Ky Viet Dong Quach, DO

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

V1589 Issued in TX

Practice address

205 Woodhew Dr Ste 220205
Waco, TX 76712-6689

Phone

(254) 245-9175

NPI assigned

Mar 23, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI, TX2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Specialty

Physical Medicine and Rehabilitation

Education

University of North Texas HSC, College of Osteopathic Med, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Integrated Pain Associates PLLCGroup PAC ID 6204973894, 33 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Ascension Providence Hospital, Waco, TX, CCN 450042
• Parkview Regional Hospital Hospital, Mexia, TX, CCN 450400

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Doctor of Medicine

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.

• Integrated Pain Associates PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Killeen, TX
  • NPI 1689800419
  Medicare reassignment Care Compare group NPD
• Regents of the University of Michigan

  • Internal Medicine Physician
  • Ann Arbor, MI
  • NPI 1205868353
  Medicare reassignment NPD
• Integrated Pain Associates PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Odessa, TX
  • NPI 1427728112
  NPD
• Regents of the University of Michigan

  • Physical Medicine & Rehabilitation Physician
  • Ann Arbor, MI
  • NPI 1790719532
  NPD
• Regents of the University of Michigan

  • Specialty Pharmacy
  • Dexter, MI
  • NPI 1952181919
  NPD

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

• Ascension Providence

  • General Acute Care Hospital
  • Waco, TX
  • NPI 1093708679
  Care Compare affiliation
• Mexia Principal Healthcare Limited Partnership

  • General Acute Care Hospital
  • Mexia, TX
  • NPI 1497708929
  Care Compare affiliation

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

{
    "created_epoch": "1553299200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737331200000",
    "number": "1114487360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11538",
            "city": "KILLEEN",
            "state": "TX",
            "postal_code": "765471538",
            "telephone_number": "254-245-9178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 WOODHEW DR STE 220205",
            "city": "WACO",
            "state": "TX",
            "postal_code": "767126689",
            "telephone_number": "254-245-9175"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3800 S W S Young Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Killeen",
            "state": "TX",
            "postal_code": "765423340",
            "country_code": "US",
            "telephone_number": "254-245-9175",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5244 S 31st St Ste A",
            "address_purpose": "LOCATION",
            "city": "Temple",
            "state": "TX",
            "postal_code": "765023513",
            "country_code": "US",
            "telephone_number": "254-245-9175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "QUACH",
        "first_name": "KY VIET",
        "middle_name": "DONG",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-03-23",
        "last_updated": "2025-01-20",
        "certification_date": "2025-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "TX",
            "license": "V1589",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Miley O Pulliam
• Paul Edward Puntney, O.D.
• Cierra Purifoy, SLP - INTERN
• Christina Pursell
• Bethany Dawn Putz
• Natalie O'Connor Qualls
• Quantitative Vascular Diagnostic Services, Inc.
• Quest Imaging, Inc.
• Mary Margarette Mislang Quibal
• Austyn Lauren Quiggle

• Physical Medicine & Rehabilitation Physician in Waco, TX
• Providers in Waco, TX by specialty
• Physical Medicine & Rehabilitation Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2025; 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.