Individual provider Active NPI

CHI Quynh Duong, DO

  • Internal Medicine Physician
  • Phoenix, AZ
National Provider Identifier
1285642108
Registry record updated Feb 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
3424 Issued in AZ
Practice address
4840 E Indian School Rd Ste 101
Phoenix, AZ 85018-5500
Phone
(602) 522-1900
Fax
(602) 381-3281
NPI assigned
Aug 4, 2006
Last updated
Feb 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2025

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 3424 AZ Primary

Addresses

Primary practice location

4840 E Indian School Rd Ste 101
Phoenix, AZ 85018-5500

Mailing address

4840 E Indian School Rd Ste 101
Phoenix, AZ 85018-5500
Phone (602) 522-1900

Other practice location 1

350 N Wilmot Rd
Tucson, AZ 85711-2602
Phone (520) 296-3211

Other practice location 2

7150 E Camelback Rd
Suite 105
Scottsdale, AZ 85251-1200
Phone (602) 218-4072

Other identifiers 2

IdentifierTypeStateIssuer
110213980OtherRR MEDICARE
3424OtherAZ LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20091021000534 AZ Practitioner - Internal Medicine 4587658307 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tucson Physician Group Holdings LLCGroup PAC ID 0547560070, 200 clinicians

Practice addresses (Care Compare)

350 N Wilmot Rd
Tucson, AZ 85711-2602
Phone (520) 873-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tatum Ridge Internal Medicine PLC Internal Medicine CurrentSince Jan 1, 2001 Accepting new patients
Internal Medicine of Arizona PC Internal Medicine CurrentSince Jan 2, 2024 Accepting new patients
Omg Arizona, LLC Internal Medicine CurrentSince Jun 17, 2015 Accepting new patients
Tucson Physician Group Holdings, LLC Internal Medicine CurrentSince Oct 27, 2024 Accepting new patients
Cogent Healthcare of Arizona PC Internal Medicine CurrentSince Aug 1, 2015 Accepting new patients
SMSJ Tucson Holdings LLC Past Accepting new patients

Locations

4545 N Hunt Hwy
Florence, AZ 85132
Phone (480) 258-6100

13677 W McDowell Rd
Goodyear, AZ 85395
Phone (623) 536-4200

433 E 6th St
Mesa, AZ 85203
Phone (480) 427-3000

16640 N 38th St
Phoenix, AZ 85032
Phone (602) 482-6671

18404 N Tatum Blvd
Ste 205
Phoenix, AZ 85032
Phone (480) 827-2200

2020 N Central Ave
Ste 1010
Phoenix, AZ 85004
Phone (602) 553-8400

2201 E Camelback Rd
Ste 101A
Phoenix, AZ 85016
Phone (602) 218-4075

3929 E Bell Rd
Phoenix, AZ 85032
Phone (602) 923-5000

4840 E Indian School Rd
Ste 101
Phoenix, AZ 85018
Phone (602) 224-1900

15210 N Scottsdale Rd
Ste 275
Scottsdale, AZ 85254
Phone (480) 237-1403

7150 E Camelback Rd
Ste 105
Scottsdale, AZ 85251
Phone (602) 218-4072

7400 E Osborn Rd
Scottsdale, AZ 85251
Phone (480) 481-4000

9003 E Shea Blvd
Scottsdale, AZ 85260
Phone (480) 323-3383

5700 E Highway 90
Sierra Vista, AZ 85635
Phone (520) 263-2000

1601 W Saint Marys Rd
Tucson, AZ 85745
Phone (520) 622-5833

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

395 N Silverbell Rd
Ste 355
Tucson, AZ 85745
Phone (520) 622-5912

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/MmWbh382tKlbvAIA1_DeLlIjYVSwroch/

Organizations & group practices 6

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 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": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738713600000",
    "number": "1285642108",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4840 E INDIAN SCHOOL RD STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185500",
            "telephone_number": "602-522-1900",
            "fax_number": "602-381-3281"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4840 E INDIAN SCHOOL RD STE 101",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850185500",
            "telephone_number": "602-522-1900",
            "fax_number": "602-381-3281"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "350 N Wilmot Rd",
            "address_purpose": "LOCATION",
            "city": "Tucson",
            "state": "AZ",
            "postal_code": "857112602",
            "country_code": "US",
            "telephone_number": "520-296-3211",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7150 E Camelback Rd",
            "address_2": "Suite 105",
            "address_purpose": "LOCATION",
            "city": "Scottsdale",
            "state": "AZ",
            "postal_code": "852511200",
            "country_code": "US",
            "telephone_number": "602-218-4072",
            "fax_number": "602-218-4076",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUONG",
        "first_name": "CHI",
        "middle_name": "QUYNH",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AZ",
            "license": "3424",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "110213980",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ LICENSE",
            "identifier": "3424",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

Verify at the official NPI Registry.