Organization Active NPI

Ka-Yan Tong LLC

  • Health Maintenance Organization
  • Metairie, LA
National Provider Identifier
1922230317
Registry record updated Apr 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
MD201733 Issued in LA
Legal business name
KA-YAN TONG LLC
Practice address
4509 Shores Dr
Metairie, LA 70006
Phone
(504) 885-2535
Fax
(504) 885-8119
NPI assigned
Aug 18, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2011

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

Authorized official

Name
Dr. Ka-Yan Tong, M.D.NPI 1023275195
Title
Physician
Phone
(504) 885-2535

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X MD201733 LA Primary

Addresses

Primary practice location

4509 Shores Dr
Metairie, LA 70006

Mailing address

4509 Shores Dr
Metairie, LA 70006
Phone (504) 885-2535

Other identifiers 1

IdentifierTypeStateIssuer
1073032MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20090921000046 LA Part B Supplier - Clinic/Group Practice 9830245620 Receives reassigned benefits from 1 practitioner
Practice locations: Metairie, LA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
19D2021089Ka-Yan Tong, MD, LLC4509 Shores Drive, Metairie, LA 70006Certificate of waiverMar 3, 2027

National Provider Directory

National Provider Directory

Locations

4509 Shores Dr
Metairie, LA 70006
Phone (504) 885-2535

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1250553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1302480000000",
    "number": "1922230317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4509 SHORES DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70006",
            "telephone_number": "504-885-2535",
            "fax_number": "504-885-8119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4509 SHORES DR",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "70006",
            "telephone_number": "504-885-2535",
            "fax_number": "504-885-8119"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KA-YAN TONG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-18",
        "last_updated": "2011-04-11",
        "status": "A",
        "authorized_official_last_name": "TONG",
        "authorized_official_first_name": "KA-YAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "504-885-2535",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "LA",
            "license": "MD201733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1073032",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.