Individual provider Active NPI

Jack Ming Zu Hsieh, M.D.

  • Specialist
  • Honolulu, HI
National Provider Identifier
1922098110
Registry record updated Mar 22, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
10608 Issued in HI
Practice address
405 N Kuakini St
Suite 607
Honolulu, HI 96817-6300
Phone
(808) 599-8887
Fax
(808) 599-8879
NPI assigned
Oct 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 10608 HI Primary

Addresses

Primary practice location

405 N Kuakini St
Suite 607
Honolulu, HI 96817-6300

Mailing address

405 N Kuakini St
Suite 607
Honolulu, HI 96817-6300
Phone (808) 599-8887

Other identifiers 2

IdentifierTypeStateIssuer
49346102MedicaidHI
49346101MedicaidHI

Other names 1

  • Dr. Ming Zu Jack Hsieh Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20040712001607 HI Practitioner - Physical Medicine and Rehabilitation 3678464104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Hahnemann University College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

405 N Kuakini St
Suite 607
Honolulu, HI 96817-6302
Phone (808) 599-8887

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10608HIMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Ming Zu Jack Hsieh, MD, Inc Specialist CurrentSince Jan 15, 2003 Accepting new patients

Locations

321 N Kuakini St
Ste 411
Honolulu, HI 96817
Phone (808) 528-3627

405 N Kuakini St
Ste 607
Honolulu, HI 96817
Phone (808) 599-8887

Interoperability endpoints

  • Direct secure messaging: jack.hsieh@38495620562948.direct.elationemr.com

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.

NPI Registry JSON

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

{
    "created_epoch": "1130371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300752000000",
    "number": "1922098110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST",
            "address_2": "SUITE 607",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176300",
            "telephone_number": "808-599-8887",
            "fax_number": "808-599-8879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "405 N KUAKINI ST",
            "address_2": "SUITE 607",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968176300",
            "telephone_number": "808-599-8887",
            "fax_number": "808-599-8879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSIEH",
        "first_name": "JACK",
        "middle_name": "MING ZU",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-27",
        "last_updated": "2011-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "10608",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49346102",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "49346101",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MING ZU",
            "last_name": "HSIEH",
            "middle_name": "JACK",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.