Active NPI
Khoi Ly, MD
- Family Medicine Physician
- Lufkin, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- S2631
- Practice address
- 1201 W Frank Ave
Lufkin, TX 75904-3357 - Phone
- (936) 631-6789
- NPI assigned
- Apr 25, 2016
- Last updated
- Oct 18, 2019
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | S2631 | TX | Primary |
Addresses
Primary practice location
1201 W Frank Ave
Lufkin, TX 75904-3357
Mailing address
2406 W Frank Ave Apt 1511
Lufkin, TX 75904-8372
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Texas a & M University System, HSC, College of Medicine, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1201 W Frank Ave
Lufkin, TX 75904-3357
Phone (936) 634-8111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S2631 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospitalist Medicine Physicians of Texas, PLLC | Family Medicine | Current | Accepting new patients |
| Cogent Healthcare of Texas, PA | Family Medicine | Current | Accepting new patients |
| Memorial Health System of East Texas | Past | Accepting new patients |
Locations
5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-5600
18951 N Memorial Dr
Humble, TX 77338
Phone (281) 319-8409
1201 W Frank Ave
Lufkin, TX 75904
Phone (936) 634-8111
2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000
Organizations & group practices 3
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.
-
- Internal Medicine Physician
- Humble, TX
- NPI 1629307095
Family Medicine
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1992722953
Family Medicine
-
dba CHI St. Lukes Health Memorial Lufkin
- Rural Acute Care Hospital
- Lufkin, TX
- NPI 1396746129
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CHI St. Lukes Health Memorial Lufkin
- Rural Acute Care Hospital
- Lufkin, TX
- NPI 1396746129
-
dba CHI St Luke's Health Memorial Lufkin
- Rehabilitation Hospital Unit
- Lufkin, TX
- NPI 1457454431
Inpatient rehabilitation facility
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1461542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1571356800000",
"number": "1912352212",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2406 W FRANK AVE APT 1511",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759048372"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1201 W FRANK AVE",
"city": "LUFKIN",
"state": "TX",
"postal_code": "759043357",
"telephone_number": "936-631-6789"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LY",
"first_name": "KHOI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-04-25",
"last_updated": "2019-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "S2631",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lufkin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2019; 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.