Individual provider Active NPI

Hla-Pe Win, M.D.

  • Family Medicine Physician
  • Poughkeepsie, NY
National Provider Identifier
1962585919
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
225440 Issued in NY
Practice address
10 Ross Circle
Poughkeepsie, NY 12601-1078
Phone
(845) 452-8000
Fax
(845) 437-5169
NPI assigned
Oct 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 225440 NY Primary

Addresses

Primary practice location

10 Ross Circle
Poughkeepsie, NY 12601-1078

Mailing address

10 Ross Circle
Poughkeepsie, NY 12601-1078
Phone (845) 452-8000

Other identifiers 1

IdentifierTypeStateIssuer
02312045MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
225440NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Broadway Medical Services PC Past Accepting new patients
Southern Westchester Diabetes, PC PastSince Jun 11, 2001 Accepting new patients

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": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962585919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 ROSS CIRCLE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011078",
            "telephone_number": "845-452-8000",
            "fax_number": "845-437-5169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 ROSS CIRCLE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011078",
            "telephone_number": "845-452-8000",
            "fax_number": "845-437-5169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIN",
        "first_name": "HLA-PE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "225440",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02312045",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Poughkeepsie, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.