Individual provider Active NPI

Benjamin Van Hu, MD

  • Ophthalmology Physician
  • Brecksville, OH
National Provider Identifier
1730109067
Registry record updated Mar 29, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ophthalmology PhysicianTaxonomy code 207W00000X
License
35056287 Issued in OH
Practice address
8801 Brecksville Rd
Unit 2
Brecksville, OH 44141-1911
Phone
(440) 886-0005
Fax
(440) 717-1115
NPI assigned
Jul 20, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 29, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ophthalmology Physician 207W00000X 35056287 OH Primary

Addresses

Primary practice location

8801 Brecksville Rd
Unit 2
Brecksville, OH 44141-1911

Mailing address

8801 Brecksville Rd
Unit 2
Brecksville, OH 44141-1911
Phone (440) 886-0005

Other identifiers 1

IdentifierTypeStateIssuer
0708014MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20100419000352 OH Practitioner - Ophthalmology 3274660584 Practice locations: Brecksville, OH

National Provider Directory

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

Interoperability endpoints

  • Direct secure messaging: bhu37516@ehrdirect.uhhospitals.org
  • Direct secure messaging: bhu@direct.swgeneral.com

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1553817600000",
    "number": "1730109067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8801 BRECKSVILLE RD",
            "address_2": "UNIT 2",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441411911",
            "telephone_number": "440-886-0005",
            "fax_number": "440-717-1115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8801 BRECKSVILLE RD",
            "address_2": "UNIT 2",
            "city": "BRECKSVILLE",
            "state": "OH",
            "postal_code": "441411911",
            "telephone_number": "440-886-0005",
            "fax_number": "440-717-1115"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HU",
        "first_name": "BENJAMIN",
        "middle_name": "VAN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-20",
        "last_updated": "2019-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "OH",
            "license": "35056287",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0708014",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brecksville, OH

Sources for this page

Verify at the official NPI Registry.