NEIL W KOOY M.D.
NPI 1689626343
Pediatrics - Pediatric Critical Care Medicine in Johnson City, TN

Active since May 17, 2006PECOS Enrolled
408 N STATE OF FRANKLIN RD, SUITE 31D, JOHNSON CITY, TN 37604(423) 431-4946(423) 431-4947 Get Directions Write a Review

NPPES record last updated: February 15, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Neil W Kooy M.d. NPPES

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

NEIL W KOOY M.D. (NPI 1689626343) is an individual pediatric critical care medicine provider in Johnson City, Tennessee, licensed in Tennessee (20713) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1689626343
Entity TypeIndividualMale
Primary Taxonomy2080P0203X
Provider Legal NameNEIL W KOOYCredential: M.D.
Location Address408 N STATE OF FRANKLIN RD, SUITE 31DJohnson City, TN 37604-6089
Mailing Address408 N State Of Franklin Rd, Suite 31dJohnson City, TN 37604-6089 · (423) 431-4946 · Fax (423) 431-4947
Fax(423) 431-4947
Sole ProprietorNo
Enumeration DateMay 17, 2006
Last NPPES UpdateFebruary 15, 2017
NPI 1689626343 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPediatrics · Pediatric Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0203X
License Licensed in TN · 20713
Definition
A pediatrician expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
408 N STATE OF FRANKLIN RD, Johnson City, TN 37604

Other Identifiers 3

Medicare PIN103I371123TN
Medicaid1689626343VA
MedicaidQ015096TN

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Neil W Kooy M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Other Providers at the Same Location NPPES 20

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

Internal Medicine
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Nurse Practitioner (Adult Health)
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Radiology (Diagnostic Radiology)
408 N STATE OF FRANKLIN RD, SUITE 31
JOHNSON CITY, TN 37604
Nurse Practitioner (Family)
408 N STATE OF FRANKLIN RD, SUITE 31B
JOHNSON CITY, TN 37604
Neurological Surgery
408 N STATE OF FRANKLIN RD, SUITE 42
JOHNSON CITY, TN 37604
Nurse Practitioner
408 N STATE OF FRANKLIN RD, SUITE 31C
JOHNSON CITY, TN 37604
Internal Medicine
408 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Internal Medicine (Gastroenterology)
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604

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 Neil Kooy's NPI number?

The NPI number for Neil Kooy is 1689626343. It was assigned to this individual provider in the NPPES registry on May 17, 2006.

Where is Neil Kooy located?

Neil Kooy practices at 408 N State Of Franklin Rd Suite 31D, Johnson City, TN 37604. The listed phone number is (423) 431-4946.

What is Neil Kooy's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Critical Care Medicine, with taxonomy code 2080P0203X.

Is Neil Kooy enrolled in Medicare?

Yes. Neil Kooy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Neil Kooy was last updated on February 15, 2017. 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.