Individual provider Active NPI

Emily Tseng, D.O.

  • Family Medicine Physician
  • Lorain, OH
National Provider Identifier
1871999573
Registry record updated Dec 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
20A14647 Issued in CA
Practice address
3745 Grove Ave
Lorain, OH 44055-2734
Phone
(440) 240-1655
NPI assigned
Nov 7, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 15, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 20A14647 CA Primary

Addresses

Primary practice location

3745 Grove Ave
Lorain, OH 44055-2734

Mailing address

3745 Grove Ave
Lorain, OH 44055-2734

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address etseng29734@lickingmemorial.medicity.net Licking Memorial Health Professionals

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, CA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20201015003143 OH Practitioner - Family Practice 2567726649 Reassigns benefits to 1 organization
I20230823003927 CA Practitioner - Family Practice 2567726649 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
90.11 of 100Reported as group
Quality
86.24
Promoting interoperability
100
Improvement activities
40
Cost
78.35

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14647CAMDAddiction (Substance Use Disorder) Counselor
20A14647CAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lorain County Health & Dentistry Family Medicine CurrentSince Sep 28, 2020 Accepting new patients
Regents of the University of California CurrentSince Jul 3, 2023 Accepting new patients
Lorain County Health & Dentistry CurrentSince Sep 28, 2020 Accepting new patients
Regents of the University of California CurrentSince Jul 3, 2023 Accepting new patients
Lorain County Health & Dentistry Current Accepting new patients

Locations

3200 Bell Rd
Auburn, CA 95603
Phone (530) 886-7616

4900 Broadway
Ste 1200
Sacramento, CA 95820
Phone (916) 734-9255

500 University Ave
Ste 220
Sacramento, CA 95825
Phone (916) 286-8700

105 Louden Ct
Elyria, OH 44035

1205 Broadway
Lorain, OH 44052

3745 Grove Ave
Lorain, OH 44055
Phone (440) 240-1901

260 S Main St
Oberlin, OH 44074

Interoperability endpoints

  • Direct secure messaging: emily.tseng.p11@direct.loraincountyhealth.nextgenshare.com

Organizations & group practices 5

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": "1415318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671062400000",
    "number": "1871999573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3745 GROVE AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440552734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3745 GROVE AVE",
            "city": "LORAIN",
            "state": "OH",
            "postal_code": "440552734",
            "telephone_number": "440-240-1655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSENG",
        "first_name": "EMILY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-07",
        "last_updated": "2022-12-15",
        "certification_date": "2022-12-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "20A14647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "etseng29734@lickingmemorial.medicity.net",
            "affiliation": "Y",
            "affiliationName": "Licking Memorial Health Professionals",
            "address_1": "1320 W Main St",
            "city": "Newark",
            "state": "OH",
            "country_code": "US",
            "postal_code": "430551822",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lorain, OH

Sources for this page

Verify at the official NPI Registry.