Individual provider Active NPI

Khoi Quoc Luong, DO

  • Internal Medicine Physician
  • New York, NY
National Provider Identifier
1780913459
Registry record updated Dec 18, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
257887 Issued in NY
Practice address
55 Water St
New York, NY 10041
Phone
(646) 529-4645
NPI assigned
Dec 9, 2009
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2018

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 257887 NY Primary

Addresses

Primary practice location

55 Water St
New York, NY 10041

Mailing address

55 Water St
New York, NY 10041-0004
Phone (646) 529-4645

Other practice location 1

3 Barker Ave
Fl 4
White Plains, NY 10601-1509
Phone (914) 949-1199

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20110221000283 NY Practitioner - Internal MedicinePractitioner - Geriatric Medicine 6002097334 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Geriatric Medicine
Education
Nova Southeastern Univ College of Dental Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
New York City Health and Hospitals Corporation 543 clinicians

Practice addresses (Care Compare)

227 Madison St
New York, NY 10002-7537
Phone (212) 238-7000

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
New York City Health and Hospitals Corporation CurrentSince Dec 8, 2018 Accepting new patients
New York City Health and Hospitals Corporation Internal Medicine Current Accepting new patients
New York City Health and Hospitals Corporation Internal Medicine CurrentSince Dec 8, 2018 Accepting new patients

Locations

50 Water St
Fl 3
New York, NY 10004

227 Madison St
New York, NY 10002
Phone (212) 238-7000

Interoperability endpoints

  • Direct secure messaging: kluong749740@nychhc.direct-ci.com

Ownership & related parties

All facility ownership & control disclosures 6

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Henry J Carter Specialty HospitalNew York, NY, CCN 332008 Hospital W-2 Managing Employee Nov 27, 2017
Dr. Susan Smith McKinney Nursing and Rehabilitation CenterBrooklyn, NY, CCN 335805 Skilled nursing facility Corporate Director Nov 27, 2017
Sea View Hospital, Rehabilitation Center and HomeStaten Island, NY, CCN 335108 Skilled nursing facility Operational/Managerial Control Jun 17, 2026
Henry J Carter Skilled Nursing FacilityNew York, NY, CCN 335092 Skilled nursing facility Corporate Director Nov 27, 2017
New Gouverneur Hospital SNFNew York, NY, CCN 335461 Skilled nursing facility Operational/Managerial Control Nov 27, 2017
Coler Rehabilitation and Nursing Care CenterRoosevelt Island, NY, CCN 335063 Skilled nursing facility Corporate Director Nov 27, 2017

Owned or controlled facilities with NPI records 7

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1260316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545091200000",
    "number": "1780913459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 WATER ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100410004",
            "telephone_number": "646-529-4645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 WATER ST",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10041",
            "telephone_number": "646-529-4645"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Barker Ave",
            "address_2": "Fl 4",
            "address_purpose": "LOCATION",
            "city": "White Plains",
            "state": "NY",
            "postal_code": "106011509",
            "country_code": "US",
            "telephone_number": "914-949-1199",
            "fax_number": "914-949-1245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LUONG",
        "first_name": "KHOI",
        "middle_name": "QUOC",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2009-12-09",
        "last_updated": "2018-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "257887",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

Verify at the official NPI Registry.