Jack W Tsao, MD, DPHIL

Primary specialty

Neurology PhysicianTaxonomy code 2084N0400X

License

51145 Issued in TN

Practice address

1331 Union Ave Ste 1145
Memphis, TN 38104-7509

Phone

(901) 448-7674

NPI assigned

Dec 15, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other identifiers 4

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in NY, WY2 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

Merit-based Incentive Payment System (MIPS)

Final score

90.8 of 100Reported as group

Quality

91.79

Promoting interoperability

100

Improvement activities

40

Cost

75.18

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jtsao468099@nyumc.direct-ci.com
• Direct secure messaging: jack.tsao.p2@direct.uthsc.nextgenshare.com

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.

• Brain Health Medical PC

  • Neurology Physician
  • New York, NY
  • NPI 1881390599
  Medicare reassignment NPD
• Memorial Hospital of Sweetwater County

  • Critical Access Hospital
  • Rock Springs, WY
  • NPI 1558361949
  Medicare reassignment NPD
• New York University

  • Cardiovascular Disease Physician
  • Boynton Beach, FL
  • NPI 1285826438

  NY

  Medicare reassignment NPD
• New York University

  • Physical Medicine & Rehabilitation Physician
  • Boynton Beach, FL
  • NPI 1104787613
  NPD
• Isaac Health, P.a.

  • Neurology Physician
  • New York, NY
  • NPI 1750012019

  Behavioral Neurology & Neuropsychiatry

  NPD (past)
• Memorial Hospital of Carbon County

  • Family Medicine Physician
  • Rawlins, WY
  • NPI 1508900341
  NPD (past)
• Memorial Hospital of Sweetwater County

  • Internal Medicine Physician
  • Rock Springs, WY
  • NPI 1437312436
  NPD (past)

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

{
    "created_epoch": "1134604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1437135084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "847 MONROE AVE STE 226",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381034901",
            "telephone_number": "901-448-7674",
            "fax_number": "901-448-7440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 UNION AVE STE 1145",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047509",
            "telephone_number": "901-448-7674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4301 Jones Bridge Rd",
            "address_2": "Rm A1036",
            "address_purpose": "LOCATION",
            "city": "Bethesda",
            "state": "MD",
            "postal_code": "208144712",
            "country_code": "US",
            "telephone_number": "301-295-3643",
            "fax_number": "301-295-0620",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "145 E 32nd St Fl 2",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100166055",
            "country_code": "US",
            "telephone_number": "212-263-3210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TSAO",
        "first_name": "JACK",
        "middle_name": "W",
        "name_prefix": "Dr.",
        "credential": "MD, DPHIL",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-15",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084B0040X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Behavioral Neurology & Neuropsychiatry",
            "state": "TN",
            "license": "51145",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NY",
            "license": "310245",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "TN",
            "license": "51145",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q031283",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "226224001",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437135084",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03882085",
            "state": "MS"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jtsao468099@nyumc.direct-ci.com",
            "affiliation": "N",
            "address_1": "145 E 32nd St Fl 2",
            "city": "New York",
            "state": "NY",
            "country_code": "US",
            "postal_code": "100166055",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Keria P Truss, M.S.
• Trusting Hands Home Care
• Megan Tryder, LMSW
• Shannon Davock Trzil, OTR/L
• Katherine Yundai Tsai, MD
• Miriam Wing San Tsao, MD
• Donna Tschopp, EP
• Sara K Tsegay
• George Albert Tsirgiotis, LPC, LMFT
• Sandra J. Tsiu, PHARMD

• Neurology Physician in Memphis, TN
• Providers in Memphis, TN by specialty
• Neurology Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.