Individual provider Active NPI

Thao Duong, MD

  • Cardiovascular Disease Physician
  • Independence, MO
National Provider Identifier
1205272945
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
A142202 Issued in CA
Practice address
19550 E 39TH St S
Independence, MO 64057-2358
Phone
(913) 307-5812
Fax
(816) 833-1760
NPI assigned
May 21, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X Q1591 TX
Cardiovascular Disease Physician 207RC0000X A142202 CA Primary

Addresses

Primary practice location

19550 E 39TH St S
Independence, MO 64057-2358

Mailing address

2550 N Esplanade St
Cuero, TX 77954-4736
Phone (361) 275-6191

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MO, KS3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20190715003296 CA Practitioner - Internal Medicine 9638404536 Reassigns benefits to 1 organization
I20220830001514 MO Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9638404536 Reassigns benefits to 1 organization
I20220830001773 KS Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 9638404536 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)Also: Internal Medicine
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Midwest Heart and Vascular Specialists LLCGroup PAC ID 7618122417, 81 clinicians

Practice addresses (Care Compare)

19600 E 39TH St S
Centerpoint Medical Center
Independence, MO 64057-2301
Phone (816) 698-7000

2000 SE Blue Pkwy
Suite 250
Lees Summit, MO 64063-1029
Phone (913) 906-0833

2316 E Meyer Blvd
Research Medical Center
Kansas City, MO 64132-1136
Phone (913) 253-3000

5100 W 110TH St
Suite 200
Overland Park, KS 66211-1215
Phone (913) 253-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
82.3 of 100Reported as group
Quality
64.66
Promoting interoperability
99
Improvement activities
40
Cost
71.3

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting20
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A142202CAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Regents of the University of California CurrentSince May 29, 2019 Accepting new patients
Midwest Heart & Vascular Specialists, LLC Cardiovascular Disease CurrentSince Sep 1, 2022 Accepting new patients
Regents of the University of California Cardiovascular Disease CurrentSince May 29, 2019 Accepting new patients
Regents of the University of California Current Accepting new patients

Locations

200 W Arbor Dr
San Diego, CA 92103
Phone (619) 543-5754

5100 W 110th St
Ste 200
Overland Park, KS 66211
Phone (913) 253-3000

12200 W 106th St
Ste 315
Overland Park, KS 66215
Phone (913) 348-4202

5721 W 119th St
Shawnee Msn, KS 66209
Phone (913) 253-3000

19550 E 39th St S
Ste 225
Independence, MO 64057
Phone (816) 228-2060

19550 E 39th St S
Ste 215
Independence, MO 64057
Phone (816) 461-6837

19550 E 39th St S
Independence, MO 64057
Phone (816) 478-2600

2000 SE Blue Pkwy
Ste 250
Lees Summit, MO 64063
Phone (816) 795-8200

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: thao.duong@hca2.eclinicaldirectplus.com

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.

Hospital & facility affiliations 2

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": "1369094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669593600000",
    "number": "1205272945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2550 N ESPLANADE ST",
            "city": "CUERO",
            "state": "TX",
            "postal_code": "779544736",
            "telephone_number": "361-275-6191",
            "fax_number": "361-275-3999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19550 E 39TH ST S",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "640572358",
            "telephone_number": "913-307-5812",
            "fax_number": "816-833-1760"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "THAO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-21",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "TX",
            "license": "Q1591",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A142202",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

Verify at the official NPI Registry.