Active NPI
Kenneth Glen Wys, MD
- Critical Care Medicine (Internal Medicine) Physician
- Indio, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Critical Care Medicine (Internal Medicine) Physician
- License
- A64344
- Practice address
- 47111 Monroe St
Indio, CA 92201-6739 - Phone
- (760) 347-6191
- Fax
- (760) 775-8017
- NPI assigned
- Aug 16, 2006
- Last updated
- Jan 28, 2020
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | A64344 | CA | |
| Critical Care Medicine (Internal Medicine) Physician | 207RC0200X | A64344 | CA | Primary |
Addresses
Primary practice location
47111 Monroe St
Indio, CA 92201-6739
Mailing address
47111 Monroe St
Indio, CA 92201-6739
Phone (760) 347-6191
Other practice location 1
221 S Painted Mountain Dr
Las Vegas, NV 89148-2722
Phone (323) 842-3442
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of California, Davis School of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Hilo Benioff Medical Center
Practice addresses (Care Compare)
1190 Waianuenue Ave
Hilo, HI 96720-2089
Phone (808) 932-3000
1300 N Vermont Ave
Los Angeles, CA 90027-6098
Phone (213) 413-3000
16543 Carmenita Rd
Cerritos, CA 90703-2218
Phone (562) 219-7251
4650 Lincoln Blvd
Marina del Rey, CA 90292-6306
Phone (310) 823-8911
6801 Park Ter
Suite 300
Los Angeles, CA 90045-9212
Phone (310) 665-7150
Hospital & facility affiliations
- Cedar-Sinai Marina del Rey Hospital
- Hilo Benioff Medical Center
- Hollywood Presbyterian Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.14 of 100
- Quality
- 84.79
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 73.15
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.39 of 100
- Quality
- 79.9
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 82.23
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A64344 | CA | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Coachella Valley Anesthesia a Professional Corporation | Anesthesiology | Current | Accepting new patients |
| First Choice Physician Partners | Current | Accepting new patients | |
| Cedars-Sinai Medical Care Foundation | Current | Accepting new patients | |
| Kauai Medical Clinic | Current | Accepting new patients | |
| Bright Anesthesia a Professional Corporation | Anesthesiology | Current | Accepting new patients |
| First Choice Physician Partners | Current | Accepting new patients | |
| Kenneth G Wys MD PC | Current | Accepting new patients | |
| Willow Brook Critical Care Medical Group, Inc | Current | Accepting new patients | |
| Kauai Medical Clinic | Current | Accepting new patients | |
| First Choice Physician Partners | Current | Accepting new patients | |
| Vista Critical Care Associates Inc | Critical Care Medicine | Current | Accepting new patients |
| HP Anesthesia Inc | Anesthesiology | Current | Accepting new patients |
| Sheridan Drozdow Healthcare of Nevada PC | Anesthesiology | Past | Accepting new patients |
| Palm Springs Anesthesia Services, PC | Anesthesiology | Past | Accepting new patients |
| Sheridan Healthcare of Washington, PC | Anesthesiology | Past | Accepting new patients |
| Kapiolani Medical Center for Women & Children | Past | Accepting new patients | |
| Olympic Anesthesia Partnership | Anesthesiology | Past | Accepting new patients |
| First Choice Physician Partners | Past | Accepting new patients |
Locations
420 34th St
Bakersfield, CA 93301
Phone (661) 324-4647
16543 Carmenita Rd
Cerritos, CA 90703
Phone (562) 219-7251
1420 S Central Ave
Glendale, CA 91204
Phone (818) 502-1900
1511 W Glenoaks Blvd
Glendale, CA 91201
Phone (818) 637-2200
47111 Monroe St
Indio, CA 92201
Phone (760) 347-6191
47111 Monroe St
#F
Indio, CA 92201
Phone (760) 347-6191
5 Holland
Ste 101
Irvine, CA 92618
Phone (949) 588-2199
2801 Atlantic Ave
Long Beach, CA 90806
Phone (310) 933-2000
10904 Reagan St
Los Alamitos, CA 90720
Phone (562) 592-3140
10904 Reagan St
#1182
Los Alamitos, CA 90720
Phone (562) 596-3140
3751 Katella Ave
Los Alamitos, CA 90720
Phone (562) 799-3160
1300 N Vermont Ave
Los Angeles, CA 90027
Phone (213) 413-3000
6801 Park Ter
Ste 300
Los Angeles, CA 90045
Phone (310) 655-7200
8635 W 3rd St
Ste 465W
Los Angeles, CA 90048
Phone (310) 423-0674
4553 Glencoe Ave
Ste 100
Marina del Rey, CA 90292
Phone (310) 613-9688
1150 N Indian Canyon Dr
Palm Springs, CA 92262
Phone (760) 323-6251
1150 N Indian Canyon Dr
#1112
Palm Springs, CA 92262
35800 Bob Hope Dr
Ste 225
Rancho Mirage, CA 92270
Phone (760) 324-4466
4650 Lincoln Blvd
Venice, CA 90292
Phone (310) 264-2561
3-3420 Kuhio Hwy
Ste B
Lihue, HI 96766
Phone (808) 245-1500
Organizations & group practices 19
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.
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1518858356
-
- Specialist
- Los Angeles, CA
- NPI 1316984388
-
- Anesthesiology Physician
- Los Angeles, CA
- NPI 1992133474
-
- Critical Care Medicine (Anesthesiology) Physician
- Cerritos, CA
- NPI 1578195632
-
dba Arunkumar Thunga
- Anesthesiology Physician
- Bakersfield, CA
- NPI 1013662048
-
dba Greater Modesto Medical Surgical Associates
- Neurological Surgery Physician
- Modesto, CA
- NPI 1104183052
-
- Critical Care Medicine (Internal Medicine) Physician
- Glendale, CA
- NPI 1942971189
-
- Hospitalist Physician
- Glendale, CA
- NPI 1811520224
-
- Multi-Specialty Clinic/Center
- Lihue, HI
- NPI 1376596643
-
- Anesthesiology Physician
- Orange, CA
- NPI 1346267267
-
- Family Medicine Physician
- Palm Springs, CA
- NPI 1558797118
-
dba De La Pena Eye Clinic, A Medical Group
- Ophthalmology Physician
- El Monte, CA
- NPI 1912732892
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Cedars-Sinai Marina Del Rey Hospital
- General Acute Care Hospital
- Marina del Rey, CA
- NPI 1942269725
-
dba Hollywood Presbyterian Medical Center
- General Acute Care Hospital
- Los Angeles, CA
- NPI 1922033547
-
- General Acute Care Hospital
- Hilo, HI
- NPI 1780757856
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155686400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1003929712",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47111 MONROE ST",
"city": "INDIO",
"state": "CA",
"postal_code": "922016739",
"telephone_number": "760-347-6191",
"fax_number": "760-775-8017"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "47111 MONROE ST",
"city": "INDIO",
"state": "CA",
"postal_code": "922016739",
"telephone_number": "760-347-6191",
"fax_number": "760-775-8017"
}
],
"practiceLocations": [
{
"address_1": "221 S Painted Mountain Dr",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891482722",
"country_code": "US",
"telephone_number": "323-842-3442",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "WYS",
"first_name": "KENNETH",
"middle_name": "GLEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-16",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CA",
"license": "A64344",
"primary": false
},
{
"code": "207RC0200X",
"taxonomy_group": "",
"desc": "Internal Medicine, Critical Care Medicine",
"state": "CA",
"license": "A64344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Indio, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.