Individual provider Active NPI

Nguyen-Ly Vo Huynh, PA-C

  • Medical Physician Assistant
  • Clive, IA
National Provider Identifier
1558530832
Registry record updated Mar 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
001868 Issued in IA
Practice address
1275 NW 128TH St
Ste 200
Clive, IA 50325
Phone
(734) 502-6716
Fax
(515) 358-9650
NPI assigned
Feb 21, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 001868 IA Primary

Addresses

Primary practice location

1275 NW 128TH St
Ste 200
Clive, IA 50325

Mailing address

1275 NW 128TH St
Ste 200
Clive, IA 50325
Phone (515) 224-3948

Other names 1

  • Nguyen-Ly Thi Vo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
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
I20080422000548 IA Practitioner - Physician Assistant 1456439199 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DSM Sleep SpecialistsGroup PAC ID 8022362466, 5 clinicians

Practice addresses (Care Compare)

1275 NW 128TH St
Suite 200
Clive, IA 50325-7403
Phone (734) 502-6716

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.78 of 100Reported as apm
Quality
80.38
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
80.29 of 100Reported as group
Quality
68.58
Improvement activities
40
Cost
76.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001868IAMDRegistered Dietitian

Practice roles

OrganizationSpecialtyStatusNew patients
DSM Sleep Specialists Current Accepting new patients
DSM Sleep LLC PastSince Sep 21, 2015 Accepting new patients

Locations

1275 NW 128th St
Ste 200
Clive, IA 50325
Phone (515) 224-3948

Interoperability endpoints

  • Direct secure messaging: nguyen-lyhuynh@dsmssplc.allscriptsdirect.net

Organizations & group practices 2

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 4

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": "1203552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1552521600000",
    "number": "1558530832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1275 NW 128TH ST",
            "address_2": "STE 200",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "50325",
            "telephone_number": "515-224-3948",
            "fax_number": "515-224-2944"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1275 NW 128TH ST",
            "address_2": "STE 200",
            "city": "CLIVE",
            "state": "IA",
            "postal_code": "50325",
            "telephone_number": "734-502-6716",
            "fax_number": "515-358-9650"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "NGUYEN-LY",
        "middle_name": "VO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-21",
        "last_updated": "2019-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "IA",
            "license": "001868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "NGUYEN-LY",
            "last_name": "VO",
            "middle_name": "THI",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Clive, IA

Sources for this page

Verify at the official NPI Registry.