Khoa Vo, MD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

24892 Issued in SC

Practice address

990 Lake Hunter Cir
Suite 1a
Mt Pleasant, SC 29464-5426

Phone

(843) 881-4117

Fax

(843) 881-4155

NPI assigned

Apr 21, 2006

Last updated

Aug 15, 2013By the provider in NPPES

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

Other identifiers 3

Medicare fee-for-service enrollment

Enrolled in SC

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

Specialty

Psychiatry

Education

University of South Carolina School of Medicine, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sunrise Psychiatry LLCGroup PAC ID 4789922154, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: sunrisepsychiatryllc.khoavo@143388.advancedmd-direct.com

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.

• Sunrise Psychiatry LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Mount Pleasant, SC
  • NPI 1497234223
  Medicare reassignment Care Compare group NPD Authorized official
• Upstate Center for Addiction Treatment.,LLC

  • Rehabilitation Clinic/Center
  • Spartanburg, SC
  • NPI 1275249021
  Medicare reassignment NPD
• Lowcountry Wellness Center LLC

  • Primary Care Clinic/Center
  • Charleston, SC
  • NPI 1639604929
  NPD (past)

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

{
    "created_epoch": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376524800000",
    "number": "1225094931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "990 LAKE HUNTER CIR",
            "address_2": "SUITE 1A",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645426",
            "telephone_number": "843-881-4117",
            "fax_number": "843-881-4155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "990 LAKE HUNTER CIR",
            "address_2": "SUITE 1A",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294645426",
            "telephone_number": "843-881-4117",
            "fax_number": "843-881-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "KHOA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2013-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "SC",
            "license": "24892",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "055804",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "248921",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "24892",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Viemed Clinical Services, LLC
• Joseph Nicholas Villano
• Candice Marie Vinson, D.M.D.
• Allen Vis
• Vital Family Chiropractic LLC
• Steven Lee Vogel, MD
• Sarah Branyon Voges, APRN, ATC, FNP-C
• Mary Allison Voight, PA-C
• John J Vollmer, P.A.
• Michelle Volpe

• Psychiatry Physician in Mount Pleasant, SC
• Providers in Mount Pleasant, SC by specialty
• Psychiatry Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2013; 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.