Individual provider Active NPI

Thanh N Truong, D.O.

  • Internal Medicine Physician
  • Wichita, KS
National Provider Identifier
1225009616
Registry record updated Oct 17, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
05-21960 Issued in KS
Practice address
7111 E 21St Street N
Suite a
Wichita, KS 67206
Phone
(316) 684-2851
Fax
(316) 686-7338
NPI assigned
Feb 1, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2012

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 05-21960 KS Primary

Addresses

Primary practice location

7111 E 21St Street N
Suite a
Wichita, KS 67206

Mailing address

7111 E 21St Street N
Suite a
Wichita, KS 67206
Phone (316) 684-2851

Other identifiers 5

IdentifierTypeStateIssuer
100230970DMedicaidKS
100416440AMedicaidKS
103153OtherKSBLUE CROSS
607840MedicaidKS
RAILROAD MEDICAREOtherKSP00057329

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20040324001714 KS Practitioner - Internal MedicinePractitioner - Family PracticePractitioner - Cardiovascular Disease (Cardiology) 7517859705 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Cardiovascular Disease (Cardiology), Family Practice
Education
Kansas City University of Med & Biosciences, College of Osteo Med, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Primary Care Associates LLCGroup PAC ID 1153235015, 13 clinicians

Practice addresses (Care Compare)

7111 E 21St St N
Suite a
Wichita, KS 67206-1078
Phone (316) 684-2851

Hospital & facility affiliations

  • Wesley Healthcare at Home Home health agency, Salina, KS, CCN 177187
  • Ascension at Home Home health agency, Wichita, KS, CCN 177117

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05-21960KSMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Primary Care Associates, LLC CurrentSince Sep 1, 2003 Accepting new patients

Locations

7111 E 21st St N
Ste A
Wichita, KS 67206
Phone (316) 684-2851

7111 E 21st St N
Wichita, KS 67206
Phone (316) 269-1311

Interoperability endpoints

  • Direct secure messaging: thanh.truong@khindirect.org
  • Direct secure messaging: thanh.truong.1@3862.direct.athenahealth.com

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 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": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1350432000000",
    "number": "1225009616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7111 E 21ST STREET N",
            "address_2": "SUITE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67206",
            "telephone_number": "316-684-2851",
            "fax_number": "316-686-7338"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7111 E 21ST STREET N",
            "address_2": "SUITE A",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "67206",
            "telephone_number": "316-684-2851",
            "fax_number": "316-686-7338"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "THANH",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2012-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "KS",
            "license": "05-21960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100230970D",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100416440A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "103153",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "607840",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "P00057329",
            "identifier": "RAILROAD MEDICARE",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.