Active NPI
Thuy T Ngo, M.D.
- Specialist
- Cookeville, TN
National Provider Identifier
1043247349
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 25547
- Practice address
- 315 N Washington Ave
Suite 201
Cookeville, TN 38501-2660 - Phone
- (931) 528-5633
- Fax
- (931) 528-5798
- NPI assigned
- Jun 26, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 25547 | TN | Primary |
Addresses
Primary practice location
315 N Washington Ave
Suite 201
Cookeville, TN 38501-2660
Mailing address
315 N Washington Ave
Suite 201
Cookeville, TN 38501-2603
Phone (931) 528-5633
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| TN101 | Other | TN | JOHN DEERE |
| 3086391 | Medicaid | TN | |
| 080187007 | Other | TN | RAILROAD MEDICARE |
| 4037809 | Other | TN | BLUE CROSS |
| 481263448 | Other | TN | TAX ID |
Other names 1
- Dr. Thuy T Ngo
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20100217000022 | TN | Practitioner - Neurology | 6800930769 | Practice locations: Cookeville, TN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25547 | TN | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cookeville Neurology | Specialist | Past | Accepting new patients |
| South Carolina Neurological Clinic PA | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Specialist
- Cookeville, TN
- NPI 1831129717
-
- Neurology Physician
- Columbia, SC
- NPI 1821009077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151280000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1431907200000",
"number": "1043247349",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 N WASHINGTON AVE",
"address_2": "SUITE 201",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012603",
"telephone_number": "931-528-5633",
"fax_number": "931-528-5798"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 N WASHINGTON AVE",
"address_2": "SUITE 201",
"city": "COOKEVILLE",
"state": "TN",
"postal_code": "385012660",
"telephone_number": "931-528-5633",
"fax_number": "931-528-5798"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGO",
"first_name": "THUY",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-26",
"last_updated": "2015-05-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "TN",
"license": "25547",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE",
"identifier": "TN101",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3086391",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "080187007",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "4037809",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "481263448",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "THUY",
"last_name": "NGO",
"middle_name": "T",
"prefix": "DR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Cookeville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2015; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.