Individual provider Active NPI

Khai C Truong, M.D.

  • Family Medicine Physician
  • Grand Rivers, KY
National Provider Identifier
1003892548
Registry record updated Aug 9, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
39284 Issued in KY
Practice address
1860 JH Obryan Ave
Grand Rivers, KY 42045-9049
Phone
(270) 362-8246
Fax
(270) 362-9757
NPI assigned
Dec 16, 2005
Last updated
Aug 9, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 39284 KY Primary

Addresses

Primary practice location

1860 JH Obryan Ave
Grand Rivers, KY 42045-9049

Mailing address

131 Hospital Dr
Salem, KY 42078-8043
Phone (270) 988-7256

Other identifiers 5

IdentifierTypeStateIssuer
000000370768OtherKYBC/BS
64088784MedicaidKY
000000623499OtherKYANTHEM BC&BS
7100091610MedicaidKY
65944019MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040923000830 KY Practitioner - Family PracticePractitioner - Geriatric Medicine 3173591435 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Geriatric Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Concord Medical Group of Kentucky PLLCGroup PAC ID 9133483894, 78 clinicians
Southeastern Physician Services PCGroup PAC ID 0042307852, 591 clinicians
Amago Inpatient Services LLCGroup PAC ID 7214259704, 21 clinicians

Practice addresses (Care Compare)

131 Hospital Dr
Salem, KY 42078-8043
Phone (270) 988-2299

2501 Kentucky Ave
Paducah, KY 42003-3813
Phone (270) 575-2100

310 S Limestone
Lexington, KY 40508-3008
Phone (859) 226-7000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
39284KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Physician Services PC CurrentSince Jul 1, 2016 Accepting new patients
Livingston Hospital and Healthcare Services, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Livingston Hospital and Healthcare Services, Inc. Current Accepting new patients
Livingston Hospital and Healthcare Services, Inc. Current Accepting new patients
Livingston Hospital and Healthcare Services, Inc. CurrentSince Aug 1, 2016 Accepting new patients
Baptist Healthcare System, Inc Past Accepting new patients

Locations

209 W Main St
Eddyville, KY 42038
Phone (270) 388-0620

1860 Jh Obryan Ave
Grand Rivers, KY 42045
Phone (270) 362-8246

310 S Limestone
Lexington, KY 40508
Phone (606) 252-6612

900 Hospital Dr
Madisonville, KY 42431
Phone (270) 326-3900

220 S Main St
Marion, KY 42064
Phone (270) 965-4377

2501 Kentucky Ave
Paducah, KY 42003
Phone (270) 575-2180

131 Hospital Dr
Salem, KY 42078
Phone (270) 988-2299

360 Amsden Ave
Versailles, KY 40383
Phone (606) 873-3111

Interoperability endpoints

  • Direct secure messaging: khai.truong@lhhs.cernerdirect.com

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1134691200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470700800000",
    "number": "1003892548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 HOSPITAL DR",
            "city": "SALEM",
            "state": "KY",
            "postal_code": "420788043",
            "telephone_number": "270-988-7256",
            "fax_number": "270-988-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 JH OBRYAN AVE",
            "city": "GRAND RIVERS",
            "state": "KY",
            "postal_code": "420459049",
            "telephone_number": "270-362-8246",
            "fax_number": "270-362-9757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "KHAI",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-16",
        "last_updated": "2016-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "39284",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "000000370768",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64088784",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC&BS",
            "identifier": "000000623499",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100091610",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65944019",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Grand Rivers, KY

Sources for this page

Verify at the official NPI Registry.