Individual provider Active NPI

Simon Siu-Man Ho, M.D.

  • Internal Medicine Physician
  • Quincy, MA
National Provider Identifier
1780644534
Registry record updated Apr 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
81534 Issued in MA
Practice address
1157 Hancock St
Quincy, MA 02169-4303
Phone
(617) 479-3940
Fax
(617) 479-9827
NPI assigned
Mar 24, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 81534 MA Primary

Addresses

Primary practice location

1157 Hancock St
Quincy, MA 02169-4303

Mailing address

1157 Hancock St
Quincy, MA 02169-4303
Phone (617) 479-3940

Other identifiers 1

IdentifierTypeStateIssuer
3140342MedicaidMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20050523000029 MA Practitioner - Internal Medicine 8325089170 Practice locations: Quincy, MA

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Tufts University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1157 Hancock St
Quincy, MA 02169-4303
Phone (617) 479-3940

Hospital & facility affiliations

  • Croi Health Home health agency, Norwell, MA, CCN 227241
  • Beth Israel Deaconess Hospital - Milton Hospital, Milton, MA, CCN 220108
  • South Shore Hospital Hospital, South Weymouth, MA, CCN 220100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
John W. Dalton, M.D., P.C. Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJAJBA/Endpoint/HJAJBA

Organizations & group practices 1

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 3

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": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365206400000",
    "number": "1780644534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1157 HANCOCK ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694303",
            "telephone_number": "617-479-3940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157 HANCOCK ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694303",
            "telephone_number": "617-479-3940",
            "fax_number": "617-479-9827"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "SIMON",
        "middle_name": "SIU-MAN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2013-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MA",
            "license": "81534",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3140342",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.