Kenneth Ngocha Morfaw

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

3015855 Issued in KY

Practice address

128 Lansdowne Dr
Nicholasville, KY 40356-8235

Phone

(859) 536-9058

NPI assigned

Aug 27, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

HMV Diagnostics 21 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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

• HMV Diagnostics

  • Clinic/Center
  • Holiday, FL
  • NPI 1043460744

  KY, Nurse Practitioner

  Medicare reassignment Care Compare group NPD
• Mobile Wound Care Solutions LLC

  • Specialist
  • Cincinnati, OH
  • NPI 1548070014

  KY

  Medicare reassignment NPD
• Regional Healthcare Group LLC

  • Acute Care Nurse Practitioner
  • Mount Juliet, TN
  • NPI 1407587363

  KY

  Medicare reassignment NPD
• Diagnostic Medical Testing Inc

  • Physiological Laboratory
  • Holiday, FL
  • NPI 1083672208
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1630022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630022400000",
    "number": "1013684968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 LANSDOWNE DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403568235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 LANSDOWNE DR",
            "city": "NICHOLASVILLE",
            "state": "KY",
            "postal_code": "403568235",
            "telephone_number": "859-536-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MORFAW",
        "first_name": "KENNETH",
        "middle_name": "NGOCHA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-27",
        "last_updated": "2021-08-27",
        "certification_date": "2021-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "KY",
            "license": "3015855",
            "primary": false
        },
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "KY",
            "license": "3015855",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "3015855",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "KY",
            "license": "3015855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NONE",
            "identifier": "000000",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ngochamorf@yahoo.ca",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "128 Lansdowne Dr",
            "city": "Nicholasville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "403568235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Madison Chase Moon, DPT
• Joe T Moore, RPH
• Judith Marie Moore, PT
• Melissa Jill Moore, MSED, BCBA, LBA
• Stephanie T Moore, PA-C
• Joseph Fredrick Morris, MD
• Mortell Counseling LLC
• Helen M Mortell, LCSW
• Lee Ann Morvai, P.T.
• Kimberly Moynahan, LMFT

• All providers in Nicholasville, KY
• Primary Care Nurse Practitioner in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.
• 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.

Verify at the official NPI Registry.