Johnny Reyes Dy, M.D.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

200101545 Issued in NC

Practice address

639 Pennton Ave SW
Lenoir, NC 28645-5743

Phone

(828) 572-0778

Fax

(828) 726-3531

NPI assigned

Apr 10, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Specialty

Cardiovascular Disease (Cardiology)

Education

Other, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Cross River Cardiology, PLLCGroup PAC ID 6406076843, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Caldwell Memorial Hospital Hospital, Lenoir, NC, CCN 340041
• Frye Regional Medical Center Hospital, Hickory, NC, CCN 340116
• Catawba Valley Medical Center Hospital, Hickory, NC, CCN 340143

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as individual

Quality

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/22584/brand/1/csg/1/fhir/r4
• Direct secure messaging: johnny.dy.1@22584.direct.athenahealth.com
• Direct secure messaging: jdy107800@direct.unc.nchie.net

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.

• Cross River Cardiology PLLC

  • Cardiovascular Disease Physician
  • Lenoir, NC
  • NPI 1578975462

  Cardiovascular Disease, NC

  Medicare reassignment Care Compare group NPD

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

• Caldwell Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Lenoir, NC
  • NPI 1114974029

  Hospital

  Care Compare affiliation
• Catawba Valley Medical Center

  • General Acute Care Hospital
  • Hickory, NC
  • NPI 1164495255

  Hospital

  Care Compare affiliation
• DLP Frye Regional Medical Center LLC

  • General Acute Care Hospital
  • Hickory, NC
  • NPI 1801823349

  Hospital

  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1144627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411430400000",
    "number": "1528021664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 618",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286450618",
            "telephone_number": "828-572-0778",
            "fax_number": "828-726-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 PENNTON AVE SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455743",
            "telephone_number": "828-572-0778",
            "fax_number": "828-726-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DY",
        "first_name": "JOHNNY",
        "middle_name": "REYES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-10",
        "last_updated": "2014-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "200101545",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Winkler Du Sablon, DO
• Ralph H. Duckett, MD
• Robert Duggan, D.P.M.
• Keith O. Dugger, CRNA
• Paula M Dunn
• Easter Seals Ucp North Carolina & Virginia, Inc.
• Easter Seals Ucp of North Carolina & Virginia, Inc.
• Eckerd Corporation
• John H Edmunds, M.D.
• Janell Lynn Edwards, NCC, LCMHCA

• All providers in Lenoir, NC
• Cardiovascular Disease Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2014; 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.

Verify at the official NPI Registry.