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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: October 25, 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
Phone(423) 431-4946
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
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Other Identifiers 3

Medicare PIN103I371123TN
Medicaid1689626343VA
MedicaidQ015096TN

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

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.

Medicare Billing Reassignment

Medicare enrollment records show Neil Kooy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Blue Ridge Medical Management Corporation
Same address
Gastroenterology
408 N STATE OF FRANKLIN RD, SUITE 24
Johnson City, TN 37604
  • Reassigned Medicare billing, Tennessee enrollment
  • 496 clinicians in this Medicare group
NPI 1134400039 (423) 431-1810

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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.

DR. PAULA RENEE SMITH M.D.
Internal Medicine
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Washington County (423) 431-1810
MR. LARRY MICHAEL STEVENS II APN
Nurse Practitioner (Adult Health)
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Washington County (423) 431-1810
DR. SAMUEL WINSTON HUDDLESTON V M.D.
Radiology (Diagnostic Radiology)
408 N STATE OF FRANKLIN RD, SUITE 31
JOHNSON CITY, TN 37604
Washington County (423) 431-2478
ALEXIS HODGE DUTY FNP
Nurse Practitioner (Family)
408 N STATE OF FRANKLIN RD, SUITE 31B
JOHNSON CITY, TN 37604
Washington County (423) 431-4946
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Neurological Surgery
408 N STATE OF FRANKLIN RD, SUITE 42
JOHNSON CITY, TN 37604
Washington County (423) 431-2350
MRS. AMIE JARRETT BRIGGS FNP-BC
Nurse Practitioner
408 N STATE OF FRANKLIN RD, SUITE 31C
JOHNSON CITY, TN 37604
Washington County (423) 431-4946
DR. ANDREW S PIERCE MD
Internal Medicine
408 N STATE OF FRANKLIN RD
JOHNSON CITY, TN 37604
Washington County (423) 431-1810
BLUE RIDGE MEDICAL MANAGEMENT CORPORATION
Internal Medicine (Gastroenterology)
408 N STATE OF FRANKLIN RD, SUITE 24
JOHNSON CITY, TN 37604
Washington County (423) 431-1810

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.

Which organization bills Medicare for Neil Kooy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Neil Kooy reassigns Medicare benefits to Blue Ridge Medical Management Corporation (Johnson City, TN). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Neil Kooy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

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.