NPIMap

Individual provider Active NPI

Jack Cheng-Tsung Hou, M.D.

  • Urology Physician
  • Kingman, AZ
National Provider Identifier
1790922896
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
51385 Issued in AZ
Practice address
1739 E Beverly Ave Ste 106
Kingman, AZ 86409
Phone
(928) 681-8686
Fax
(928) 681-8690
NPI assigned
Jan 12, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 132236 CA
Urology Physician 208800000X 51385 AZ Primary

Addresses

Primary practice location

1739 E Beverly Ave Ste 106
Kingman, AZ 86409

Mailing address

1739 E Beverly Ave Ste 200
Kingman, AZ 86409-3593
Phone (928) 681-8686

Other practice location 1

15944 Los Serranos Country Club Dr
Ste 200
Chino Hills, CA 91709-3993
Phone (909) 627-8521

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150804005412 CA Practitioner - Urology 9436474699 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Boston University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kern County Hospital AuthorityGroup PAC ID 4688964521, 264 clinicians

Practice addresses (Care Compare)

1524 W Lacey Blvd
Suite 101
Hanford, CA 93230-5990
Phone (559) 583-4695

2701 Chester Ave
Bakersfield, CA 93301-2016

3551 Q St
Bakersfield, CA 93301-1657
Phone (661) 326-2000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.77 of 100Reported as apm
Quality
81.54
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
87.97 of 100Reported as group
Quality
47.69
Promoting interoperability
100
Improvement activities
40
Cost
82.27

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Kern County Hospital Authority CurrentSince Aug 1, 2022 Accepting new patients
Adventist Health Physicians Network Family Medicine CurrentSince Feb 27, 2019 Accepting new patients
Adventist Health Physicians Network Current Accepting new patients
Kern County Hospital Authority CurrentSince Aug 1, 2022 Accepting new patients
Adventist Health Physicians Network CurrentSince Feb 27, 2019 Accepting new patients
Universal Healthcare Ipa, Inc. Past Accepting new patients

Locations

3551 Q St
Bakersfield, CA 93301
Phone (661) 862-8262

1700 Mount Vernon Ave
Bakersfield, CA 93306
Phone (616) 326-2000

2701 Chester Ave
Ste 102
Bakersfield, CA 93301
Phone (661) 637-8663

2701 Chester Ave
Ste 101
Bakersfield, CA 93301
Phone (661) 716-9400

3551 Q St
Ste 100
Bakersfield, CA 93301
Phone (661) 327-3747

9330 Stockdale Hwy
Ste 400
Bakersfield, CA 93311
Phone (661) 654-0400

1524 W Lacey Blvd
Ste 101
Hanford, CA 93230
Phone (559) 583-4695

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 and National Provider Directory roles.

Hospital & facility affiliations 8

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": "1231718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1790922896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 E BEVERLY AVE STE 200",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093593",
            "telephone_number": "928-681-8686",
            "fax_number": "928-681-8690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 E BEVERLY AVE STE 106",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "86409",
            "telephone_number": "928-681-8686",
            "fax_number": "928-681-8690"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "15944 Los Serranos Country Club Dr",
            "address_2": "Ste 200",
            "address_purpose": "LOCATION",
            "city": "Chino Hills",
            "state": "CA",
            "postal_code": "917093993",
            "country_code": "US",
            "telephone_number": "909-627-8521",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOU",
        "first_name": "JACK",
        "middle_name": "CHENG-TSUNG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-01-12",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "CA",
            "license": "132236",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "AZ",
            "license": "51385",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

Verify at the official NPI Registry.