Active NPI
Ritky C Dy, M.D.
- Family Medicine Physician
- Clanton, AL
National Provider Identifier
1487708145
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 18537
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000093998 | Medicaid | AL | |
| 51093998 | Other | AL | BCBS 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20130218000252 | AL | Practitioner - Family Practice | 9739333907 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- 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
- Shelby Baptist Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 18537 | AL | MD | Geriatric Medicine (Internal Medicine) Physician |
Practice roles (1 of 8)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr Ritky C Dy Medical Clinic, LLC | Family Medicine | Current | 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.
-
- Family Medicine Physician
- Clanton, AL
- NPI 1083758338
AL, Family Medicine
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medicare Defined Swing Bed Hospital Unit
- Clanton, AL
- NPI 1013365824
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 22, 2022; 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.