NPIMap

Individual provider Active NPI

Caliste IV Hsu, M.D.

  • Surgery of the Hand (Surgery) Physician
  • Council Bluffs, IA
National Provider Identifier
1972620912
Registry record updated Aug 31, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
39983 Issued in IA
Practice address
1 Edmundson PL
Suite 500
Council Bluffs, IA 51503-4619
Phone
(712) 323-5333
Fax
(712) 323-3252
NPI assigned
Mar 23, 2007
Last updated
Aug 31, 2012By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 39983 IA
Surgery Physician 208600000X 26587 NE
Surgery of the Hand (Surgery) Physician 2086S0105X 39983 IA Primary
Surgery of the Hand (Surgery) Physician 2086S0105X 26587 NE

Addresses

Primary practice location

1 Edmundson PL
Suite 500
Council Bluffs, IA 51503-4619

Mailing address

1 Edmundson PL
Suite 500
Council Bluffs, IA 51503-4619
Phone (712) 323-5333

Other names 1

  • Dr. Caliste Ny IV Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NE, IA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120207000616 NE Practitioner - General SurgeryPractitioner - Hand Surgery 0840457578 Reassigns benefits to 1 organization
I20120220000110 IA Practitioner - Hand SurgeryPractitioner - General SurgeryPractitioner - Orthopedic Surgery 0840457578 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hand SurgeryAlso: Orthopedic Surgery
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cass County Memorial HospitalGroup PAC ID 5294634994, shared by 9 NPIs, 67 clinicians

Practice addresses (Care Compare)

1213 Garfield Ave
Harlan, IA 51537-2057
Phone (712) 755-5161

1501 E 10TH St
Atlantic, IA 50022-1936
Phone (712) 243-3250

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39983IAMDSurgery Physician
26587NEMDSurgery of the Hand (Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cass County Memorial Hospital CurrentSince Apr 8, 2022 Accepting new patients
Cass County Memorial Hospital Current Accepting new patients
Clarinda Regional Health Center Current Accepting new patients
Shelby County Chris a Myrtue Memorial Hospital Current Accepting new patients
Clarinda Regional Health Center CurrentSince Feb 22, 2021 Accepting new patients
Miller Orthopaedic Affiliates PC CurrentSince Jan 1, 2012 Accepting new patients
Audubon County Memorial Hospital Current Accepting new patients
Cass County Memorial Hospital CurrentSince Apr 8, 2022 Accepting new patients
Miller Orthopaedic Affiliates PC CurrentSince Jan 1, 2012 Accepting new patients

Locations

1501 E 10th St
Atlantic, IA 50022
Phone (712) 243-2850

515 Pacific Ave
Audubon, IA 50025
Phone (712) 563-2611

220 Essie Davison Dr
Clarinda, IA 51632
Phone (712) 542-8330

1 Edmundson Pl
Ste 500
Council Bluffs, IA 51503
Phone (712) 323-5333

1213 Garfield Ave
Harlan, IA 51537
Phone (712) 755-4316

1550 6th St
Manning, IA 51455
Phone (712) 655-2072

16221 Evans Plz
Omaha, NE 68116
Phone (402) 991-9958

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1174608000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346371200000",
    "number": "1972620912",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EDMUNDSON PL",
            "address_2": "SUITE 500",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034619",
            "telephone_number": "712-323-5333",
            "fax_number": "712-323-3252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EDMUNDSON PL",
            "address_2": "SUITE 500",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034619",
            "telephone_number": "712-323-5333",
            "fax_number": "712-323-3252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HSU",
        "first_name": "CALISTE",
        "middle_name": "IV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-23",
        "last_updated": "2012-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "39983",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NE",
            "license": "26587",
            "primary": false
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "IA",
            "license": "39983",
            "primary": true
        },
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "NE",
            "license": "26587",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CALISTE",
            "last_name": "IV",
            "middle_name": "NY",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Council Bluffs, IA

Sources for this page

Verify at the official NPI Registry.