Individual provider Active NPI

Kevin Ky

  • Internal Medicine Physician
  • Mountain View, CA
National Provider Identifier
1790312437
Registry record updated Mar 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20931 Issued in CA
Practice address
2500 Grant Rd
Mountain View, CA 94040-4302
Phone
(650) 988-3271
NPI assigned
Mar 24, 2020
Last updated
Mar 6, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 20931 CA
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X 20931 CA Primary

Addresses

Primary practice location

2500 Grant Rd
Mountain View, CA 94040-4302

Mailing address

2500 Grant Rd
Mountain View, CA 94040-4302
Phone (650) 988-3271

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20231102001286 CA Practitioner - Hospitalist 1052767605 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hospitalist
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Quantum Bay Area Hospitalist Medical Group IncGroup PAC ID 0648573378, 60 clinicians

Practice addresses (Care Compare)

2500 Grant Rd
Mountain View, CA 94040-4302
Phone (650) 940-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
18.91 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
63.03

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Quantum Bay Area Hospitalist Medical Group Inc Internal Medicine CurrentSince Sep 21, 2023 Accepting new patients

Locations

2500 Grant Rd
Mountain View, CA 94040
Phone (650) 903-9500

1643 NW 136th Ave
Ste 100
Sunrise, FL 33323
Phone (865) 500-1325

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1585008000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709683200000",
    "number": "1790312437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 GRANT RD",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404302",
            "telephone_number": "650-988-3271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 GRANT RD",
            "city": "MOUNTAIN VIEW",
            "state": "CA",
            "postal_code": "940404302",
            "telephone_number": "650-988-3271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KY",
        "first_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-03-24",
        "last_updated": "2024-03-06",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "CA",
            "license": "20931",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20931",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain View, CA

Sources for this page

Verify at the official NPI Registry.