Individual provider Active NPI

Quynh A Ton-That, MD

  • Internal Medicine Physician
  • Addison, TX
National Provider Identifier
1699879114
Registry record updated Jul 1, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K2810 Issued in TX
Practice address
17051 North Dallas Parkway
Suite 150
Addison, TX 75001
Phone
(972) 733-3090
Fax
(972) 733-4565
NPI assigned
Sep 13, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K2810 TX Primary

Addresses

Primary practice location

17051 North Dallas Parkway
Suite 150
Addison, TX 75001

Mailing address

17051 North Dallas Parkway
Suite 150
Addison, TX 75001
Phone (972) 733-3090

Other identifiers 1

IdentifierTypeStateIssuer
045461302MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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

Enrollment IDStateProvider typePAC IDDetails
I20040902001020 TX Practitioner - Internal Medicine 5991771776 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Kansas City University of Physicians and Surgeons, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Addison Internal Medicine PAGroup PAC ID 2567698673, 4 clinicians

Practice addresses (Care Compare)

16980 Dallas Pkwy
Suite 110
Dallas, TX 75248-1910
Phone (972) 733-3090

17051 N Dallas Pkwy
Suite 310
Addison, TX 75001-7116
Phone (972) 733-3090

Hospital & facility affiliations

  • Medical City Plano Hospital, Plano, TX, CCN 450651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lonestar Provider Network Internal Medicine Past Accepting new patients
Lisa Park OD PLLC PastSince Sep 11, 2022 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: quynh.tonthat@aimpa.eclinicaldirectplus.com

Organizations & group practices 3

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": "1158105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1372636800000",
    "number": "1699879114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17051 NORTH DALLAS PARKWAY",
            "address_2": "SUITE 150",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "75001",
            "telephone_number": "972-733-3090",
            "fax_number": "972-733-4565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17051 NORTH DALLAS PARKWAY",
            "address_2": "SUITE 150",
            "city": "ADDISON",
            "state": "TX",
            "postal_code": "75001",
            "telephone_number": "972-733-3090",
            "fax_number": "972-733-4565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TON-THAT",
        "first_name": "QUYNH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-13",
        "last_updated": "2013-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K2810",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "045461302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Addison, TX

Sources for this page

Verify at the official NPI Registry.