Individual provider Active NPI

Kevin Hsu, D.O.

  • Otolaryngology/Facial Plastic Surgery Physician
  • Tampa, FL
National Provider Identifier
1730409970
Registry record updated Sep 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology/Facial Plastic Surgery PhysicianTaxonomy code 207YX0905X
License
OS16514 Issued in FL
Practice address
7425 Monika Manor Dr
Tampa, FL 33625-5814
Phone
(813) 879-8045
Fax
(813) 960-3299
NPI assigned
Jun 10, 2010
Last updated
Sep 20, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X OT013694 PA
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X OS16514 FL Primary
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 260512 MA
Otolaryngology/Facial Plastic Surgery Physician 207YX0905X 17367 NH

Addresses

Primary practice location

7425 Monika Manor Dr
Tampa, FL 33625-5814

Mailing address

7425 Monika Manor Dr
Tampa, FL 33625-5814
Phone (813) 879-8045

Other practice location 1

6421 Congress Ave Ste 113
Boca Raton, FL 33487-2858
Phone (561) 391-3333

Other practice location 2

8105 State Road 54 Ste 2
New Port Richey, FL 34655-3000
Phone (813) 879-8045

Other identifiers 1

IdentifierTypeStateIssuer
105212500MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH, FL3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20150612001220 MA Practitioner - Otolaryngology 0042444689 Reassigns benefits to 1 organization
I20160602000969 NH Practitioner - Otolaryngology 0042444689 Reassigns benefits to 2 organizations
I20200130000433 FL Practitioner - Otolaryngology 0042444689 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of New England, College of Osteo Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
ENT and Allergy Associates of Florida, LLCGroup PAC ID 0042292849, 227 clinicians

Practice addresses (Care Compare)

7425 Monika Manor Dr
Tampa, FL 33625-5814
Phone (813) 879-8045

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
260512MAMDOtolaryngology/Facial Plastic Surgery Physician
17367NHMDOtolaryngology/Facial Plastic Surgery Physician
OT013694PAMDOtolaryngology/Facial Plastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mary Hitchcock Memorial Hospital CurrentSince Apr 3, 2018 Accepting new patients
ENT and Allergy Associates of Florida, LLC CurrentSince Mar 1, 2023 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 6, 2015 Accepting new patients
Lakeland Regional Health Systems, Inc. CurrentSince Mar 1, 2020 Accepting new patients
Dartmouth-Hitchcock Clinic CurrentSince Apr 25, 2016 Accepting new patients
Steward Medical Group, Inc CurrentSince Apr 6, 2015 Accepting new patients
Mary Hitchcock Memorial Hospital CurrentSince Apr 3, 2018 Accepting new patients
Select Physicians Alliance PL Otolaryngology/Facial Plastic Surgery PastSince Mar 1, 2023 Accepting new patients

Locations

6421 Congress Ave
Ste 113
Boca Raton, FL 33487
Phone (561) 338-3267

900 NW 13th St
Ste 206
Boca Raton, FL 33486
Phone (561) 338-3267

1324 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 687-1132

3030 Harden Blvd
Lakeland, FL 33803
Phone (863) 687-1222

3525 Lakeland Hills Blvd
Lakeland, FL 33805
Phone (863) 603-6565

8105 State Road 54
Bldg 1
New Port Richey, FL 34655

8105 State Road 54
Ste 2
New Port Richey, FL 34655
Phone (813) 571-7184

3000 Medical Park Dr
Ste 200
Tampa, FL 33613
Phone (813) 879-8046

7425 Monika Manor Dr
Tampa, FL 33625
Phone (813) 879-8046

11 Nevins St
Ste 201
Brighton, MA 02135
Phone (617) 789-2442

62 Brown St
#507
Haverhill, MA 01830
Phone (978) 722-7818

1 Medical Dr
Lebanon, NH 03756
Phone (603) 650-5922

30 Canton St
Manchester, NH 03103
Phone (603) 622-3623

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: khsu@entaaf.emadirect.md

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1276128000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695168000000",
    "number": "1730409970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7425 MONIKA MANOR DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336255814",
            "telephone_number": "813-879-8045"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7425 MONIKA MANOR DR",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336255814",
            "telephone_number": "813-879-8045",
            "fax_number": "813-960-3299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6421 Congress Ave Ste 113",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "334872858",
            "country_code": "US",
            "telephone_number": "561-391-3333",
            "fax_number": "561-338-6271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8105 State Road 54 Ste 2",
            "address_purpose": "LOCATION",
            "city": "New Port Richey",
            "state": "FL",
            "postal_code": "346553000",
            "country_code": "US",
            "telephone_number": "813-879-8045",
            "fax_number": "813-960-3299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HSU",
        "first_name": "KEVIN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-10",
        "last_updated": "2023-09-20",
        "certification_date": "2023-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "PA",
            "license": "OT013694",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "FL",
            "license": "OS16514",
            "primary": true
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "MA",
            "license": "260512",
            "primary": false
        },
        {
            "code": "207YX0905X",
            "taxonomy_group": "",
            "desc": "Otolaryngology, Otolaryngology/Facial Plastic Surgery",
            "state": "NH",
            "license": "17367",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105212500",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.