Individual provider Active NPI

Ricky K Hsu, MD

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1568491967
Registry record updated Aug 28, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
209946 Issued in NY
Practice address
352 7TH Ave
RM 1205
New York, NY 10001-5411
Phone
(212) 627-7560
Fax
(212) 627-7563
NPI assigned
Jun 30, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 209946 NY Primary

Addresses

Primary practice location

352 7TH Ave
RM 1205
New York, NY 10001-5411

Mailing address

8390 Champions Gate Blvd
Ste 215
Champions Gate, FL 33896-8310
Phone (321) 401-1364

Other identifiers 1

IdentifierTypeStateIssuer
02176474MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20040427001756 NY Practitioner - Internal Medicine 5193712545 Reassigns benefits to 1 organization
Practice locations: New York, NY

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Harvard Medical School, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
MVP Medical Practice PCGroup PAC ID 5395970362, 17 clinicians

Practice addresses (Care Compare)

352 7TH Ave
RM 1205
New York, NY 10001-5411
Phone (212) 627-7560

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.17 of 100Reported as group
Quality
81.41
Improvement activities
40
Cost
73.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
209946NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ajs Brooklyn Medical Practice PC CurrentSince Dec 1, 2016 Accepting new patients
MVP Medical Practice PC CurrentSince Dec 1, 2016 Accepting new patients

Locations

8390 Champions Gate Blvd
Ste 215
Champions Gate, FL 33896
Phone (407) 479-2013

30 W 60th St
Apt An
New York, NY 10023
Phone (212) 247-6575

352 7th Ave
Rm 1205
New York, NY 10001
Phone (212) 627-7560

Networks

  • Healthfirst Medicare Network H1722
  • Healthfirst Medicare Network H9678
  • Healthfirst Medicare Network H3359
  • Healthfirst Medicare Network H5989

Interoperability endpoints

  • Direct secure messaging: ricky.hsu.1@26356.direct.athenahealth.com

Organizations & group practices 2

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": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503878400000",
    "number": "1568491967",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8390 CHAMPIONS GATE BLVD",
            "address_2": "STE 215",
            "city": "CHAMPIONS GATE",
            "state": "FL",
            "postal_code": "338968310",
            "telephone_number": "321-401-1364",
            "fax_number": "407-390-1765"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "352 7TH AVE",
            "address_2": "RM 1205",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015411",
            "telephone_number": "212-627-7560",
            "fax_number": "212-627-7563"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "RICKY",
        "middle_name": "K",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-30",
        "last_updated": "2017-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "209946",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02176474",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.