Individual provider Active NPI

Ritky C Dy, M.D.

  • Family Medicine Physician
  • Clanton, AL
National Provider Identifier
1487708145
Registry record updated Feb 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
18537 Issued in AL
Practice address
1221 7TH St S
Clanton, AL 35045-3723
Phone
(205) 280-6789
Fax
(205) 280-1350
NPI assigned
Jan 22, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Medicine (Internal Medicine) Physician 207RG0300X 18537 AL
Family Medicine Physician 207Q00000X 18537 AL Primary

Addresses

Primary practice location

1221 7TH St S
Clanton, AL 35045-3723

Mailing address

1221 7TH St S
Clanton, AL 35045-3723
Phone (205) 280-6789

Other identifiers 2

IdentifierTypeStateIssuer
000093998MedicaidAL
51093998OtherALBCBS OF ALABAMA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20130218000252 AL Practitioner - Family PracticePractitioner - Geriatric Medicine 9739333907 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Un of California, Irvine, College of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1221 7TH S St
Clanton, AL 35045-3723
Phone (205) 280-6789

Hospital & facility affiliations

  • St Vincent'S Chilton Hospital, Clanton, AL, CCN 010173
  • Shelby Baptist Medical Center Hospital, Alabaster, AL, CCN 010016

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
18537ALMDGeriatric Medicine (Internal Medicine) Physician

Practice roles (1 of 8)

OrganizationSpecialtyStatusNew patients
Dr Ritky C Dy Medical Clinic, LLC Family Medicine CurrentSince Mar 1, 2000 Accepting new patients

Locations

1221 7th St S
Clanton, AL 35045
Phone (205) 280-6789

Networks

  • bcbs alabama network 01G0
  • bcbs alabama network 01A0
  • bcbs alabama network 01H0
  • bcbs alabama network 01E0
  • bcbs alabama network 01B0
  • bcbs alabama network 01C0
  • bcbs alabama network 01I0

Organizations & group practices 1

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645488000000",
    "number": "1487708145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1221 7TH ST S",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350453723",
            "telephone_number": "205-280-6789",
            "fax_number": "205-280-1350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1221 7TH ST S",
            "city": "CLANTON",
            "state": "AL",
            "postal_code": "350453723",
            "telephone_number": "205-280-6789",
            "fax_number": "205-280-1350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DY",
        "first_name": "RITKY",
        "middle_name": "C",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-22",
        "last_updated": "2022-02-22",
        "certification_date": "2022-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Geriatric Medicine",
            "state": "AL",
            "license": "18537",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "18537",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000093998",
            "state": "AL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF ALABAMA",
            "identifier": "51093998",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Clanton, AL

Sources for this page

Verify at the official NPI Registry.