MR. PHATHSADY LOUANGXAY P.A.
NPI 1174586671
Physician Assistant - Medical in Providence, RI

Q: What is Phathsady Louangxay's NPI number?

The NPI number for Phathsady Louangxay is 1174586671. It was assigned to this individual provider in the NPPES registry on April 7, 2006.

Q: What is Phathsady Louangxay's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Medical, with taxonomy code 363AM0700X.

Active since April 07, 2006PECOS EnrolledAccepts Medicare Assignment

164 SUMMIT AVE # C70, PROVIDENCE, RI 02906(401) 793-4545(401) 793-7866 Get Directions Write a Review

NPPES record last updated: February 18, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Feb 18, 2021, Jan 29, 2020 (2 updates tracked since 2020).

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About Mr. Phathsady Louangxay P.a. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MR. PHATHSADY LOUANGXAY P.A. (NPI 1174586671) is an individual medical provider in Providence, Rhode Island, licensed in Rhode Island (00356) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS, is affiliated with The Miriam Hospital, and maintains a secondary practice location in Warwick.

NPPES Registry Identity

NPI1174586671

Entity TypeIndividualMale

Primary Taxonomy363AM0700X

Provider Legal NameMR. PHATHSADY LOUANGXAYCredential: P.A.

Location Address164 SUMMIT AVE # C70Providence, RI 02906-2853

Mailing AddressPo Box 16149Rumford, RI 02916-0697 · (401) 453-9625 · Fax (401) 435-7069

Phone(401) 793-4545

Fax(401) 793-7866

Sole ProprietorNo

Medical School CMSOtherGraduated 2004

Enumeration DateApril 7, 2006

Last NPPES UpdateFebruary 18, 20212 updates tracked since enumeration

NPPES CertifiedFebruary 18, 2021

✔ NPI 1174586671 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician Assistant · MedicalPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363AM0700X

License✔ Licensed in RI · 00356

164 SUMMIT AVE # C70, Providence, RI 02906

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Secondary Practice Location 1

Location 1455 Toll Gate RdWarwick, RI 02886-2759 · Phone (401) 737-7010 · Fax (401) 736-4546

Other Identifiers 2

Medicaid9004070RI

Other1396864542RI · Npi Kent Hospital Pbo

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mr. Phathsady Louangxay P.a. is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729025184

PECOS Enrollment IDI20050418000080

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 3

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

41 services39 patients

New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203

This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.

15 services15 patients

Detection test by immunoassay technique for severe acute respiratory syndrome coronavirus and influenza 87428

This test uses a method called immunoassay to identify severe acute respiratory syndrome coronavirus and influenza. It works by detecting specific proteins (antigens) in a sample, like a nasal swab. It's a powerful tool in diagnosing these viral infections.

12 services12 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

The Miriam Hospital

Acute Care Hospitals · Providence, RI

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number410012

Location164 Summit AvenueProvidence, RI 02906 · Providence County

Emergency services

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HAYLEE KURKOSKI PA-C

Physician Assistant (Surgical)