Active NPI
Jessica Hsueh, MD
- Pediatrics Physician
- Palo Alto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 036.160306
- Practice address
- 770 Welch Rd Ste 435
Palo Alto, CA 94304-1511 - Phone
- (650) 721-4339
- NPI assigned
- Nov 17, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Pediatrics Physician | 208000000X | 036.160306 | IL | Primary |
| Internal Medicine Physician | 207R00000X | 036.160306 | IL |
Addresses
Primary practice location
770 Welch Rd Ste 435
Palo Alto, CA 94304-1511
Mailing address
840 S Wood St # Mc856
Chicago, IL 60612-4325
Other practice location 1
4440 W 95th St Ste 2177H
Oak Lawn, IL 60453-2600
Phone (708) 684-5341
Other practice location 2
1740 W Taylor St
Chicago, IL 60612-7232
Phone (312) 503-7975
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.160306 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Pediatrics | Current | Accepting new patients |
Locations
1740 W Taylor St
#931
Chicago, IL 60612
Phone (312) 355-5258
845 W Wilson Ave
Chicago, IL 60640
Phone (312) 744-1295
840 S Wood St
#856
Chicago, IL 60612
Phone (312) 413-1429
1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
4440 W 95th St
Ste 2177H
Oak Lawn, IL 60453
Phone (708) 684-5341
4440 W 95th St
Oak Lawn, IL 60453
Phone (708) 346-5520
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 and National Provider Directory roles.
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- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Pediatrics Physician
- Chicago, IL
- NPI 1093934275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447718400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732665600000",
"number": "1447624259",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "840 S WOOD ST # MC856",
"city": "CHICAGO",
"state": "IL",
"postal_code": "606124325"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 WELCH RD STE 435",
"city": "PALO ALTO",
"state": "CA",
"postal_code": "943041511",
"telephone_number": "650-721-4339"
}
],
"practiceLocations": [
{
"address_1": "4440 W 95th St Ste 2177H",
"address_purpose": "LOCATION",
"city": "Oak Lawn",
"state": "IL",
"postal_code": "604532600",
"country_code": "US",
"telephone_number": "708-684-5341",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1740 W Taylor St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606127232",
"country_code": "US",
"telephone_number": "312-503-7975",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HSUEH",
"first_name": "JESSICA",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-11-17",
"last_updated": "2024-11-27",
"certification_date": "2024-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036.160306",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036.160306",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Palo Alto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.