Samantha Ky

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11917-C Issued in NV

Practice address

6767 W Tropicana Ave Ste 100
Las Vegas, NV 89103-4755

Phone

(702) 209-0370

Fax

(702) 463-1851

NPI assigned

Mar 30, 2022

Last updated

Oct 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Sunrise Health Clinics LLCGroup PAC ID 6406143239, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: samantha.ky.1@32449.direct.athenahealth.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 Health Clinics LLC

  • Public Health & General Preventive Medicine Physician
  • Las Vegas, NV
  • NPI 1629405840
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1648598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1265172035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6767 W TROPICANA AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034755"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6767 W TROPICANA AVE STE 100",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891034755",
            "telephone_number": "702-209-0370",
            "fax_number": "702-463-1851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KY",
        "first_name": "SAMANTHA",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-30",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "11917-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Derek Kwon
• Kang Hak Kwon, CADC-I
• Raymond Kwon, MD
• Andrew Kwong, O.D.
• Henry Ky, MD
• Sharkira Kyebalaba
• Sergieo Marcos Kyle
• Tobbi Kyle
• Frederick Ray Kyles
• Janelle Kyles, RN

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.