NPIMap

Individual provider Active NPI

Thomas C Koay, MD

  • Diagnostic Radiology Physician
  • Fairmont, WV
National Provider Identifier
1982603932
Registry record updated Jul 19, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
21372 Issued in WV
Practice address
700 Village Dr
Fairmont, WV 26554-7985
Phone
(304) 366-2600
NPI assigned
Jul 20, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 21372 WV Primary

Addresses

Primary practice location

700 Village Dr
Fairmont, WV 26554-7985

Mailing address

PO Box 890707
Charlotte, NC 28289-0707
Phone (866) 338-6463

Other identifiers 2

IdentifierTypeStateIssuer
P00117062OtherWVRR MDCR PIN NUMBER
3810000162MedicaidWV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV, DC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20040921001182 WV Practitioner - Diagnostic Radiology 1658349246 Reassigns benefits to 2 organizations
I20190806001831 DC Practitioner - Diagnostic Radiology 1658349246 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
West Virginia University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Radiological Physician Associates IncGroup PAC ID 7719955368, 31 clinicians

Practice addresses (Care Compare)

1200 J D Anderson Dr
Morgantown, WV 26505-3494
Phone (304) 598-1560

6767 Darrells Grant PL
Falls Church, VA 22043-3071
Phone (304) 366-2600

RT 250 S Route 4 Box 315
Barbour County Family Medicine
Philippi, WV 26416
Phone (304) 457-5744

Hospital & facility affiliations

  • United Hospital Center, Inc Hospital, Bridgeport, WV, CCN 510006
  • Summersville Regional Medical Center Hospital, Summersville, WV, CCN 511322
  • Mon Health Medical Center Hospital, Morgantown, WV, CCN 510024
  • St Joseph'S Hospital of Buckhannon, Inc Hospital, Buckhannon, WV, CCN 511321
  • Davis Medical Center Hospital, Elkins, WV, CCN 510030

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
21372WVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiological Physician Associates Inc Diagnostic Radiology CurrentSince May 1, 2004 Accepting new patients
Pendleton Community Care Inc CurrentSince Apr 20, 2011 Accepting new patients
Pendleton Community Care Inc CurrentSince Apr 20, 2011 Accepting new patients
Pendleton Community Care, Inc. Current Accepting new patients
Minnie Hamilton Health Care Center, Inc. Past Accepting new patients
Pendleton Community Care Inc Past Accepting new patients

Locations

700 Village Dr
Fairmont, WV 26554

186 Hospital Dr
Grantsville, WV 26147
Phone (304) 354-9244

Organizations & group practices 6

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": "1121817600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184803200000",
    "number": "1982603932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890707",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890707",
            "telephone_number": "866-338-6463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 VILLAGE DR",
            "city": "FAIRMONT",
            "state": "WV",
            "postal_code": "265547985",
            "telephone_number": "304-366-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOAY",
        "first_name": "THOMAS",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-20",
        "last_updated": "2007-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WV",
            "license": "21372",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MDCR PIN NUMBER",
            "identifier": "P00117062",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810000162",
            "state": "WV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairmont, WV

Sources for this page

Verify at the official NPI Registry.