NPIMap

Individual provider Active NPI

Scott Duong, M.D.

  • Anesthesiology Physician
  • Fort Mohave, AZ
National Provider Identifier
1295023646
Registry record updated Oct 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
16173 Issued in 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
Last updated
Oct 22, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 16173 NV Primary

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 1

IdentifierTypeStateIssuer
1295023646MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160720001704 NV Practitioner - Anesthesiology 7113219684 Reassigns benefits to 3 organizations
I20170131002767 AZ Practitioner - Anesthesiology 7113219684

Care Compare profile

Medicare Care Compare
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 PLLCGroup PAC ID 4385002682, 48 clinicians
Duong Anesthesia PLLCGroup PAC ID 6800278961, 2 clinicians
Red Rock Anesthesia Consultants LLCGroup PAC ID 4284910290, 109 clinicians

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

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
16173NVMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amin, Dunckelmeyer and Luu PLLC Anesthesiology CurrentSince Jun 1, 2024 Accepting new patients
Red Rock Anesthesia Consultants LLC Anesthesiology CurrentSince Nov 13, 2018 Accepting new patients
Duong Anesthesia PLLC Anesthesiology CurrentSince Nov 30, 2018 Accepting new patients
Arizona Anesthesia Consultants, Inc. Anesthesiology CurrentSince Feb 2, 2020 Accepting new patients
Smi Imaging, LLC Past Accepting new patients

Locations

304 S Jones Blvd
Las Vegas, NV 89107
Phone (702) 352-6855

5400 S Rainbow Blvd
Las Vegas, NV 89118
Phone (702) 252-7342

6362 McLeod Dr
Ste 6
Las Vegas, NV 89120
Phone (702) 483-1990

9127 W Russell Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 209-2042

150 S Nevada Highway 160
Ste 8199
Pahrump, NV 89048
Phone (917) 903-0010

Organizations & group practices 5

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 11

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": "1311033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571702400000",
    "number": "1295023646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 52650",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852080133",
            "telephone_number": "888-206-5902",
            "fax_number": "480-466-7536"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4825 S HIGHWAY 95 # 2-356",
            "city": "FORT MOHAVE",
            "state": "AZ",
            "postal_code": "864268315",
            "telephone_number": "888-206-5902",
            "fax_number": "480-466-7536"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9127 W Russell Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891481253",
            "country_code": "US",
            "telephone_number": "702-878-0070",
            "fax_number": "702-209-2064",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4825 S Highway 95 # 2-356",
            "address_purpose": "LOCATION",
            "city": "Fort Mohave",
            "state": "AZ",
            "postal_code": "864268315",
            "country_code": "US",
            "telephone_number": "888-206-5902",
            "fax_number": "480-466-7536",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5330 S Highway 95",
            "address_purpose": "LOCATION",
            "city": "Fort Mohave",
            "state": "AZ",
            "postal_code": "864269225",
            "country_code": "US",
            "telephone_number": "888-206-5902",
            "fax_number": "480-466-7536",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DUONG",
        "first_name": "SCOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-19",
        "last_updated": "2019-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NV",
            "license": "16173",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1295023646",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Mohave, AZ

Sources for this page

Verify at the official NPI Registry.