Scott Duong, M.D.
Individual provider Active NPI Anesthesiology Physician · Fort Mohave, AZ
NPI 1295023646 · NPPES record last updated Oct 22, 2019
Key facts
- NPI
- 1295023646
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Anesthesiology Physician 207L00000X
- License
- 16173 (NV)
- Practice address
- 4825 S Highway 95 # 2-356
Fort Mohave, AZ 86426-8315 - Phone
- (888) 206-5902
- Fax
- (480) 466-7536
- NPI assigned
- Jul 19, 2011
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
Hospital & facility affiliations 11
Medicare Care Compare profile
- Specialty
- Anesthesiology
- Education
- State University of New York Downstate Medical Center, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Amin Dunckelmeyer and Luu PLLC
Duong Anesthesia PLLC
Red Rock Anesthesia Consultants LLC
Practice addresses (Care Compare)
Las Vegas, NV 89117
Phone (469) 983-0099
Las Vegas, NV 89120
Phone (702) 487-6510
5400 S Rainbow Blvd
Las Vegas, NV 89118-1859
Phone (702) 325-4651
Hospital & facility affiliations
- Centennial Hills Hospital Medical Center
- Valley Hospital Medical Center
- Southern Hills Hospital and Medical Center
- Spring Valley Hospital Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NV, AZ
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160720001704 | NV | Practitioner - Anesthesiology | 7113219684 | Reassigns benefits to 3 organizations |
| I20170131002767 | AZ | Practitioner - Anesthesiology | 7113219684 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 16173 | NV | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Red Rock Anesthesia Consultants LLC | Anesthesiology | Current |
Accepting new patients |
| Amin, Dunckelmeyer and Luu PLLC | Anesthesiology | Current |
Accepting new patients |
| Arizona Anesthesia Consultants, Inc. | Anesthesiology | Current |
Accepting new patients |
| Duong Anesthesia PLLC | Anesthesiology | Current |
Accepting new patients |
| Smi Imaging, LLC | Past | Accepting new patients |
Locations
304 S Jones Blvd
Las Vegas, NV 89107
Phone (626) 399-6834
9127 W Russell Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 209-2042
6362 McLeod Dr
Ste 6
Las Vegas, NV 89120
Phone (702) 483-1990
5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342
150 S Nevada Highway 160
Ste 8199
Pahrump, NV 89048
Phone (917) 903-0010
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 16173 | NV | Yes |
Addresses
Primary practice location
4825 S Highway 95 # 2-356
Fort Mohave, AZ 86426-8315
Mailing address
PO Box 52650
Mesa, AZ 85208-0133
Phone (888) 206-5902
Other practice location 1
9127 W Russell Rd Ste 110
Las Vegas, NV 89148-1253
Phone (702) 878-0070
Other practice location 2
4825 S Highway 95 # 2-356
Fort Mohave, AZ 86426-8315
Phone (888) 206-5902
Other practice location 3
5330 S Highway 95
Fort Mohave, AZ 86426-9225
Phone (888) 206-5902
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295023646 | Medicaid | NV |
Other providers in Fort Mohave, AZ
- Copper State Medical Center
- Terry L Coyle
- Corinne N Depriest
- Desert Hearts Nursing and Home Care, LLC
- Keegan Michael Drawe
- Hailey H Eldridge
- Ryan Ellis
- Em Medical Management of Fort Mohave, LLC
- Emergency Medicine Physicians of Mohave County, PLLC
- Emergency Physicians Medical Group Inc
All providers in Fort Mohave, AZ · Anesthesiology Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 22, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.