Active NPI
Quyen Thanh Ha, M.D.
- Internal Medicine Physician
- Ada, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 24063
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200108140A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK, AR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
- Access Home Health
- Baptist Health - Fort Smith
- Mercy Hospital Fort Smith
Merit-based Incentive Payment System (MIPS)
- Final score
- 62.38 of 100
- Quality
- 75.49
- Improvement activities
- 0
- Cost
- 73.96
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1646 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Quyen Ha MD PC | Internal Medicine | Current | 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
- quyen.ha@direct.stjohnhealthsystem.com
- 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.
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1710463146
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1710463146
-
- Home Health Agency
- Fort Smith, AR
- NPI 1205997392
-
- General Acute Care Hospital
- Fort Smith, AR
- NPI 1568433480
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2011; 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.