Active NPI
Moe Moe Kyi, M.D.
- Internal Medicine Physician
- Los Angeles, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- A138014
- Practice address
- 4816 E 3Rd St
Los Angeles, CA 90022-1602 - Phone
- (323) 780-4510
- NPI assigned
- Jul 21, 2011
- 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 | 44767 | AZ | |
| Internal Medicine Physician | 207R00000X | A138014 | CA | Primary |
Addresses
Primary practice location
4816 E 3Rd St
Los Angeles, CA 90022-1602
Mailing address
950 S Grand Ave FL 2
Los Angeles, CA 90015-3999
Phone (323) 669-4346
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10953 Ramona Blvd
El Monte, CA 91731-2629
Phone (626) 434-2800
150 N Reno St
Los Angeles, CA 90026-4656
Phone (213) 380-7298
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44767 | AZ | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gracelight Community Health | Current | Accepting new patients | |
| Gracelight Community Health | Current | Accepting new patients |
Locations
4816 E 3rd St
Los Angeles, CA 90022
Phone (323) 780-4510
150 N Reno St
Los Angeles, CA 90026
Phone (213) 380-7298
950 S Grand Ave
Fl 2
Los Angeles, CA 90015
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- mkyi186669@direct.ochin.org
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.
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1104075282
-
- General Acute Care Hospital
- Torrance, CA
- NPI 1851363188
-
- Federally Qualified Health Center (FQHC)
- Los Angeles, CA
- NPI 1639241888
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1311206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1582588800000",
"number": "1487932612",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 S GRAND AVE FL 2",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900153999",
"telephone_number": "323-669-4346"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4816 E 3RD ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900221602",
"telephone_number": "323-780-4510"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KYI",
"first_name": "MOE",
"middle_name": "MOE",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-07-21",
"last_updated": "2020-02-25",
"certification_date": "2020-02-25",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AZ",
"license": "44767",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "A138014",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Los Angeles, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 25, 2020; 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.