Active NPI
Vongpheth Luangphaxay McCarthy
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- Aurora, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Emergency Medicine (Emergency Medicine) Physician
- License
- 48651
- Practice address
- 1501 S Potomac St
Aurora, CO 80012-5411 - Phone
- (303) 306-7783
- Fax
- (303) 306-7753
- NPI assigned
- Oct 14, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD00046618 | WA | |
| Pediatric Emergency Medicine (Emergency Medicine) Physician | 207PP0204X | 48651 | CO | Primary |
Addresses
Primary practice location
1501 S Potomac St
Aurora, CO 80012-5411
Mailing address
PO Box 173862
Denver, CO 80217-3862
Phone (303) 306-7783
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8459422 | Medicaid | WA | |
| 95002782 | Medicaid | CO | |
| P00835980 | Other | CO | RAILROAD PIN |
Other names 1
- Vongpheth Luangphaxay
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 48651 | CO | MD | Pediatric Emergency Medicine (Emergency Medicine) Physician |
| MD00046618 | WA | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Colorado Permanente Medical Group, P.C. | Pediatrics | Current | Accepting new patients |
| Carepoint P.C. | Current | Accepting new patients | |
| HCA Healthone LLC | Past | Accepting new patients | |
| Good Samaritan Medical Center, LLC | Past | Accepting new patients | |
| Saint Joseph Hospital, Inc | Past | Accepting new patients | |
| Catholic Health Iniatives Colorado | Past | Accepting new patients | |
| HCA Healthone LLC | Past | Accepting new patients | |
| Children's Hospital Colorado | Past | Accepting new patients |
Locations
13123 E 16th Ave
#B450
Aurora, CO 80045
1501 S Potomac St
Denver, CO 80012
Phone (303) 695-2604
4567 E 9th Ave
Denver, CO 80220
Phone (303) 302-2121
10350 E Dakota Ave
Denver, CO 80247
Phone (303) 636-3350
1719 E 19th Ave
Denver, CO 80218
Phone (303) 839-6000
9141 Grant St
Ste B40
Thornton, CO 80229
Phone (303) 453-2554
Organizations & group practices 8
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.
-
- Emergency Medicine Physician
- Denver, CO
- NPI 1275516346
-
dba CPMG
- Internal Medicine Physician
- Denver, CO
- NPI 1760599724
Pediatrics
-
dba St. Anthony North Hospital
- General Acute Care Hospital
- Westminster, CO
- NPI 1619985942
-
- Children's Hospital
- Aurora, CO
- NPI 1336245828
-
dba Good Samaritan Medical Center
- General Acute Care Hospital
- Lafayette, CO
- NPI 1407845035
-
dba HCA HealthONE Rose Hospital
- General Acute Care Hospital
- Denver, CO
- NPI 1023062098
-
dba HCA HealthONE Sky Ridge Hospital
- General Acute Care Hospital
- Lone Tree, CO
- NPI 1659325629
-
dba Saint Joseph Hospital
- General Acute Care Hospital
- Denver, CO
- NPI 1417946021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1396310400000",
"number": "1740370188",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 173862",
"city": "DENVER",
"state": "CO",
"postal_code": "802173862",
"telephone_number": "303-306-7783",
"fax_number": "303-306-7753"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1501 S POTOMAC ST",
"city": "AURORA",
"state": "CO",
"postal_code": "800125411",
"telephone_number": "303-306-7783",
"fax_number": "303-306-7753"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCARTHY",
"first_name": "VONGPHETH",
"middle_name": "LUANGPHAXAY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-14",
"last_updated": "2014-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "WA",
"license": "MD00046618",
"primary": false
},
{
"code": "207PP0204X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Pediatric Emergency Medicine",
"state": "CO",
"license": "48651",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8459422",
"state": "WA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "95002782",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD PIN",
"identifier": "P00835980",
"state": "CO"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "VONGPHETH",
"last_name": "LUANGPHAXAY",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Aurora, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.