Individual provider Active NPI

Truong Son Van, M.D.

  • Specialist
  • Alexandria, VA
National Provider Identifier
1306020441
Registry record updated Dec 26, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
0101030692 Issued in VA
Practice address
312 S Washington St
Suite 2D
Alexandria, VA 22314-3684
Phone
(703) 548-4300
Fax
(703) 518-8949
NPI assigned
Dec 26, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 26, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101030692 VA Primary

Addresses

Primary practice location

312 S Washington St
Suite 2D
Alexandria, VA 22314-3684

Mailing address

312 S Washington St
Suite 2D
Alexandria, VA 22314-3684
Phone (703) 548-4300

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20171220000153 FL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 7618136144

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Truong S Van MD PC PastSince May 5, 1992 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1198627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198627200000",
    "number": "1306020441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 S WASHINGTON ST",
            "address_2": "SUITE 2D",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143684",
            "telephone_number": "703-548-4300",
            "fax_number": "703-518-8949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 S WASHINGTON ST",
            "address_2": "SUITE 2D",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223143684",
            "telephone_number": "703-548-4300",
            "fax_number": "703-518-8949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VAN",
        "first_name": "TRUONG",
        "middle_name": "SON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-12-26",
        "last_updated": "2007-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101030692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

Verify at the official NPI Registry.