Active NPI
Loi K Phuong, MD
- Neurological Surgery Physician
- Fort Wayne, IN
National Provider Identifier
1841297041
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 01057259A
- Practice address
- 7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140 - Phone
- (260) 436-2416
- Fax
- (260) 436-6936
- NPI assigned
- Jul 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 01057259A | IN | Primary |
Addresses
Primary practice location
7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Mailing address
250 N Shadeland Ave
Indianapolis, IN 46219-4959
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4657102 | Medicaid | MI | |
| 140008277 | Other | IN | RR MEDICARE |
| 200420740 | Medicaid | IN | |
| 2382103 | Medicaid | OH | |
| IN4866034 | Other | IN | MEDICARE PTAN |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lphuong@direct.iuhealth.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH, IN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040109001106 | OH | Practitioner - Neurosurgery | 1355241910 | Reassigns benefits to 1 organization |
| I20101005000236 | IN | Practitioner - Neurosurgery | 1355241910 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01057259A | IN | MD | Neurological Surgery Physician |
Practice roles
Locations
2622 Lake Ave
Fort Wayne, IN 46805
Phone (260) 425-3100
256 E Pettit Ave
Ste 100
Fort Wayne, IN 46806
7956 W Jefferson Blvd
Fort Wayne, IN 46804
1701 Senate Blvd
Indianapolis, IN 46202
Phone (317) 612-2754
250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174
442 W High St
Bryan, OH 43506
Phone (260) 266-8210
1200 Ralston Ave
Defiance, OH 43512
Phone (419) 783-6944
140 Fox Rd
Ste 209
Van Wert, OH 45891
Phone (419) 222-6595
Interoperability endpoints
- lphuong@direct.iuhealth.org
Organizations & group practices 46
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.
-
- Neurological Surgery Physician
- Fort Wayne, IN
- NPI 1366433369
IN, Neurological Surgery
-
- Family Medicine Physician
- Muncie, IN
- NPI 1316550445
-
- Neurological Surgery Physician
- Fort Wayne, IN
- NPI 1205098100
Neurological Surgery
-
- Neurological Surgery Physician
- Fort Wayne, IN
- NPI 1265601041
Neurological Surgery
-
- Otolaryngology Physician
- Huntington, IN
- NPI 1467435206
-
- Otolaryngology Physician
- Fort Wayne, IN
- NPI 1497738231
-
- Otolaryngology Physician
- Angola, IN
- NPI 1548244981
-
- Otolaryngology Physician
- Decatur, IN
- NPI 1649253493
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- University of California, Irvine, California College of Medicine, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allied Physicians IncIu Health Medical Group LLC
Practice addresses (Care Compare)
140 Fox Rd
Suite 209
Van Wert, OH 45891-2492
Phone (800) 686-3963
1701 N Senate Blvd
Indianapolis, IN 46202-1239
Phone (888) 484-3258
7956 W Jefferson Blvd
Fort Wayne, IN 46804-4140
Hospital & facility affiliations
- Dupont Hospital LLC
- Lutheran Hospital of Indiana
- Marion General Hospital
- Kosciusko Community Hospital
- Parkview Regional Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 50.34 of 100
- Quality
- 41.58
- Promoting interoperability
- 0
- Improvement activities
- 40
- Cost
- 73.15
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 357 |
| Laminectomy or laminotomy (partial removal of spine bones) | 126 |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1120176000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1704326400000",
"number": "1841297041",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "250 N SHADELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462194959"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7956 W JEFFERSON BLVD",
"city": "FORT WAYNE",
"state": "IN",
"postal_code": "468044140",
"telephone_number": "260-436-2416",
"fax_number": "260-436-6936"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PHUONG",
"first_name": "LOI",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-01",
"last_updated": "2024-01-04",
"certification_date": "2024-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "IN",
"license": "01057259A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "4657102",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE",
"identifier": "140008277",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200420740",
"state": "IN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2382103",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "IN4866034",
"state": "IN"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lphuong@direct.iuhealth.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "7956 W Jefferson Blvd",
"city": "Fort Wayne",
"state": "IN",
"country_code": "US",
"postal_code": "468044140",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Fort Wayne, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2024; 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.