Individual provider Active NPI

Victoria Kuohung, MD

  • Dermatology Physician
  • Quincy, MA
National Provider Identifier
1306013339
Registry record updated Mar 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
247440 Issued in MA
Practice address
1250 Hancock St
Suite 505S
Quincy, MA 02169-4339
Phone
(781) 253-7165
Fax
(781) 253-7166
NPI assigned
May 8, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 15, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 247440 MA Primary

Addresses

Primary practice location

1250 Hancock St
Suite 505S
Quincy, MA 02169-4339

Mailing address

1250 Hancock St
Suite 505S
Quincy, MA 02169-4339
Phone (781) 253-7165

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20120926000535 MA Practitioner - Dermatology 9335398817 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Yale University School of Medicine, 2007
Medicare assignment
May accept Medicare assignment
Group practices
Dermcare Experts LLCGroup PAC ID 8224257910, 3 clinicians

Practice addresses (Care Compare)

1250 Hancock St
505S
Quincy, MA 02169-4339
Phone (781) 253-7165

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions39
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy18

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermcare Experts LLC Dermatology CurrentSince Jul 1, 2014 Accepting new patients
Dermcare Experts LLC Dermatology CurrentSince Oct 10, 2021 Accepting new patients

Locations

1250 Hancock St
Ste 505S
Quincy, MA 02169
Phone (781) 253-7165

1250 Hancock St
Ste 505
Quincy, MA 02169

1250 Hancock St
#505S
Quincy, MA 02169
Phone (781) 253-7165

Interoperability endpoints

  • FHIR API: https://app.meldrx.com/api/fhir/ez_00094

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1615766400000",
    "number": "1306013339",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 HANCOCK ST",
            "address_2": "SUITE 505S",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694339",
            "telephone_number": "781-253-7165",
            "fax_number": "781-253-7166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1250 HANCOCK ST",
            "address_2": "SUITE 505S",
            "city": "QUINCY",
            "state": "MA",
            "postal_code": "021694339",
            "telephone_number": "781-253-7165",
            "fax_number": "781-253-7166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUOHUNG",
        "first_name": "VICTORIA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2021-03-15",
        "certification_date": "2021-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "247440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Quincy, MA

Sources for this page

Verify at the official NPI Registry.