NAN-HSIEN KUO MD
NPI 1619991114
Internal Medicine - Rheumatology in Flushing, NY

Active since July 27, 2006PECOS EnrolledAccepts Medicare Assignment
5645 MAIN ST, SUITE 637, FLUSHING, NY 11355(718) 670-1424(516) 437-4167 Get Directions Write a Review

NPPES record last updated: February 6, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Nan-hsien Kuo Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NAN-HSIEN KUO MD (NPI 1619991114) is an individual rheumatology provider in Flushing, New York, licensed in New Jersey (25MA10966500) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS and is a graduate of Memorial Un Of Newfoundland, Faculty Of Medicine (2002).

NPPES Registry Identity

NPI1619991114
Entity TypeIndividualMale
Primary Taxonomy207RR0500X
Provider Legal NameNAN-HSIEN KUOCredential: MD
Location Address5645 MAIN ST, SUITE 637Flushing, NY 11355-5045
Mailing AddressPo Box 27842New York, NY 10087-7842 · (718) 670-1651 · Fax (516) 437-4167
Fax(516) 437-4167
Sole ProprietorNo
Medical School CMSMemorial Un Of Newfoundland, Faculty Of MedicineGraduated 2002
Enumeration DateJuly 27, 2006
Last NPPES UpdateFebruary 6, 2024
NPPES CertifiedFebruary 6, 2024
NPI 1619991114 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyInternal Medicine · RheumatologyAllopathic & Osteopathic Physicians
Taxonomy Code207RR0500X
Licenses Licensed in NJ · 25MA10966500 Licensed in NJ · 26NJ01369300 Licensed in NY · 240560
Definition
An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases.
Also ListedInternal MedicineTaxonomy 207R00000X · License 240560 (NY)
5645 MAIN ST, Flushing, NY 11355

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Nan-hsien Kuo Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2769487610
PECOS Enrollment IDI20060927000263, I20210602002441
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 5

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
101 services67 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
70 services70 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
44 services16 patients
Established patient office or other outpatient visit with straightforward medical decision making, if using time, 10 minutes or more 99212
This is a routine check-up for patients who have previously seen the doctor. During this 10-19 minute visit, the doctor will review your health status, discuss any concerns, and manage ongoing treatments or medications. It's a chance to ensure your health is on track.
22 services17 patients
Telephone medical discussion with physician, 11-20 minutes 99442
This is a service where you have a phone conversation with your doctor for 11-20 minutes. It's used for discussing health concerns, reviewing test results, or managing ongoing conditions. It's a convenient way to receive medical advice without an in-person visit.
17 services13 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 11355 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$153.13 typical visit price
range $67.00 – $201.98
Typical copayment $38.28 (range $16.75 – $50.49)
Most-billed visit code 99204
Established Patient
$116.96 typical visit price
range $21.62 – $163.52
Typical copayment $29.24 (range $5.40 – $40.88)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Physician Assistant (Medical)
5645 MAIN ST
FLUSHING, NY 11355
Anesthesiology
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Student in an Organized Health Care Education/Training Program
5645 MAIN ST
FLUSHING, NY 11355
Nurse Practitioner (Family)
5645 MAIN ST
FLUSHING, NY 11355

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Nan-hsien Kuo's NPI number?

The NPI number for Nan-hsien Kuo is 1619991114. It was assigned to this individual provider in the NPPES registry on July 27, 2006.

Where is Nan-hsien Kuo located?

Nan-hsien Kuo practices at 5645 Main St Suite 637, Flushing, NY 11355. The listed phone number is (718) 670-1424.

What is Nan-hsien Kuo's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Rheumatology, with taxonomy code 207RR0500X.

Is Nan-hsien Kuo enrolled in Medicare?

Yes. Nan-hsien Kuo is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Nan-hsien Kuo accept?

Health plans from Ambetter Health and Ambetter Health of Delaware list Nan-hsien Kuo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Nan-hsien Kuo was last updated on February 6, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.