Individual provider Active NPI

Maddie Y Hao, MD-PEDIATRICS

  • Pediatrics Physician
  • Quincy, MA
National Provider Identifier
1861461808
Registry record updated Apr 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
158402 Issued in MA
Practice address
435 Hancock St
Quincy, MA 02171-2428
Phone
(617) 745-0280
Fax
(617) 745-0288
NPI assigned
Mar 14, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 158402 MA Primary

Addresses

Primary practice location

435 Hancock St
Quincy, MA 02171-2428

Mailing address

435 Hancock St
Quincy, MA 02171-2428
Phone (617) 745-0280

Other identifiers 1

IdentifierTypeStateIssuer
0118915MedicaidMA

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
I20060511000288 MA Practitioner - Pediatric Medicine 5698786143 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
158402MAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
South Cove Community Health Center, Inc. CurrentSince Oct 10, 2016 Accepting new patients
South Cove Community Health Center, Inc. CurrentSince Oct 10, 2016 Accepting new patients

Locations

145 South St
Boston, MA 02111
Phone (617) 521-6700

435 Hancock St
Quincy, MA 02171
Phone (617) 318-3300

88 Holmes St
Quincy, MA 02171
Phone (617) 318-3200

Interoperability endpoints

  • Direct secure messaging: maddie.hao@scchc.eclinicaldirectplus.com

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238630400000",
    "number": "1861461808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 HANCOCK ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021712428",
            "telephone_number": "617-745-0280",
            "fax_number": "617-745-0288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 HANCOCK ST",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021712428",
            "telephone_number": "617-745-0280",
            "fax_number": "617-745-0288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAO",
        "first_name": "MADDIE",
        "middle_name": "Y",
        "name_prefix": "Dr.",
        "credential": "MD-PEDIATRICS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-14",
        "last_updated": "2009-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MA",
            "license": "158402",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0118915",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.