Phonekeo Khamvanthong, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

TP911 Issued in KY

Practice address

3517 W Owen K Garriott Rd Ste 4
Enid, OK 73703-4953

Phone

(580) 233-5553

Fax

(859) 260-4350

NPI assigned

Jun 26, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OK, OR2 enrollments

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 2

Specialty

Family Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

St Marys Physician Associates LLCGroup PAC ID 3678672276, 28 clinicians

Advanced Internal Medicine Group PCGroup PAC ID 7214235258, 7 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• St Mary'S Regional Medical Center Hospital, Enid, OK, CCN 370026
• Integris Health Enid Hospital Hospital, Enid, OK, CCN 370016
• Providence St Vincent Medical Center Hospital, Portland, OR, CCN 380004

Merit-based Incentive Payment System (MIPS)

Final score

99.52 of 100Reported as apm

Quality

87.98

Promoting interoperability

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• St. Mary'S Physician Associates, LLC

  • Family Medicine Physician
  • Enid, OK
  • NPI 1740302751
  Medicare reassignment Care Compare group NPD
• Advanced Internal Medicine Group, PC

  • Clinic/Center
  • Portland, OR
  • NPI 1487014163
  Medicare reassignment Care Compare group NPD
• St. Mary'S Physician Associates, LLC

  • Durable Medical Equipment & Medical Supplies
  • Enid, OK
  • NPI 1568270882
  NPD
• Uhs of Oklahoma, LLC

  • General Acute Care Hospital
  • Enid, OK
  • NPI 1417947466
  NPD (past)
• Baptist Physicians Lexington, Inc

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Lexington, KY
  • NPI 1043403082
  NPD (past)
• Baptist Physicians Lexington, Inc

  • Hospice and Palliative Medicine (Internal Medicine) Physician
  • Lexington, KY
  • NPI 1043583115
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Integris Bass Baptist Health Center

  • General Acute Care Hospital
  • Enid, OK
  • NPI 1144236571
  Care Compare affiliation
• Uhs of Oklahoma, LLC

  • General Acute Care Hospital
  • Enid, OK
  • NPI 1417947466
  Care Compare affiliation
• Providence Health & Services - Oregon

  • General Acute Care Hospital
  • Portland, OR
  • NPI 1114015971
  Care Compare affiliation

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1245974400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1670976000000",
    "number": "1750519922",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3517 W OWEN K GARRIOTT RD STE 4",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737034953",
            "telephone_number": "580-233-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3517 W OWEN K GARRIOTT RD STE 4",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737034953",
            "telephone_number": "580-233-5553",
            "fax_number": "859-260-4350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KHAMVANTHONG",
        "first_name": "PHONEKEO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-26",
        "last_updated": "2022-12-14",
        "certification_date": "2022-12-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "TP911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gary Kester, CO
• James Ketterman, CRNA
• David M Keuchel, DO
• Amanda Morgan Key, DPH
• Zachary Key
• Larry Ernest Kiner, D.D.S.
• Jennifer Dawn King
• Tamer Theresa King, HIS
• Sherry Kirby
• Ashley Marie Kirk

• Family Medicine Physician in Enid, OK
• Providers in Enid, OK by specialty
• Family Medicine Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.