Active NPI
Haiou Duan, M.D.
- Specialist
- Brooklyn, NY
National Provider Identifier
1760766786
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 60-262130
- Practice address
- 715 51St St FL 1
Brooklyn, NY 11220-2224 - Phone
- (347) 689-9112
- Fax
- (347) 689-2703
- NPI assigned
- Oct 10, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 60-262130 | NY | Primary |
Addresses
Primary practice location
715 51St St FL 1
Brooklyn, NY 11220-2224
Mailing address
7101 Shore Rd Apt 5C
Brooklyn, NY 11209-1815
Phone (347) 689-9112
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03593226 | Medicaid | NY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 60-262130 | NY | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NYU Langone Hospitals | Past | Accepting new patients | |
| Haiou Duan Medical P.C. | Specialist | Past | Accepting new patients |
Networks
- Healthfirst Medicare Network H9678
- Healthfirst Medicare Network H5989
- Healthfirst Medicare Network H3359
- Healthfirst Medicare Network H1722
Interoperability endpoints
- jduan115091@nyumc.direct-ci.com
- https://fhir4.healow.com/fhir/r4/FBGGCA/Endpoint/FBGGCA
Organizations & group practices 3
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.
-
- Specialist
- Brooklyn, NY
- NPI 1124448576
-
- General Acute Care Hospital
- Brooklyn, NY
- NPI 1619341716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1318204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641254400000",
"number": "1760766786",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7101 SHORE RD APT 5C",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112091815",
"telephone_number": "347-689-9112",
"fax_number": "347-689-2703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "715 51ST ST FL 1",
"city": "BROOKLYN",
"state": "NY",
"postal_code": "112202224",
"telephone_number": "347-689-9112",
"fax_number": "347-689-2703"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUAN",
"first_name": "HAIOU",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-10-10",
"last_updated": "2022-01-04",
"certification_date": "2022-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "NY",
"license": "60-262130",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "03593226",
"state": "NY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Brooklyn, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.