NPIMap

Individual provider Active NPI

Ghaila Chinasa Keng, M.D

  • Internal Medicine Physician
  • Joplin, MO
National Provider Identifier
1952714784
Registry record updated Dec 12, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2019033224 Issued in MO
Practice address
100 Mercy Way
Joplin, MO 64804-4524
Phone
(417) 781-4404
Fax
(417) 781-5845
NPI assigned
Jun 10, 2014
Last updated
Dec 12, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NV
Internal Medicine Physician 207R00000X 35.133010 OH
Internal Medicine Physician 207R00000X 2019033224 MO Primary
Hospitalist Physician 208M00000X 2019033224 MO

Addresses

Primary practice location

100 Mercy Way
Joplin, MO 64804-4524

Mailing address

1271 Poplar Ave
Apt 210
Memphis, TN 38104-7245
Phone (901) 422-8642

Other practice location 1

2040 W Charleston Blvd
Las Vegas, NV 89102-2227
Phone (702) 671-2341

Other practice location 2

6000 Hospital Dr
Hannibal, MO 63401-6887
Phone (573) 629-3342

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, SC, NC3 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190906002993 MO Practitioner - Internal Medicine 9032338108 Reassigns benefits to 1 organization
I20220719003772 SC Practitioner - Internal Medicine 9032338108 Reassigns benefits to 1 organization
I20240409004501 NC Practitioner - Internal Medicine 9032338108 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

805 Pamplico Hwy
Florence, SC 29505-6047
Phone (843) 674-2500

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.41 of 100Reported as group
Quality
64.93
Promoting interoperability
99
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
95.67 of 100Reported as group
Quality
88.12
Improvement activities
40
Cost
77.69

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2019033224MOMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hannibal Regional Healthcare System Inc CurrentSince Feb 9, 2022 Accepting new patients
Apogee Medical Group North Carolina Hospitalist CurrentSince Mar 1, 2024 Accepting new patients
Moses Cone Physician Services, Inc. Family Medicine Current Accepting new patients
Musc Community Physicians CurrentSince Jun 9, 2022 Accepting new patients
Moses Cone Physician Services Inc Hospitalist CurrentSince Feb 19, 2024 Accepting new patients
Musc Community Physicians Internal Medicine Current Accepting new patients
Musc Community Physicians Family Medicine CurrentSince Jun 9, 2022 Accepting new patients
Medical University Hospital Authority Past Accepting new patients

Locations

6000 Hospital Dr
Hannibal, MO 63401
Phone (573) 248-5460

6000 Hospital Dr
#1257
Hannibal, MO 63401
Phone (573) 248-5460

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

317 Western Blvd
Jacksonville, NC 28546
Phone (910) 577-2240

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

805 Pamplico Hwy
Florence, SC 29505
Phone (843) 674-2500

Interoperability endpoints

  • Direct secure messaging: gkeng400613@direct.musc.edu
  • FHIR API: https://fhir.fhirpoint.open.allscripts.com/fhirroute/open/10040602

Organizations & group practices 8

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.

Hospital & facility affiliations 9

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": "1402358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733961600000",
    "number": "1952714784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1271 POPLAR AVE",
            "address_2": "APT 210",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381047245",
            "telephone_number": "901-422-8642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MERCY WAY",
            "city": "JOPLIN",
            "state": "MO",
            "postal_code": "648044524",
            "telephone_number": "417-781-4404",
            "fax_number": "417-781-5845"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2040 W Charleston Blvd",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891022227",
            "country_code": "US",
            "telephone_number": "702-671-2341",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6000 Hospital Dr",
            "address_purpose": "LOCATION",
            "city": "Hannibal",
            "state": "MO",
            "postal_code": "634016887",
            "country_code": "US",
            "telephone_number": "573-629-3342",
            "fax_number": "573-629-3432",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENG",
        "first_name": "GHAILA",
        "middle_name": "CHINASA",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-10",
        "last_updated": "2024-12-12",
        "certification_date": "2024-12-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NV",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35.133010",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MO",
            "license": "2019033224",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MO",
            "license": "2019033224",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Joplin, MO

Sources for this page

Verify at the official NPI Registry.