Individual provider Active NPI

Henry Y Ty, M.D.

  • Neurological Surgery Physician
  • Lawrence, MA
National Provider Identifier
1932196128
Registry record updated Mar 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
218030 Issued in MA
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

Updated by the provider on Mar 4, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
59840OtherMAFCHP
J26789OtherMABCBS
2020670MedicaidMA
7456469OtherMAAETNA
7960842-001OtherMACIGNA
AA1709OtherMAHPHC
01Y007853MA01OtherNHANTHEM
05-00833OtherMAEVERCARE
05-00938OtherMAUHC
467235OtherMATHP
0030531OtherMANHP
30203970MedicaidNH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, NH2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20031120000216 MA Practitioner - Neurosurgery 9931003118 Reassigns benefits to 1 organization
I20031120000258 NH Practitioner - Neurosurgery 9931003118 Reassigns benefits to 1 organization

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
LGH Medical Group, Inc.Group PAC ID 3173626751, 165 clinicians

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 Home health agency, Lowell, MA, CCN 227206
  • Lowell General Hospital Hospital, Lowell, MA, CCN 220063
  • Holy Family Hospital Hospital, Methuen, MA, CCN 220080
  • Merrimack Health Lawrence Hospital Hospital, Lawrence, MA, CCN 220010
  • St Joseph Hospital Hospital, Nashua, NH, CCN 300011
  • Northeast Rehabilitation Hospital Inpatient rehabilitation facility, Salem, NH, CCN 303026

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion87
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

LicenseStateTypeSpecialty
218030MAMDNeurological Surgery Physician
12042NHMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
LGH Medical Group, Inc. CurrentSince Jun 1, 2024 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

  • Direct secure messaging: hty31831@tuftsmedicine.direct-ci.com
  • FHIR API: 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.

Hospital & facility affiliations 7

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

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": [
        {
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            "desc": "Other (non-Medicare)",
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            "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

Verify at the official NPI Registry.