Individual provider Active NPI

Nhung Thi My Ho, P.A.

  • Physician Assistant
  • Kirkland, WA
National Provider Identifier
1285166397
Registry record updated May 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
61069408 Issued in WA
Practice address
13118 120TH Ave NE
Kirkland, WA 98034-3014
Phone
(425) 298-4951
Fax
(425) 298-4957
NPI assigned
Mar 28, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 10, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 020711-1 NY
Physician Assistant 363A00000X 61069408 WA Primary

Addresses

Primary practice location

13118 120TH Ave NE
Kirkland, WA 98034-3014

Mailing address

13118 120TH Ave NE
Kirkland, WA 98034-3014
Phone (425) 298-4951

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210526002331 WA Practitioner - Physician Assistant 3577962406 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Madrona Dermatology PLLCGroup PAC ID 6406167113, 2 clinicians

Practice addresses (Care Compare)

13118 120TH NE Ave
Kirkland, WA 98034-3014

13118 120TH Neave
Kirkland, WA 98034-3014
Phone (425) 298-4951

Merit-based Incentive Payment System (MIPS)

Final score
99.78 of 100Reported as group
Quality
99.6
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
020711-1NYMDPhysician Assistant
61069408WAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Stephen William Doggett, M.D. PA PastSince May 16, 2021 Accepting new patients
Javier Zelaya, MD PC PastSince Mar 1, 2021 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: nho@madrona.emadirect.md

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1490659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620604800000",
    "number": "1285166397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13118 120TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343014",
            "telephone_number": "425-298-4951",
            "fax_number": "425-298-4957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13118 120TH AVE NE",
            "city": "KIRKLAND",
            "state": "WA",
            "postal_code": "980343014",
            "telephone_number": "425-298-4951",
            "fax_number": "425-298-4957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HO",
        "first_name": "NHUNG",
        "middle_name": "THI MY",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-28",
        "last_updated": "2021-05-10",
        "certification_date": "2021-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "020711-1",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "61069408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirkland, WA

Sources for this page

Verify at the official NPI Registry.