Active NPI
Henry Y Ty, M.D.
- Neurological Surgery Physician
- Lawrence, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neurological Surgery Physician
- License
- 218030
- Practice address
- 354 Merrimack St
Lawrence, MA 01843-1754 - Phone
- (978) 687-2321
- Fax
- (978) 685-7265
- NPI assigned
- Oct 3, 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurological Surgery Physician | 207T00000X | 12042 | NH | |
| Neurological Surgery Physician | 207T00000X | 218030 | MA | Primary |
Addresses
Primary practice location
354 Merrimack St
Lawrence, MA 01843-1754
Mailing address
354 Merrimack St
Lawrence, MA 01843-1754
Phone (978) 687-2321
Other identifiers 12
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 59840 | Other | MA | FCHP |
| J26789 | Other | MA | BCBS |
| 2020670 | Medicaid | MA | |
| 7456469 | Other | MA | AETNA |
| 7960842-001 | Other | MA | CIGNA |
| AA1709 | Other | MA | HPHC |
| 01Y007853MA01 | Other | NH | ANTHEM |
| 05-00833 | Other | MA | EVERCARE |
| 05-00938 | Other | MA | UHC |
| 467235 | Other | MA | THP |
| 0030531 | Other | MA | NHP |
| 30203970 | Medicaid | NH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MA, NH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Neurosurgery
- Education
- Other, 1991
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1 Hospital Dr
Lowell, MA 01852-1311
Phone (978) 942-8260
168 Kinsley St
Nashua, NH 03060-3634
Phone (978) 687-2321
25 Fletcher St
Suite 1
Chelmsford, MA 01824-2746
Phone (978) 687-2321
295 Varnum Ave
Lowell, MA 01854-2134
Phone (978) 788-7344
33 Bartlett St
Suite 5
Lowell, MA 01852-1334
Phone (978) 275-1913
354 Merrimack St
Lawrence, MA 01843-1754
Phone (978) 687-2321
Hospital & facility affiliations
- Tufts Medicine Care at Home
- Lowell General Hospital
- Holy Family Hospital
- Merrimack Health Lawrence Hospital
- St Joseph Hospital
- Northeast Rehabilitation Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Spinal fusion | 87 |
| Laminectomy or laminotomy (partial removal of spine bones) | 90 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 218030 | MA | MD | Neurological Surgery Physician |
| 12042 | NH | MD | Neurological Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| LGH Medical Group, Inc. | Current | Accepting new patients | |
| The Lowell General Hospital | Past | Accepting new patients | |
| LGH Professional Services LLC | Past | Accepting new patients | |
| LG Newcorp Inc | Past | Accepting new patients |
Locations
25 Fletcher St
Chelmsford, MA 01824
Phone (978) 253-4315
354 Merrimack St
Ste 1
Lawrence, MA 01843
354 Merrimack St
Lawrence, MA 01843
Phone (978) 688-3898
295 Varnum Ave
Lowell, MA 01854
Phone (978) 788-7344
168 Kinsley St
Nashua, NH 03060
Phone (603) 578-9363
70 Butler St
Salem, NH 03079
Phone (603) 893-2900
Interoperability endpoints
- hty31831@tuftsmedicine.direct-ci.com
- https://fhir-myrecord.cerner.com/r4/d04f75c7-2a62-4686-b520-7bf0635f38f0/
Organizations & group practices 4
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.
-
- General Acute Care Hospital
- Methuen, MA
- NPI 1265267991
-
- Internal Medicine Physician
- Lowell, MA
- NPI 1417485541
-
- General Acute Care Hospital
- Lowell, MA
- NPI 1407804669
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Lawrence, MA
- NPI 1750381281
-
- General Acute Care Hospital
- Methuen, MA
- NPI 1265267991
-
- General Acute Care Hospital
- Lowell, MA
- NPI 1407804669
-
- Home Health Agency
- Lowell, MA
- NPI 1336443472
-
- Rehabilitation Hospital
- Salem, NH
- NPI 1255354288
Inpatient rehabilitation facility
-
- General Acute Care Hospital
- Nashua, NH
- NPI 1093787384
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128297600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1583280000000",
"number": "1932196128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "354 MERRIMACK ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018431754",
"telephone_number": "978-687-2321",
"fax_number": "978-685-7265"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "354 MERRIMACK ST",
"city": "LAWRENCE",
"state": "MA",
"postal_code": "018431754",
"telephone_number": "978-687-2321",
"fax_number": "978-685-7265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TY",
"first_name": "HENRY",
"middle_name": "Y",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-03",
"last_updated": "2020-03-04",
"certification_date": "2020-03-04",
"status": "A"
},
"taxonomies": [
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "NH",
"license": "12042",
"primary": false
},
{
"code": "207T00000X",
"taxonomy_group": "",
"desc": "Neurological Surgery",
"state": "MA",
"license": "218030",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FCHP",
"identifier": "59840",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "J26789",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2020670",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7456469",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7960842-001",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HPHC",
"identifier": "AA1709",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "01Y007853MA01",
"state": "NH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "EVERCARE",
"identifier": "05-00833",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "05-00938",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "THP",
"identifier": "467235",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NHP",
"identifier": "0030531",
"state": "MA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "30203970",
"state": "NH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lawrence, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2020; 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.