Individual provider Active NPI

PO-Hsiu Hung, M.D.

  • Endocrinology, Diabetes & Metabolism Physician
  • Glen Burnie, MD
National Provider Identifier
1689625691
Registry record updated Jun 4, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Endocrinology, Diabetes & Metabolism PhysicianTaxonomy code 207RE0101X
License
D0025000 Issued in MD
Practice address
1916 Crain Hwy SW
Suite 8
Glen Burnie, MD 21061-5563
Phone
(410) 787-1600
NPI assigned
May 14, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 4, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Endocrinology, Diabetes & Metabolism Physician 207RE0101X D0025000 MD Primary

Addresses

Primary practice location

1916 Crain Hwy SW
Suite 8
Glen Burnie, MD 21061-5563

Mailing address

1916 Crain Hwy SW
Suite 8
Glen Burnie, MD 21061-5563
Phone (410) 787-1600

Other identifiers 2

IdentifierTypeStateIssuer
798661101MedicaidMD
798661100MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20040806000811 DC Practitioner - Endocrinology 7810969219 Practice locations: Laurel, MD

National Provider Directory

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

NPI Registry JSON

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

{
    "created_epoch": "1147564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1275609600000",
    "number": "1689625691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1916 CRAIN HWY SW",
            "address_2": "SUITE 8",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615563",
            "telephone_number": "410-787-1600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1916 CRAIN HWY SW",
            "address_2": "SUITE 8",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210615563",
            "telephone_number": "410-787-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNG",
        "first_name": "PO-HSIU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-14",
        "last_updated": "2010-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RE0101X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Endocrinology, Diabetes & Metabolism",
            "state": "MD",
            "license": "D0025000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "798661101",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "798661100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glen Burnie, MD

Sources for this page

Verify at the official NPI Registry.