Individual provider Active NPI

Tri Luong, D.O.

  • Hospice and Palliative Medicine (Family Medicine) Physician
  • Dallas, TX
National Provider Identifier
1013228782
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hospice and Palliative Medicine (Family Medicine) PhysicianTaxonomy code 207QH0002X
License
P4884 Issued in TX
Practice address
7777 Forest LN Ste B122
Dallas, TX 75230-6806
Phone
(972) 383-1060
Fax
(972) 383-1067
NPI assigned
Jun 28, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X P4884 TX
Hospice and Palliative Medicine (Family Medicine) Physician 207QH0002X P4884 TX Primary

Addresses

Primary practice location

7777 Forest LN Ste B122
Dallas, TX 75230-6806

Mailing address

6255 W Sunset Blvd FL 21
Los Angeles, CA 90028-7422
Phone (323) 860-5200

Other identifiers 1

IdentifierTypeStateIssuer
338414101MedicaidTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20131029000186 TX Practitioner - Family PracticePractitioner - Hospice/Palliative Care 3577735810 Reassigns benefits to 4 organizations
I20240627003287 GA Practitioner - Family Practice 3577735810 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Hospice/Palliative Care
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

400 N Beach St
Suite 104
Ft Worth, TX 76111-7070
Phone (817) 831-1750

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medhealth CurrentSince Aug 18, 2014 Accepting new patients
T Douglas Gurley MD LLC CurrentSince Apr 14, 2024 Accepting new patients
Vitas Health Services of Texas, P.a. Hospice and Palliative Medicine CurrentSince Oct 1, 2015 Accepting new patients
AIDS Healthcare Foundation Texas Inc CurrentSince Jul 1, 2016 Accepting new patients
Medhealth Family Medicine Current Accepting new patients
AIDS Healthcare Foundation Texas Inc CurrentSince Jul 1, 2016 Accepting new patients
Integrative Emergency Services Physician Group PA CurrentSince Jan 28, 2017 Accepting new patients
AIDS Healthcare Foundation CurrentSince Apr 14, 2024 Accepting new patients
AIDS Healthcare Foundation CurrentSince Apr 14, 2024 Accepting new patients
AIDS Healthcare Foundation Texas Inc PastSince Jul 1, 2016 Accepting new patients

Locations

6255 W Sunset Blvd
Fl 21
Los Angeles, CA 90028
Phone (323) 860-5200

8390 Champions Gate Blvd
Ste 220
Champions Gate, FL 33896
Phone (407) 479-2015

735 Piedmont Ave NE
Atlanta, GA 30308
Phone (404) 588-4680

1438 W Peachtree St NW
Atlanta, GA 30309
Phone (470) 283-7349

659 Auburn Ave NE
Ste 156
Atlanta, GA 30312
Phone (404) 888-0228

5700 Hillandale Dr
Ste 100
Lithonia, GA 30058
Phone (770) 593-6684

770 Greison Trl
Ste H
Newnan, GA 30263
Phone (404) 870-7700

255 E 5th St
Ste 1050
Cincinnati, OH 45202

14651 Dallas Pkwy
Ste 811
Dallas, TX 75254

3400 W Wheatland Rd
Ste 360
Dallas, TX 75237

7777 Forest Ln
Ste B122
Dallas, TX 75230
Phone (972) 383-1060

3335 W Wheatland Rd
Ste 120
Dallas, TX 75237
Phone (972) 298-9600

1575 S Main St
Ft Worth, TX 76104
Phone (817) 702-8828

400 N Beach St
Ste 104
Ft Worth, TX 76111
Phone (817) 831-1750

5224 S State Highway 360
Grand Prairie, TX 75052
Phone (972) 522-0691

7400 Fannin St
Ste 1118
Houston, TX 77054
Phone (713) 797-9200

Interoperability endpoints

  • Direct secure messaging: tri.luong.1@26356.direct.athenahealth.com

Organizations & group practices 10

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

NPI Registry JSON

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

{
    "created_epoch": "1277683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714608000000",
    "number": "1013228782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6255 W SUNSET BLVD FL 21",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900287422",
            "telephone_number": "323-860-5200",
            "fax_number": "323-467-7119"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7777 FOREST LN STE B122",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752306806",
            "telephone_number": "972-383-1060",
            "fax_number": "972-383-1067"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUONG",
        "first_name": "TRI",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-06-28",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "P4884",
            "primary": false
        },
        {
            "code": "207QH0002X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Hospice and Palliative Medicine",
            "state": "TX",
            "license": "P4884",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "338414101",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.