Individual provider Active NPI

Connie Hsu, MD

  • Allergy & Immunology Physician
  • Litchfield Park, AZ
National Provider Identifier
1619916004
Registry record updated May 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
35528 Issued in AZ
Practice address
13575 W Indian School Rd Ste 200
Litchfield Park, AZ 85340-4906
Phone
(623) 512-4310
Fax
(602) 512-4311
NPI assigned
Jun 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X 35528 AZ Primary

Addresses

Primary practice location

13575 W Indian School Rd Ste 200
Litchfield Park, AZ 85340-4906

Mailing address

13575 W Indian School Rd Ste 200
Litchfield Park, AZ 85340-4906
Phone (623) 512-4310

Other identifiers 1

IdentifierTypeStateIssuer
186990MedicaidAZ

Other names 1

  • Chenguang Xu Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20070607000102 AZ Practitioner - Allergy/Immunology 0749388254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Other, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Allergy and Immunology Specialists LLCGroup PAC ID 7214260538, 4 clinicians

Practice addresses (Care Compare)

13575 W Indian School Rd
Suite 200
Litchfield Park, AZ 85340-4906
Phone (623) 512-4310

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Einfectionmd PC CurrentSince Oct 6, 2019 Accepting new patients
Allergy & Immunology Specialists, LLC Allergy CurrentSince Aug 25, 2009 Accepting new patients
Prescott Complete Care, PLLC PastSince Apr 1, 2020 Accepting new patients
Privia Medical Group Arizona, LLC Past Accepting new patients

Locations

17560 N 75th Ave
Ste D420
Glendale, AZ 85308
Phone (480) 757-6457

5940 W Union Hills Dr
Ste A120
Glendale, AZ 85308
Phone (623) 512-4310

17560 N 75th Ave
Ste D240
Glendale, AZ 85308

5658 Highway 260
Ste 24
Lakeside, AZ 85929
Phone (623) 512-4310

13575 W Indian School Rd
Ste 200
Litchfield Pk, AZ 85340
Phone (623) 512-4310

13215 N 94th Dr
Peoria, AZ 85381
Phone (310) 270-6181

34406 N 27th Dr
Ste 172
Phoenix, AZ 85085
Phone (623) 512-4310

34406 N 27th Dr
Bldg 7
Phoenix, AZ 85085

2375 E Camelback Rd
Ste 600
Phoenix, AZ 85016
Phone (602) 341-5248

9520 W Palm Ln
Ste 160A
Phoenix, AZ 85037

1947 Commerce Center Cir
Ste A
Prescott, AZ 86301
Phone (623) 512-4310

8952 E Desert Cove Ave
Ste 204
Scottsdale, AZ 85260
Phone (602) 971-6950

1155 W Rio Salado Pkwy
Ste B102
Tempe, AZ 85281
Phone (623) 512-4310

1155 W Rio Salado Pkwy
#B102
Tempe, AZ 85281

1155 W Rio Salado Pkwy
Tempe, AZ 85281

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1558483200000",
    "number": "1619916004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13575 W INDIAN SCHOOL RD STE 200",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404906",
            "telephone_number": "623-512-4310",
            "fax_number": "602-512-4311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13575 W INDIAN SCHOOL RD STE 200",
            "city": "LITCHFIELD PARK",
            "state": "AZ",
            "postal_code": "853404906",
            "telephone_number": "623-512-4310",
            "fax_number": "602-512-4311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "CONNIE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2019-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "AZ",
            "license": "35528",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "186990",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHENGUANG",
            "last_name": "XU",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Litchfield Park, AZ

Sources for this page

Verify at the official NPI Registry.