Si-Yuen Moy, M.D.
Individual provider Active NPI Hematology & Oncology Physician · Siuox Falls, SD
NPI 1649465162 · NPPES record last updated Oct 21, 2011
Key facts
- NPI
- 1649465162
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Hematology & Oncology Physician 207RH0003X
- License
- 234766 (NY)
- Practice address
- 2501 West 22ND Street
111-Onc
Siuox Falls, SD 57117 - Phone
- (605) 336-3230
- Fax
- (605) 333-5380
- NPI assigned
- Sep 7, 2007
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20140731002193 | SD | Order and Referring Only - Hematology |
7416073440 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Murray-Calloway County Public Hospital Corporation | Internal Medicine | Past | Accepting new patients |
| Murray-Calloway County Public Hospital Corporation | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 234766 | NY | |
| Hematology & Oncology Physician | 207RH0003X | 234766 | NY | Yes |
Addresses
Primary practice location
2501 West 22ND Street
111-Onc
Siuox Falls, SD 57117
Mailing address
2501 West 22ND Street
111-Onc
Siuox Falls, SD 57117
Phone (605) 336-3230
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03231550 | Medicaid | NY |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 21, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.