Individual provider Active NPI

Thanh Dai Vo, M.D.

  • Family Medicine Physician
  • Shreveport, LA
National Provider Identifier
1184658635
Registry record updated Jul 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD.200321 Issued in LA
Practice address
2520 Bert Kouns Industrial Loop
Suite 105
Shreveport, LA 71118-3130
Phone
(318) 212-5520
Fax
(318) 212-5540
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD.200321 LA Primary

Addresses

Primary practice location

2520 Bert Kouns Industrial Loop
Suite 105
Shreveport, LA 71118-3130

Mailing address

2520 Bert Kouns
Ste 102
Shreveport, LA 71118-3130
Phone (318) 212-5972

Other identifiers 2

IdentifierTypeStateIssuer
4J956OtherLAMEDICARE PTAN
1056502MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20051110000059 LA Practitioner - Family Practice 6608894464 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
WK Frederick and Braud ClinicGroup PAC ID 8022199553, 4 clinicians
Cornerstone Therapy and Balance Center, LLCGroup PAC ID 0345397899, 98 clinicians

Practice addresses (Care Compare)

2508 Bert Koun Loop
Suite 102
Shreveport, LA 71118-3175
Phone (318) 212-5777

8961 Youree Dr
Shreveport, LA 71115-3001
Phone (318) 671-8772

Hospital & facility affiliations

  • Louisiana Homecare Home health agency, Mansfield, LA, CCN 197052
  • Elara Caring Home health agency, Mansfield, LA, CCN 197161
  • Stat Home Health of Northwest Louisiana, LLC Home health agency, Sibley, LA, CCN 197594
  • Ark la Tex Home Health, Inc. Home health agency, Shreveport, LA, CCN 197247
  • Primestar Home Health of Nwla, Inc Home health agency, Minden, LA, CCN 197446
  • Willis Knighton Medical Center Hospital, Shreveport, LA, CCN 190111
  • Christus Shreveport-Bossier Health System Hospital, Shreveport, LA, CCN 190041

Merit-based Incentive Payment System (MIPS)

Final score
91.53 of 100Reported as apm
Quality
81.42
Promoting interoperability
94.6
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
WK Frederick and Braud Clinic Family Medicine CurrentSince Jun 21, 2021 Accepting new patients
WK Urgent Care Center-Pierremont Family Medicine CurrentSince Apr 1, 2011 Accepting new patients

Locations

2300 Hospital Dr
Ste 180
Bossier City, LA 71111
Phone (318) 212-7520

2520 Bert Kouns Industrial Loop
Ste 105
Shreveport, LA 71118
Phone (318) 212-5520

2508 Bert Kouns Industrial Loop
Ste 102
Shreveport, LA 71118
Phone (318) 212-5777

1202 Louisiana Ave
Shreveport, LA 71101
Phone (318) 212-8946

1666 E Bert Kouns Industrial Loop
Ste 105
Shreveport, LA 71105
Phone (318) 212-3520

9460 Ellerbe Rd
Ste 140
Shreveport, LA 71106
Phone (318) 213-7070

2520 Bert Kouns Industrial Loop
Ste 102
Shreveport, LA 71118
Phone (318) 212-5972

2520 Bert Kouns Industrial Loop
Shreveport, LA 71118

2600 Greenwood Rd
Shreveport, LA 71103
Phone (318) 212-4600

Interoperability endpoints

  • Direct secure messaging: tvo@direct.wkhs.com

Organizations & group practices 3

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 10

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437350400000",
    "number": "1184658635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2520 BERT KOUNS",
            "address_2": "STE 102",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183130",
            "telephone_number": "318-212-5972",
            "fax_number": "318-212-5369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2520 BERT KOUNS INDUSTRIAL LOOP",
            "address_2": "SUITE 105",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711183130",
            "telephone_number": "318-212-5520",
            "fax_number": "318-212-5540"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "THANH",
        "middle_name": "DAI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2015-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD.200321",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "4J956",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1056502",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shreveport, LA

Sources for this page

Verify at the official NPI Registry.