Individual provider Active NPI

Jim Chun-Jen Hsu, M.D.

  • Orthopaedic Surgery Physician
  • Stamford, CT
National Provider Identifier
1770524787
Registry record updated Dec 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
72607 Issued in CT
Practice address
260 Long Ridge Rd
Stamford, CT 06902-1638
Phone
(203) 785-2579
NPI assigned
Jun 9, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X MD00044903 WA
Orthopaedic Surgery Physician 207X00000X 72607 CT Primary

Addresses

Primary practice location

260 Long Ridge Rd
Stamford, CT 06902-1638

Mailing address

260 Long Ridge Rd
Stamford, CT 06902-1638
Phone (203) 785-2579

Other identifiers 1

IdentifierTypeStateIssuer
8427130MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA, CT2 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
I20060309000182 WA Practitioner - Orthopedic Surgery 3274507785 Reassigns benefits to 1 organization
I20230306000159 CT Practitioner - Orthopedic Surgery 3274507785 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
University of Rochester School of Medicine and Dentistry, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Yale UniversityGroup PAC ID 9436061736, 2,632 clinicians

Practice addresses (Care Compare)

260 Long Ridge Rd
Stamford, CT 06927-0001
Phone (203) 783-2579

Hospital & facility affiliations

  • Greenwich Hospital Association - Hospital, Greenwich, CT, CCN 070018

Procedures performed for Medicare patients

ProcedureNumber of procedures
Lower limb (leg) arthroscopy (minimally invasive joint repair)1-10
Upper limb (arm) arthroscopy (minimally invasive joint repair)11

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72607CTMDOrthopaedic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Yale University Orthopaedic Surgery CurrentSince Feb 1, 2023 Accepting new patients
The Polyclinic PLLC CurrentSince Nov 1, 2018 Accepting new patients
The Polyclinic PLLC Orthopaedic Surgery Current Accepting new patients
Yale University Orthopaedic Surgery CurrentSince Feb 1, 2023 Accepting new patients
Kerlan-Jobe Orthopaedic Clinic Orthopaedic Surgery Past Accepting new patients

Locations

800 Howard Ave
New Haven, CT 06519
Phone (203) 785-2140

50 Division St
New Haven, CT 06511
Phone (203) 785-2140

260 Long Ridge Rd
Stamford, CT 06902
Phone (203) 863-3000

1145 Broadway
Seattle, WA 98122

904 7th Ave
Seattle, WA 98104
Phone (206) 223-6487

1145 Broadway
Ste 200
Seattle, WA 98122

Interoperability endpoints

  • Direct secure messaging: jhsu598717@direct.ynhh.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671148800000",
    "number": "1770524787",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 LONG RIDGE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069021638",
            "telephone_number": "203-785-2579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 LONG RIDGE RD",
            "city": "STAMFORD",
            "state": "CT",
            "postal_code": "069021638",
            "telephone_number": "203-785-2579"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "JIM CHUN-JEN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2022-12-16",
        "certification_date": "2022-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "WA",
            "license": "MD00044903",
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "CT",
            "license": "72607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8427130",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stamford, CT

Sources for this page

Verify at the official NPI Registry.