KIM KHANH THI NGO (PA) – Physician Assistant, NPI 1134905722
Physician Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,201 PHYSICIAN ASSISTANT in AL
Provider Addresses for KIM KHANH THI NGO (PA)
718 RYEFIELD CT.
MONTGOMERY, AL 36117
Phone: (334) 354-7884
Type: Mailing
615 1ST ST N
ALABASTER, AL 350078892
Phone: (205) 624-2100
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 69 Open Payments records for all available years, with a total value of $1,953.
Total Amount is formed as General ($1,953) + Research ($0) + Ownership ($0) = $1,953.
Last reported payment date: 2024-12-31 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($519).
Total Amount
$1,953
General + Research + Ownership
Payments
69
Total payment records
General Amount
$1,953
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-31
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| E.R. Squibb & Sons, L.L.C. | $519 |
| ABBVIE INC. | $297 |
| Incyte Corporation | $266 |
| Dermavant Sciences, Inc. | $173 |
| Organogenesis Inc. | $157 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2024-05-03
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240503002321 | I | Physician Assistant | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 36117)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | AL | |
| Physician Assistant | GA | |
| Nurse Practitioner | AL | |
| - | AL | |
| D E R M A T O L O G Y | AL | |
| D E R M A T O L O G Y | OH | |
| D E R M A T O L O G Y | AL | |
| Emergency Medicine | AL | |
| Physician Assistant | AL | |
| Nurse Practitioner | AL |
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