Individual provider Active NPI

Thy Thy DO, MD

  • Dermatology Physician
  • Ann Arbor, MI
National Provider Identifier
1184887606
Registry record updated Aug 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
4301092235 Issued in MI
Practice address
1979 Huron Pkwy
Ann Arbor, MI 48104
Phone
(734) 344-4567
Fax
(734) 669-1104
NPI assigned
Jul 3, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 4301092235 MI Primary

Addresses

Primary practice location

1979 Huron Pkwy
Ann Arbor, MI 48104

Mailing address

1979 Huron Pkwy
Ann Arbor, MI 48104-4141
Phone (734) 344-4567

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20130208000057 MI Practitioner - Dermatology 8022262559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Laura K Ganger MD PCGroup PAC ID 0143472373, 8 clinicians

Practice addresses (Care Compare)

1979 Huron Pkwy
Ann Arbor, MI 48104-4141
Phone (734) 344-4567

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
92.18 of 100Reported as group
Quality
89.06
Promoting interoperability
94
Improvement activities
40
Cost
89.89

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions525
Skin biopsy123

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301092235MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Laura K Ganger, M.D. P.C. Dermatology CurrentSince Sep 1, 2018 Accepting new patients

Locations

7397 Solutions Ctr
Chicago, IL 60677

1979 S Huron Pkwy
Ann Arbor, MI 48104
Phone (734) 344-4567

650 S Main St
Plymouth, MI 48170
Phone (734) 344-4567

49200 Wixom Tech Dr
Wixom, MI 48393
Phone (734) 344-4567

Organizations & group practices 1

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 2

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": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533686400000",
    "number": "1184887606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1979 HURON PKWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481044141",
            "telephone_number": "734-344-4567",
            "fax_number": "734-669-1104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1979 HURON PKWY",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "48104",
            "telephone_number": "734-344-4567",
            "fax_number": "734-669-1104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "THY THY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2018-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "4301092235",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.