Active NPI
Kit Trien Duong, MD
- Internal Medicine Physician
- Modesto, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- C52024
- Practice address
- 1441 Florida Ave
Modesto, CA 95350-4404 - Phone
- (209) 576-3525
- NPI assigned
- Apr 26, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | C52024 | CA | Primary |
Addresses
Primary practice location
1441 Florida Ave
Modesto, CA 95350-4404
Mailing address
1441 Florida Ave
Modesto, CA 95350-4404
Phone (209) 576-3525
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00A520240 | Medicaid | CA |
Other names 1
- Phuoc Duong
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1441 Florida Ave
Modesto, CA 95350-4405
Phone (209) 576-3525
Hospital & facility affiliations
- Doctors Medical Center
- Emanuel Medical Center
- Adventist Health Sonora
- Oak Valley Hospital District
- Mercy Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 73.77 of 100
- Quality
- 46.95
- Improvement activities
- 40
- Cost
- 76.49
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52024 | CA | MD | Dentist |
| C52024 | CA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Signify Health Medical Associates of California, PC | Current | Accepting new patients | |
| Hospitalists of Modesto Medical Group Inc | Internal Medicine | Current | Accepting new patients |
| Hospitalists of Modesto Medical Group | Past | Accepting new patients |
Locations
818 W 7th St
Ste 930
Los Angeles, CA 90017
Phone (800) 525-9202
1205 E North St
Manteca, CA 95336
Phone (209) 239-8301
1505 Claus Rd
Modesto, CA 95355
1441 Florida Ave
Modesto, CA 95350
Phone (209) 214-7235
1505 Claus Rd
Modesto, CA 95355
Phone (209) 557-6300
1700 McHenry Ave
Ste 65B
Modesto, CA 95350
Phone (209) 581-7063
505 Montgomery St
Fl 10
San Francisco, CA 94111
Phone (503) 427-8095
825 Delbon Ave
Turlock, CA 95382
Phone (209) 664-2744
4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037
Organizations & group practices 4
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.
-
- Internal Medicine Physician
- Modesto, CA
- NPI 1821190711
-
- General Practice Physician
- San Francisco, CA
- NPI 1124685169
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1659712586
Hospital & facility affiliations 16
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Merced, CA
- NPI 1518018191
-
- General Acute Care Hospital
- Modesto, CA
- NPI 1184654923
-
- General Acute Care Hospital
- Turlock, CA
- NPI 1396087672
-
- General Acute Care Hospital
- Oakdale, CA
- NPI 1346381415
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146009600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1376352000000",
"number": "1114984051",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1441 FLORIDA AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504404",
"telephone_number": "209-576-3525"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1441 FLORIDA AVE",
"city": "MODESTO",
"state": "CA",
"postal_code": "953504404",
"telephone_number": "209-576-3525"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUONG",
"first_name": "KIT",
"middle_name": "TRIEN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-26",
"last_updated": "2013-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "CA",
"license": "C52024",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00A520240",
"state": "CA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "PHUOC",
"last_name": "DUONG",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.