Individual provider Active NPI

Leon Norman Hsu, BA

  • Dermatology Physician
  • Medford, OR
National Provider Identifier
1780940734
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
MD176623 Issued in OR
Practice address
2959 Siskiyou Blvd
Ste B
Medford, OR 97504-8131
Phone
(541) 773-3636
Fax
(541) 773-4643
NPI assigned
Apr 4, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Dermatology Physician 207N00000X MD176623 OR Primary

Addresses

Primary practice location

2959 Siskiyou Blvd
Ste B
Medford, OR 97504-8131

Mailing address

2959 Siskiyou Blvd
Ste B
Medford, OR 97504-8131
Phone (541) 773-3636

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR
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
I20160727000222 OR Practitioner - Dermatology 0749573897 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of California, Davis School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology and Laser Assoc. of MedfordGroup PAC ID 9436122793, 11 clinicians

Practice addresses (Care Compare)

2959 Siskiyou Blvd
Suite B
Medford, OR 97504-8131
Phone (541) 773-3636

Hospital & facility affiliations

  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018
  • Asante Ashland Community Hospital Hospital, Ashland, OR, CCN 380005

Merit-based Incentive Payment System (MIPS)

Final score
95.74 of 100Reported as group
Quality
99.5
Promoting interoperability
100
Improvement activities
40
Cost
86.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions3276
Removal or shaving of skin growth38
Skin biopsy340

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD176623ORMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology and Laser Associates of Medford Dermatology CurrentSince Aug 1, 2016 Accepting new patients

Locations

2959 Siskiyou Blvd
Ste B
Medford, OR 97504
Phone (541) 773-3636

Interoperability endpoints

  • Direct secure messaging: lhsu@dermlasermedford.emadirect.md

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 2

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": "1333497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1780940734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2959 SISKIYOU BLVD",
            "address_2": "STE B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048131",
            "telephone_number": "541-773-3636",
            "fax_number": "541-773-4643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2959 SISKIYOU BLVD",
            "address_2": "STE B",
            "city": "MEDFORD",
            "state": "OR",
            "postal_code": "975048131",
            "telephone_number": "541-773-3636",
            "fax_number": "541-773-4643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "LEON",
        "middle_name": "NORMAN",
        "name_prefix": "Mr.",
        "credential": "BA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-04-04",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OR",
            "license": "MD176623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Medford, OR

Sources for this page

Verify at the official NPI Registry.