Nam Ky DO, MD

Key facts

NPI

1497730600

Entity type

Individual (NPI type 1)

Primary specialty

Diagnostic Radiology Physician 2085R0202X

License

036717 (GA)

Practice address

1000 Medical Center Blvd
Lawrenceville, GA 30046-7694

Phone

(678) 312-4440

NPI assigned

Dec 9, 2005

Sex

Male

Sole proprietor

No

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.

• North Metropolitan Radiology Associates, LLP Diagnostic Radiology Physician · Lawrenceville, GA · NPI 1437137031
  Medicare reassignment Care Compare group NPD DIAGNOSTIC RADIOLOGY · GA
• Northside Hospital, Inc. General Acute Care Hospital · Lawrenceville, GA · NPI 1952340994
  Medicare reassignment NPD GA
• Northside Hospital, Inc. General Acute Care Hospital · Duluth, GA · NPI 1790715381
  NPD

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northside Hospital, Inc. General Acute Care Hospital · Canton, GA · NPI 1225050396
  Care Compare affiliation Hospital
• Northside Hospital, Inc. General Acute Care Hospital · Cumming, GA · NPI 1376574277
  Care Compare affiliation Hospital
• Northside Hospital, Inc. General Acute Care Hospital · Atlanta, GA · NPI 1457396079
  Care Compare affiliation Hospital
• Northside Hospital, Inc. General Acute Care Hospital · Duluth, GA · NPI 1790715381
  Care Compare affiliation Hospital
• Northside Hospital, Inc. General Acute Care Hospital · Lawrenceville, GA · NPI 1952340994
  Care Compare affiliation Hospital

Medicare Care Compare profile

Specialty

Diagnostic Radiology

Education

East Tennessee State University Quillen College of Medicine, 1986

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Metropolitan Radiology Associates LLP (45 clinicians)

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northside Hospital Gwinnett Hospital · Lawrenceville, GA · CCN 110087
• Northside Hospital Duluth Hospital · Duluth, GA · CCN 110252
• Northside Hospital Cherokee Hospital · Canton, GA · CCN 110008
• Northside Hospital Hospital · Atlanta, GA · CCN 110161
• Northside Hospital Forsyth Hospital · Cumming, GA · CCN 110005

Merit-based Incentive Payment System (MIPS)

Final score

85.01 of 100 (group)

Quality

90

Improvement activities

40

Cost

68.37

Medicare participation

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Credentials

Doctor of Medicine

Practice roles

Locations

Specialties & licenses

Addresses

Other identifiers

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Apr 6, 2022.

{
    "created_epoch": "1134086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649203200000",
    "number": "1497730600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1746",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462061746",
            "telephone_number": "877-383-4442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MEDICAL CENTER BLVD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300467694",
            "telephone_number": "678-312-4440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DO",
        "first_name": "NAM KY",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-09",
        "last_updated": "2022-04-06",
        "certification_date": "2022-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "GA",
            "license": "036717",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00557521",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "300059283",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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All providers in Lawrenceville, GA · Diagnostic Radiology Physician in Georgia