Individual provider Active NPI

Quyen Thanh Ha, M.D.

  • Internal Medicine Physician
  • Ada, OK
National Provider Identifier
1245383264
Registry record updated Feb 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
24063 Issued in OK
Practice address
430 N Monte Vista St
Valley View Reg Hospital Wound Care Center
Ada, OK 74820-4610
Phone
(580) 272-1731
Fax
(580) 272-1720
NPI assigned
Jan 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 14, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 24063 OK Primary

Addresses

Primary practice location

430 N Monte Vista St
Valley View Reg Hospital Wound Care Center
Ada, OK 74820-4610

Mailing address

PO Box 12883
Oklahoma City, OK 73157-2883
Phone (405) 858-0600

Other identifiers 1

IdentifierTypeStateIssuer
200108140AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, AR2 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

Enrollment IDStateProvider typePAC IDDetails
I20070720000352 OK Practitioner - Internal Medicine 7517068513 Reassigns benefits to 1 organization
I20131221000135 AR Practitioner - Physical Medicine and Rehabilitation 7517068513 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1001 Towson Ave
Fort Smith, AR 72901-4921
Phone (479) 441-5362

1008 Arkansas St
Arkoma, OK 74901-3548
Phone 4058580600114

5410 Phoenix Ave
Fort Smith, AR 72903-6054
Phone (405) 858-0600

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
62.38 of 100Reported as individual
Quality
75.49
Improvement activities
0
Cost
73.96

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1646
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Quyen Ha MD PC Internal Medicine CurrentSince Jul 16, 2009 Accepting new patients
Baptist Health Regional Hospitals Past Accepting new patients

Locations

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

1501 S Waldron Rd
Ste 102
Fort Smith, AR 72903
Phone (479) 242-2826

430 N Monte Vista St
Ada, OK 74820
Phone (580) 226-1251

1008 Arkansas St
Arkoma, OK 74901
Phone (405) 703-4225

300 Rockefeller Dr
Muskogee, OK 74401
Phone (918) 682-5501

3801 NW 63rd St
Ste 160
Oklahoma City, OK 73116

Interoperability endpoints

  • Direct secure messaging: quyen.ha@direct.stjohnhealthsystem.com
  • Direct secure messaging: qha260426@direct.baptist-healthar.org

Organizations & group practices 2

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 3

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": "1169337600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1297641600000",
    "number": "1245383264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12883",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731572883",
            "telephone_number": "405-858-0600",
            "fax_number": "405-858-0602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 N MONTE VISTA ST",
            "address_2": "VALLEY VIEW REG HOSPITAL WOUND CARE CENTER",
            "city": "ADA",
            "state": "OK",
            "postal_code": "748204610",
            "telephone_number": "580-272-1731",
            "fax_number": "580-272-1720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HA",
        "first_name": "QUYEN",
        "middle_name": "THANH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-21",
        "last_updated": "2011-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "24063",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200108140A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ada, OK

Sources for this page

Verify at the official NPI Registry.