Active NPI
Nha T Huynh, DO
- Cardiovascular Disease Physician
- Kankakee, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036126723
- Practice address
- 500 N Wall St
Kankakee, IL 60901-2942 - Phone
- (844) 404-4787
- Fax
- (815) 936-3243
- NPI assigned
- Aug 5, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 036126723 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 036126723 | IL | Primary |
Addresses
Primary practice location
500 N Wall St
Kankakee, IL 60901-2942
Mailing address
500 N Wall St
Kankakee, IL 60901-2942
Phone (844) 404-4787
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | nhuynh13925@Direct.riversidehealthcare.net | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110610000238 | IL | Practitioner - Cardiovascular Disease (Cardiology) | 3375720899 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Riverside Health System
Practice addresses (Care Compare)
105 S 1St St
Willmington, IL 60481-8973
Phone (815) 476-5210
23120 S Lagrange Rd
Suite 200
Frankfort, IL 60423-7760
Phone (815) 464-5440
350 N Wall St 4TH Floor
Kankakee, IL 60901-2901
Phone 81593316714592
400 Riverside Dr
Suite 2800
Bourbonnais, IL 60914-5004
Phone (815) 935-1100
500 N Wall St
Kankakee, IL 60901-2942
500 N Wall Ste
Suite 200
Kankakee, IL 60901-2942
Phone (815) 937-1237
5775 E State Route 113
Coal City, IL 60416-7111
Phone (815) 634-0100
611 Division St
Peotone, IL 60468-9590
Phone (708) 258-9058
Hospital & facility affiliations
- Riverside Medical Center
- Iroquois Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036126723 | IL | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Riverside Health System | Current | Accepting new patients | |
| Riverside Health System | Current | Accepting new patients | |
| Gibson Community Hospital Association | Past | Accepting new patients |
Locations
500 N Wall St
Kankakee, IL 60901
Phone (815) 937-9300
500 N Wall St
Ste C100
Kankakee, IL 60901
Phone (844) 404-4787
350 N Wall St
Kankakee, IL 60901
Phone (815) 935-7500
611 S Division St
Peotone, IL 60468
Phone (708) 258-9058
105 S First St
Wilmington, IL 60481
Phone (815) 476-5210
Interoperability endpoints
- nhuynh13925@direct.riversidehealthcare.net
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.
-
- Psychiatry Physician
- Kankakee, IL
- NPI 1336354430
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Watseka, IL
- NPI 1629003470
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217894400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1612828800000",
"number": "1376709758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 N WALL ST",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609012942",
"telephone_number": "844-404-4787",
"fax_number": "815-936-3243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 N WALL ST",
"city": "KANKAKEE",
"state": "IL",
"postal_code": "609012942",
"telephone_number": "844-404-4787",
"fax_number": "815-936-3243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUYNH",
"first_name": "NHA",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-08-05",
"last_updated": "2021-02-09",
"certification_date": "2021-02-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "IL",
"license": "036126723",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036126723",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "nhuynh13925@Direct.riversidehealthcare.net",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "500 N Wall St",
"city": "Kankakee",
"state": "IL",
"country_code": "US",
"postal_code": "609012942",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kankakee, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2021; 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.