Individual provider Active NPI

Trieu P Hua, M.D.

  • Family Medicine Physician
  • Gahanna, OH
National Provider Identifier
1972579852
Registry record updated Nov 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35-067480 Issued in OH
Practice address
725 Buckles Court North
Suite 100
Gahanna, OH 43230
Phone
(614) 471-9654
Fax
(614) 392-4586
NPI assigned
Feb 28, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 21, 2018

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 35-067480 OH Primary

Addresses

Primary practice location

725 Buckles Court North
Suite 100
Gahanna, OH 43230

Mailing address

725 Buckles Court North
Suite 100
Gahanna, OH 43230
Phone (614) 471-9654

Other identifiers 1

IdentifierTypeStateIssuer
2028166MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20070917000475 OH Practitioner - Family Practice 2264526615 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35-067480OHMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Central Ohio Primary Care Physicians, Inc. CurrentSince Sep 1, 2007 Accepting new patients
Central Ohio Primary Care Physicians Inc Current Accepting new patients
Central Ohio Primary Care Physicians, Inc. Family Medicine CurrentSince Sep 1, 2007 Accepting new patients

Locations

4885 Olentangy River Rd
Columbus, OH 43214
Phone (614) 326-5665

725 Buckles Ct N
Ste 100
Gahanna, OH 43230
Phone (614) 471-9654

535 Officenter Pl
Ste A
Gahanna, OH 43230
Phone (614) 471-9654

535 Officenter Pl
Gahanna, OH 43230
Phone (614) 471-9661

291 W Schrock Rd
Ste B
Westerville, OH 43081
Phone (614) 776-5750

655 Africa Rd
Westerville, OH 43082

Interoperability endpoints

  • Direct secure messaging: thua18845@copcp.medicity.net

Organizations & group practices 3

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": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542758400000",
    "number": "1972579852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 BUCKLES COURT NORTH",
            "address_2": "SUITE 100",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "43230",
            "telephone_number": "614-471-9654",
            "fax_number": "614-392-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 BUCKLES COURT NORTH",
            "address_2": "SUITE 100",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "43230",
            "telephone_number": "614-471-9654",
            "fax_number": "614-392-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUA",
        "first_name": "TRIEU",
        "middle_name": "P",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2018-11-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35-067480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2028166",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gahanna, OH

Sources for this page

Verify at the official NPI Registry.