Individual provider Active NPI

Tri Huu Huynh, D.O.

  • Gastroenterology Physician
  • Fort Walton Beach, FL
National Provider Identifier
1164687042
Registry record updated Dec 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
OS9920 Issued in FL
Practice address
928B Mar Walt Dr
Fort Walton Beach, FL 32547-6706
Phone
(850) 357-8151
Fax
(850) 362-6060
NPI assigned
Jul 21, 2008
Last updated
Dec 7, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 7, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X OS9920 FL Primary

Addresses

Primary practice location

928B Mar Walt Dr
Fort Walton Beach, FL 32547-6706

Mailing address

928B Mar Walt Dr
Fort Walton Beach, FL 32547-6706
Phone (850) 357-8151

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20100728000883 FL Practitioner - GastroenterologyPractitioner - Internal Medicine 9436282407 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

13838 N US Hwy 441
Endosurg Outpatient Ctr
Lady Lake, FL 32159-8904
Phone (352) 753-1612

8110 County Rd
Leesburg, FL 34788-3704
Phone (352) 323-8868

8110 CR
44 Leg a
Leesburg, FL 34788-3704

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.61 of 100Reported as group
Quality
71.59
Promoting interoperability
97
Improvement activities
40
Cost
76.27

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy169
Upper gastrointestinal (GI) endoscopy for acid reflux126

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Surgery & Endoscopy Center LTD Current Accepting new patients
Gastroenterology and Nutrition of Central Florida LLC Gastroenterology CurrentSince Mar 1, 2023 Accepting new patients
Tri County Professional Management, Inc Gastroenterology PastSince May 1, 2015 Accepting new patients

Locations

8100 County Road 44 Leg A
Leesburg, FL 34788
Phone (352) 323-1995

8110 County Road 44 Leg A
Leesburg, FL 34788
Phone (352) 323-8868

822 Perkins St
Leesburg, FL 34748
Phone (352) 315-4111

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EEDIDD/Endpoint/EEDIDD
  • Direct secure messaging: thuynh613278@direct.shands.ufl.edu
  • Direct secure messaging: tri.huynh.1@3063.direct.athenahealth.com
  • Direct secure messaging: trihuu.huynh@hca5.eclinicaldirectplus.com

Organizations & group practices 4

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.

Hospital & facility affiliations 4

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": "1216598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544140800000",
    "number": "1164687042",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "928B MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476706",
            "telephone_number": "850-357-8151",
            "fax_number": "850-362-6060"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "928B MAR WALT DR",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325476706",
            "telephone_number": "850-357-8151",
            "fax_number": "850-362-6060"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "TRI",
        "middle_name": "HUU",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-21",
        "last_updated": "2018-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "FL",
            "license": "OS9920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Walton Beach, FL

Sources for this page

Verify at the official NPI Registry.