHTS",
            "state": "NY",
            "postal_code": "113723350",
            "telephone_number": "718-476-0727",
            "fax_number": "718-476-0727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "TIMOTHY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-03-02",
        "last_updated": "2015-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "219460",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MI",
            "license": "42857",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "VA",
            "license": "0101257008",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson Heights, NY

Sources for this page

Verify at the official NPI Registry.