Individual provider Active NPI

Hanxian Huang, M D

  • Internal Medicine Physician
  • Clermont, FL
National Provider Identifier
1801810759
Registry record updated Oct 7, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME83976 Issued in FL
Practice address
3190 Citrus Tower Blvd
Suite B
Clermont, FL 34711-6802
Phone
(352) 242-2282
Fax
(352) 242-2886
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 7, 2010

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 ME83976 FL Primary

Addresses

Primary practice location

3190 Citrus Tower Blvd
Suite B
Clermont, FL 34711-6802

Mailing address

3190 Citrus Tower Blvd
Suite B
Clermont, FL 34711-6802
Phone (352) 242-2282

Other identifiers 3

IdentifierTypeStateIssuer
066750OtherMED SOLUTION
13964OtherFLBCBS
110244394OtherRR MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040128000900 FL Practitioner - Internal Medicine 5193628147

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME83976FLMDInternal Medicine Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286409600000",
    "number": "1801810759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3190 CITRUS TOWER BLVD",
            "address_2": "SUITE B",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116802",
            "telephone_number": "352-242-2282",
            "fax_number": "352-242-2886"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3190 CITRUS TOWER BLVD",
            "address_2": "SUITE B",
            "city": "CLERMONT",
            "state": "FL",
            "postal_code": "347116802",
            "telephone_number": "352-242-2282",
            "fax_number": "352-242-2886"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUANG",
        "first_name": "HANXIAN",
        "credential": "M D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2010-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME83976",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MED SOLUTION",
            "identifier": "066750",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "13964",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110244394",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clermont, FL

Sources for this page

Verify at the official NPI Registry.