Individual provider Active NPI

John Hau, M.D.

  • Pain Medicine (Anesthesiology) Physician
  • Santa Rosa, CA
National Provider Identifier
1922231042
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
A123619 Issued in CA
Practice address
392 Tesconi CT
Santa Rosa, CA 95401-4653
Phone
(707) 623-9803
Fax
(707) 843-3257
NPI assigned
Aug 24, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X A123619 CA Primary
Anesthesiology Physician 207L00000X A123619 CA

Addresses

Primary practice location

392 Tesconi CT
Santa Rosa, CA 95401-4653

Mailing address

392 Tesconi CT
Santa Rosa, CA 95401-4653

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20140425000914 CA Practitioner - Pain ManagementPractitioner - Anesthesiology 1254564388 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Temple University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Summit Pain Alliance IncGroup PAC ID 5890962138, 5 clinicians

Practice addresses (Care Compare)

392 Tesconi CT
Santa Rosa, CA 95401-4653
Phone (707) 623-9803

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
22.97 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.58

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A123619CAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Summit Pain Alliance Inc CurrentSince Feb 25, 2014 Accepting new patients
Summit Pain Alliance Inc CurrentSince Feb 25, 2014 Accepting new patients
Sonoma Valley Health Care District Past Accepting new patients
St. Joseph Health Northern California, LLC Past Accepting new patients
Sutter Bay Hospitals Past Accepting new patients

Locations

1372 N McDowell Blvd
Ste E
Petaluma, CA 94954

392 Tesconi Ct
Santa Rosa, CA 95401
Phone (707) 623-9803

Interoperability endpoints

  • Direct secure messaging: jhau224106@hisp.ehr.sutterhealth.org

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.

Hospital & facility affiliations 2

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": "1251072000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1922231042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "392 TESCONI CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "392 TESCONI CT",
            "city": "SANTA ROSA",
            "state": "CA",
            "postal_code": "954014653",
            "telephone_number": "707-623-9803",
            "fax_number": "707-843-3257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAU",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-24",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "CA",
            "license": "A123619",
            "primary": true
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "CA",
            "license": "A123619",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Rosa, CA

Sources for this page

Verify at the official NPI Registry.