Individual provider Active NPI

Raymond S Duong, MD

  • Internal Medicine Physician
  • Vero Beach, FL
National Provider Identifier
1154437077
Registry record updated Nov 14, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
000122-0006426 Issued in FL
Practice address
370 17TH St
Vero Beach, FL 32960-5690
Phone
(772) 770-3859
Fax
(772) 770-3581
NPI assigned
Aug 22, 2006
Last updated
Nov 14, 2016By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 14, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 000122-0006426 FL Primary

Addresses

Primary practice location

370 17TH St
Vero Beach, FL 32960-5690

Mailing address

370 17TH St
Vero Beach, FL 32960-5690
Phone (772) 770-3859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040604000353 FL Practitioner - Internal Medicine 7315938792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Kansas School of Med (KC/Wich/Sal), 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

370 17TH St
Vero Beach, FL 32960-5690
Phone (772) 770-3859

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
000122-0006426FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Raymond Duong MD PA Internal Medicine CurrentSince Jul 30, 2003 Accepting new patients

Locations

370 17th St
Vero Beach, FL 32960
Phone (772) 770-3859

805 37th Pl
Vero Beach, FL 32960
Phone (772) 257-7373

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/GDIDAD/Endpoint/GDIDAD

Organizations & group practices 1

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 7

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479081600000",
    "number": "1154437077",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "370 17TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605690",
            "telephone_number": "772-770-3859",
            "fax_number": "772-770-3581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "370 17TH ST",
            "city": "VERO BEACH",
            "state": "FL",
            "postal_code": "329605690",
            "telephone_number": "772-770-3859",
            "fax_number": "772-770-3581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "RAYMOND",
        "middle_name": "S",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2016-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "000122-0006426",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Vero Beach, FL

Sources for this page

Verify at the official NPI Registry.