Individual provider Active NPI

Mai-Linh Thi Huynh, PA

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1528795887
Registry record updated Aug 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3200 Blue Ridge Rd Ste 100
Raleigh, NC 27612-8087
Phone
(919) 781-1437
NPI assigned
Aug 5, 2022
Last updated
Aug 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NU Primary

Addresses

Primary practice location

3200 Blue Ridge Rd Ste 100
Raleigh, NC 27612-8087

Mailing address

11003 David Stone Dr
Chapel Hill, NC 27517-7416
Phone (336) 337-7343

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221122000081 NC Practitioner - Physician Assistant 0840668950 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Radiology LLCGroup PAC ID 6305739707, 61 clinicians
Raleigh Radiology Associates IncGroup PAC ID 6800874611, 58 clinicians

Practice addresses (Care Compare)

150 Pkwy Office CT
Suite 100
Cary, NC 27518-0002
Phone (919) 781-1437

1705 Tarboro St SW
Wilson, NC 27893-3428
Phone (252) 399-8040

1900 Kildaire Farm Rd
Cary, NC 27518-6616
Phone (919) 350-7000

3000 New Bern Ave
Raleigh, NC 27610-1231
Phone (919) 350-7000

3200 Blue Ridge Rd
Suite 100
Raleigh, NC 27612-8087
Phone (919) 781-1437

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.55 of 100Reported as group
Quality
100
Improvement activities
40
Cost
78.49

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Radiology, LLC CurrentSince Oct 3, 2022 Accepting new patients
Centra Medical Group, LLC PastSince Aug 22, 2023 Accepting new patients

Locations

3200 Blue Ridge Rd
Ste 100
Raleigh, NC 27612
Phone (919) 256-3576

5220 Greens Dairy Rd
Raleigh, NC 27616
Phone (540) 493-4581

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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

NPI Registry JSON

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

{
    "created_epoch": "1659657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1659657600000",
    "number": "1528795887",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11003 DAVID STONE DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275177416",
            "telephone_number": "336-337-7343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 BLUE RIDGE RD STE 100",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276128087",
            "telephone_number": "919-781-1437"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "MAI-LINH",
        "middle_name": "THI",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-08-05",
        "last_updated": "2022-08-05",
        "certification_date": "2022-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.