Individual provider Active NPI

Tuan Q Hua, M.D.

  • Geriatric Medicine (Internal Medicine) Physician
  • Brookyln, NY
National Provider Identifier
1760469969
Registry record updated Sep 12, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Medicine (Internal Medicine) PhysicianTaxonomy code 207RG0300X
License
226755 Issued in NY
Practice address
2431-33 86TH Street
Brookyln, NY 11214
Phone
(718) 513-6503
Fax
(718) 513-6504
NPI assigned
Dec 28, 2005
Last updated
Sep 12, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X A93962 CA
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 226755 NY Primary

Addresses

Primary practice location

2431-33 86TH Street
Brookyln, NY 11214

Mailing address

2431-33 86TH Street
Brooklyn, NY 11214
Phone (718) 513-6503

Other identifiers 1

IdentifierTypeStateIssuer
02526772MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY, CA2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20031222000553 NY Practitioner - Geriatric MedicinePractitioner - Internal Medicine 3678471182 Reassigns benefits to 1 organization
Practice locations: Brookyln, NY
I20060303000717 CA Practitioner - Geriatric MedicinePractitioner - Family PracticePractitioner - Internal MedicinePractitioner - Hospice/Palliative Care 3678471182 Practice locations: Orinda, CA

Care Compare profile

Medicare Care Compare
Specialty
Geriatric MedicineAlso: Internal Medicine
Education
Icahn School of Medicine at Mount Sinai, 1999
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

2431 -33
Brooklyn, NY 11214-4448
Phone (718) 513-6503

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A93962CAMDGeriatric Medicine (Internal Medicine) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Milestones Medical PC CurrentSince Aug 19, 2018 Accepting new patients
St Vincents Hospital and Medical Center Past Accepting new patients
Staten Island Hospitalists, PC Past Accepting new patients
Tuan Hua MD PastSince Jan 1, 1990 Accepting new patients
California Care Level Management Direct Medical Group, Inc PastSince Jun 26, 2006 Accepting new patients
Richard P Carr Physical Therapy Inc Past Accepting new patients

Locations

2433 86th St
Brooklyn, NY 11214
Phone (718) 265-2424

Networks

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

Interoperability endpoints

  • Direct secure messaging: thua65769@northwell.direct-ci.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1135728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1536710400000",
    "number": "1760469969",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2431-33 86TH STREET",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11214",
            "telephone_number": "718-513-6503",
            "fax_number": "718-513-6504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2431-33 86TH STREET",
            "city": "BROOKYLN",
            "state": "NY",
            "postal_code": "11214",
            "telephone_number": "718-513-6503",
            "fax_number": "718-513-6504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUA",
        "first_name": "TUAN",
        "middle_name": "Q",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-12-28",
        "last_updated": "2018-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "CA",
            "license": "A93962",
            "primary": false
        },
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "NY",
            "license": "226755",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02526772",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookyln, NY

Sources for this page

Verify at the official NPI Registry.