Active NPI
Suping J Hsieh, MD
- Family Medicine Physician
- Granger, IN
National Provider Identifier
1972593408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 01037337A
- Practice address
- 3221 Beacon Pkwy
Granger, IN 46530-7196 - Phone
- (574) 309-9974
- Fax
- (574) 990-0102
- NPI assigned
- Oct 26, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 01037337A | IN | Primary |
Addresses
Primary practice location
3221 Beacon Pkwy
Granger, IN 46530-7196
Mailing address
3221 Beacon Pkwy
Granger, IN 46530-7196
Phone (574) 309-9974
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100091170 | Medicaid | IN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | suping.hsieh@85029103468548.direct.elationemr.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20180607001941 | IN | Order and Referring Only - Family Practice | 7618064569 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1621296000000",
"number": "1972593408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3221 BEACON PKWY",
"city": "GRANGER",
"state": "IN",
"postal_code": "465307196",
"telephone_number": "574-309-9974",
"fax_number": "574-990-0102"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3221 BEACON PKWY",
"city": "GRANGER",
"state": "IN",
"postal_code": "465307196",
"telephone_number": "574-309-9974",
"fax_number": "574-990-0102"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HSIEH",
"first_name": "SUPING",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2021-05-18",
"certification_date": "2021-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IN",
"license": "01037337A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100091170",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "suping.hsieh@85029103468548.direct.elationemr.com",
"affiliation": "N",
"endpointDescription": "Dr. Suping Jesse Hsieh",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "ccd",
"address_1": "3221 Beacon Pkwy",
"city": "Granger",
"state": "IN",
"country_code": "US",
"postal_code": "465307196",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Granger, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.