KIM NGO D.M.D.
NPI 1568878189
Dentist - General Practice in Mill Hall, PA
About Kim Ngo D.m.d. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIM NGO D.M.D. (NPI 1568878189) is an individual general practice provider in Mill Hall, Pennsylvania, licensed in Pennsylvania (DS040042) and active in the NPI registry since July 2014. She has opted out of Medicare through May 17, 2028 and remains eligible to order and refer.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Opted out of Medicare
Kim Ngo D.m.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from May 17, 2016 through May 17, 2028.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 17751 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
MILL HALL, PA 17751
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Kim Ngo's NPI number?
The NPI number for Kim Ngo is 1568878189. It was assigned to this individual provider in the NPPES registry on July 2, 2014.
Where is Kim Ngo located?
Kim Ngo practices at 266 Hogan Blvd Unit 6, Mill Hall, PA 17751. The listed phone number is (570) 748-6450.
What is Kim Ngo's specialty?
The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.
Is Kim Ngo enrolled in Medicare?
No. Kim Ngo has opted out of Medicare through May 17, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.
What insurance does Kim Ngo accept?
Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 6 other insurers list Kim Ngo as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Kim Ngo was last updated on September 9, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kim Ngo, D.M.D. · NPI 1568878189
General Practice provider in Mill Hall, Pennsylvania. Individual provider, active in the CMS NPPES registry since July 2, 2014.
## Identity
- **NPI:** 1568878189 (Entity type: Individual)
- **Enumerated:** July 2, 2014
- **Primary specialty:** Dentist - General Practice · taxonomy 1223G0001X
- **State license:** DS040042 (Pennsylvania)
- **Sole proprietor:** No
## Practice location
- **Address:** 266 HOGAN BLVD, UNIT 6, Mill Hall, PA 17751-1928
- **Phone:** (570) 748-6450
## Medicare
- **Medicare:** Opted out of Medicare (opt-out affidavit on file, in effect through May 17, 2028); services are provided under private contract
## Record status
- **NPPES last updated:** September 9, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1568878189) · Data from the CMS NPPES public registry.