Individual provider Active NPI

Kyaw Doh Htoo

  • Nurse Practitioner
  • Fort Wayne, IN
National Provider Identifier
1669191292
Registry record updated Feb 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
71014417A Issued in IN
Practice address
3350 E Paulding Rd
Fort Wayne, IN 46816-4513
Phone
(260) 458-2641
NPI assigned
Aug 25, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 1, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X 28245747A IN
Nurse Practitioner 363L00000X 71014417A IN Primary

Addresses

Primary practice location

3350 E Paulding Rd
Fort Wayne, IN 46816-4513

Mailing address

3350 E Paulding Rd
Fort Wayne, IN 46816-4513
Phone (260) 458-2641

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20240305003655 IN Practitioner - Nurse Practitioner 1456796036 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neighborhood Health Clinics IncGroup PAC ID 8022926294, 18 clinicians

Practice addresses (Care Compare)

3350 E Paulding Rd
Neighborhood Health Clinics Inc
Fort Wayne, IN 46816-4513
Phone (260) 458-2641

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
28245747AINMDRegistered Nurse
71014417AINMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Neighborhood Health Clinics, Inc CurrentSince Jan 21, 2024 Accepting new patients
Neighborhood Health Clinics, Inc CurrentSince Jan 21, 2024 Accepting new patients

Locations

1717 S Calhoun St
Fort Wayne, IN 46802
Phone (260) 458-2641

1721 S Calhoun St
Fort Wayne, IN 46802
Phone (260) 458-2571

3501 Warsaw St
Fort Wayne, IN 46806
Phone (260) 458-2570

3350 E Paulding Rd
Fort Wayne, IN 46816
Phone (260) 423-2585

Interoperability endpoints

  • Direct secure messaging: kyaw.htoo@nhci.eclinicaldirectplus.com

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1661385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706745600000",
    "number": "1669191292",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 E PAULDING RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468164513",
            "telephone_number": "260-458-2641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 E PAULDING RD",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468164513",
            "telephone_number": "260-458-2641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HTOO",
        "first_name": "KYAW",
        "middle_name": "DOH",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-08-25",
        "last_updated": "2024-02-01",
        "certification_date": "2024-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "IN",
            "license": "28245747A",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "IN",
            "license": "71014417A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Wayne, IN

Sources for this page

Verify at the official NPI Registry.