NPIMap

Individual provider Active NPI

Thuy-Trang Thi Ngo, MD

  • Internal Medicine Physician
  • Anchorage, AK
National Provider Identifier
1831327444
Registry record updated Dec 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
134386 Issued in AK
Practice address
4015 Lake Otis Pkwy Ste 101
Anchorage, AK 99508-5235
Phone
(073) 755-2009
NPI assigned
Jun 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2018

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X M-12407 ID
Internal Medicine Physician 207R00000X P5694 TX
Internal Medicine Physician 207R00000X 134386 AK Primary
Internal Medicine Physician 207R00000X MD171966 OR
Internal Medicine Physician 207R00000X 60444255 WA

Addresses

Primary practice location

4015 Lake Otis Pkwy Ste 101
Anchorage, AK 99508-5235

Mailing address

4015 Lake Otis Pkwy Ste 101
Anchorage, AK 99508-5235
Phone (907) 375-5200

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, AK2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180109002084 TX Practitioner - NephrologyPractitioner - Internal Medicine 5698990075 Reassigns benefits to 3 organizations
I20181121002597 AK Practitioner - Nephrology 5698990075 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dialysis Associates of Alaska, LLCGroup PAC ID 1456345123, 13 clinicians
Kidney and Hypertension Clinic of Alaska IncGroup PAC ID 0840299186, 14 clinicians

Practice addresses (Care Compare)

3260 Providence Dr
Suite C431
Anchorage, AK 99508-4661
Phone (907) 212-4840

4015 Lake Otis Pkwy
Suite 201
Anchorage, AK 99508-5235
Phone (907) 375-5200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M-12407IDMDInternal Medicine Physician
MD171966ORMDInternal Medicine Physician
P5694TXMDInternal Medicine Physician
60444255WAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Butte Indian Health Service Hospital CurrentSince Aug 5, 2018 Accepting new patients
Dialysis Associates of Alaska, LLC CurrentSince Oct 6, 2018 Accepting new patients
Kidney and Hypertension Clinic of Alaska, Inc CurrentSince Oct 1, 2018 Accepting new patients
Quentin N Burdick Comprehensive Health Care Facility CurrentSince Feb 3, 2018 Accepting new patients
Lower Brule Health Center IHS CurrentSince Apr 21, 2021 Accepting new patients
Nephrology & Hypertension Associates of Alaska, PC PastSince Oct 6, 2018 Accepting new patients
US Health Dept of Health & Human Services Past Accepting new patients

Locations

3260 Providence Dr
Ste C431
Anchorage, AK 99508
Phone (907) 212-4840

4015 Lake Otis Pkwy
Ste 101
Anchorage, AK 99508

3260 Providence Dr
#326
Anchorage, AK 99508
Phone (907) 562-2712

4015 Lake Otis Pkwy
Ste 201
Anchorage, AK 99508
Phone (907) 771-3500

1300 Hospital Loop
Belcourt, ND 58316

4100 W 150th St
#3
Cleveland, OH 44135

Interoperability endpoints

  • Direct secure messaging: trang.ngo.1@14795.direct.athenahealth.com
  • Direct secure messaging: thuy-trang.ngo.1@22880.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/22880/brand/1/csg/1/fhir/r4

Organizations & group practices 7

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 23

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

View all 23

NPI Registry JSON

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

{
    "created_epoch": "1245715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544659200000",
    "number": "1831327444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 LAKE OTIS PKWY STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085235",
            "telephone_number": "907-375-5200",
            "fax_number": "907-375-5203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 LAKE OTIS PKWY STE 101",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995085235",
            "telephone_number": "073-755-2009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "THUY-TRANG",
        "middle_name": "THI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-23",
        "last_updated": "2018-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "ID",
            "license": "M-12407",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P5694",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AK",
            "license": "134386",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OR",
            "license": "MD171966",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WA",
            "license": "60444255",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

Verify at the official NPI Registry.