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

Q: 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.

Q: What is Nan-hsien Kuo's specialty?

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

Q: 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.

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: November 01, 2026.

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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

Phone(718) 670-1424

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

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter Health, Ambetter Health of Delaware, Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignments

Medicare enrollment records show Nan-hsien Kuo reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

New York Queens Medicine And Surgery, P.C.

Same address

Multi-Specialty

5645 MAIN ST
Flushing, NY 11355

Reassigned Medicare billing, New York enrollment
645 clinicians in this Medicare group

NPI 1740792233 (718) 661-8706

Chinatown Medical Consultation, PLLC

9.4 mi

Medical Specialty

139 CENTRE ST, RM 302
New York, NY 10013

Reassigned Medicare billing, New York enrollment
2 clinicians in this Medicare group

NPI 1346479839 (212) 219-2269

Barnabas Health Medical Group PC

21 mi

Specialist

225 WILLIAMSON ST
Elizabeth, NJ 07202

Reassigned Medicare billing, New Jersey enrollment
1,894 clinicians in this Medicare group

NPI 1841557246 (888) 724-7123

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

ANA M GHELECHKHANI PA

Physician Assistant (Medical)