Active NPI
Philip Wing-Thai Ho, M.D.
- Diagnostic Radiology Physician
- Flagstaff, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- A145787
- Practice address
- 77 W Forest Ave Ste 101
Flagstaff, AZ 86001-1482 - Phone
- (928) 773-2515
- Fax
- (928) 225-3704
- NPI assigned
- Mar 23, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 46739 | AZ | |
| Diagnostic Radiology Physician | 2085R0202X | Q9375 | TX | |
| Diagnostic Radiology Physician | 2085R0202X | A145787 | CA | Primary |
Addresses
Primary practice location
77 W Forest Ave Ste 101
Flagstaff, AZ 86001-1482
Mailing address
77 W Forest Ave Ste 101
Flagstaff, AZ 86001-1482
Phone (928) 773-2515
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AZ, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Texas Southwestern Medical School at Dallas, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
347 N Kuakini St
Honolulu, HI 96817-2306
Phone (808) 536-2236
Hospital & facility affiliations
- Pali Momi Medical Center
- Adventist Health Castle
- Kuakini Medical Center
- The Queens Medical Center
- Straub Clinic and Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Quality
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Leg revascularization (restoring blood flow) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A145787 | CA | MD | Diagnostic Radiology Physician |
| Q9375 | TX | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Renaissance Imaging Medical Associates, Inc. | Diagnostic Radiology | Current | Accepting new patients |
| Northern Arizona Radiology P C | Diagnostic Radiology | Current | Accepting new patients |
Locations
77 W Forest Ave
Ste 101
Flagstaff, AZ 86001
Phone (928) 773-2215
1200 N Beaver St
Flagstaff, AZ 86001
Phone (928) 213-6235
1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691
44105 15th St W
Ste 100
Lancaster, CA 93534
Phone (661) 726-6050
2400 E 4th St
National City, CA 91950
Phone (619) 470-4141
18436 Roscoe Blvd
Northridge, CA 91325
Phone (805) 577-2012
1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616
3865 Jackson St
Riverside, CA 92503
Phone (909) 688-2211
501 Petaluma Ave
Sebastopol, CA 95472
Phone (707) 823-8511
3291 Loma Vista Rd
Ventura, CA 93003
Phone (805) 652-6000
16850 Bear Valley Rd
Victorville, CA 92395
Phone (760) 241-8222
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.
-
- Specialist
- Honolulu, HI
- NPI 1871577536
-
- Diagnostic Radiology Physician
- Flagstaff, AZ
- NPI 1275588659
-
- Diagnostic Radiology Physician
- Northridge, CA
- NPI 1487608931
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kailua, HI
- NPI 1316937691
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1215939335
-
- General Acute Care Hospital
- Aiea, HI
- NPI 1013961408
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1720031701
-
- General Acute Care Hospital
- Honolulu, HI
- NPI 1184612764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1300838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1664064000000",
"number": "1508165960",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "77 W FOREST AVE STE 101",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860011482",
"telephone_number": "928-773-2515",
"fax_number": "928-225-3704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "77 W FOREST AVE STE 101",
"city": "FLAGSTAFF",
"state": "AZ",
"postal_code": "860011482",
"telephone_number": "928-773-2515",
"fax_number": "928-225-3704"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HO",
"first_name": "PHILIP",
"middle_name": "WING-THAI",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-03-23",
"last_updated": "2022-09-25",
"certification_date": "2022-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "AZ",
"license": "46739",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "TX",
"license": "Q9375",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CA",
"license": "A145787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Flagstaff, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 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.