NPIMap

Individual provider Active NPI

Paul Ky

  • Interventional Pain Medicine Physician
  • Fresno, CA
National Provider Identifier
1043374028
Registry record updated Dec 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
20A-10743 Issued in CA
Practice address
6169 N Thesta St
Fresno, CA 93710-5266
Phone
(559) 435-1757
Fax
(559) 435-1768
NPI assigned
Dec 21, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 13, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2081P2900X 20A-10743 CA
Interventional Pain Medicine Physician 208VP0014X 20A-10743 CA Primary

Addresses

Primary practice location

6169 N Thesta St
Fresno, CA 93710-5266

Mailing address

6769 N Fresno St
Ste. 206
Fresno, CA 93710-3715
Phone (559) 435-1757

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100920000982 CA Practitioner - Physical Medicine and RehabilitationPractitioner - Interventional Pain Management 0345365938 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Interventional Pain Management
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

6769 N Fresno St
Suite 206
Fresno, CA 93710-3715
Phone 5594351757108

Hospital & facility affiliations

  • Omnia Healthcare, LLC Home health agency, Clovis, CA, CCN 059683
  • Inhome Healthcare Services Home health agency, Fresno, CA, CCN 057214
  • Valley Home Health Home health agency, Fresno, CA, CCN 059227
  • Therapeutic Home Healthcare Home health agency, Fresno, CA, CCN 059426
  • Clovis Community Medical Center Hospital, Clovis, CA, CCN 050492
  • Saint Agnes Medical Center Hospital, Fresno, CA, CCN 050093
  • Kaweah Health Medical Center Hospital, Visalia, CA, CCN 050057

Merit-based Incentive Payment System (MIPS)

Final score
94.96 of 100Reported as individual
Quality
93.33
Improvement activities
40
Cost
65.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion147
Laminectomy or laminotomy (partial removal of spine bones)51

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
20A-10743CAMDPain Medicine (Physical Medicine & Rehabilitation) Physician
10743CAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ky Advanced Surgical Center Inc CurrentSince Mar 17, 2014 Accepting new patients
Advanced Pain Associates of California Multi-Specialty CurrentSince Oct 22, 2011 Accepting new patients
Fresno Community Hospital and Medical Center Interventional Pain Medicine Past Accepting new patients
Saint Agnes Medical Center Multi-Specialty Past Accepting new patients
Fresno Surgery Center LP Interventional Pain Medicine Past Accepting new patients

Locations

6169 N Thesta St
Fresno, CA 93710
Phone (559) 435-1757

6769 N Fresno St
Ste 206
Fresno, CA 93710
Phone (559) 435-1757

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HJCJDD/Endpoint/HJCJDD

Organizations & group practices 5

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.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734048000000",
    "number": "1043374028",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6769 N FRESNO ST",
            "address_2": "STE. 206",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937103715",
            "telephone_number": "559-435-1757",
            "fax_number": "559-435-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6169 N THESTA ST",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937105266",
            "telephone_number": "559-435-1757",
            "fax_number": "559-435-1768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KY",
        "first_name": "PAUL",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-21",
        "last_updated": "2024-12-13",
        "certification_date": "2024-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "CA",
            "license": "20A-10743",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "CA",
            "license": "20A-10743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

Verify at the official NPI Registry.