Individual provider Active NPI

Phuong Minh Truong, M.D.

  • Nephrology Physician
  • Dallas, TX
National Provider Identifier
1376877191
Registry record updated Mar 8, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
Q2863 Issued in TX
Practice address
3571 W Wheatland Rd
Suite 101
Dallas, TX 75237-3461
Phone
(972) 274-5555
NPI assigned
Sep 25, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2015

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 00000000 TX
Nephrology Physician 207RN0300X Q2863 TX Primary

Addresses

Primary practice location

3571 W Wheatland Rd
Suite 101
Dallas, TX 75237-3461

Mailing address

3571 W Wheatland Rd
Suite 101
Dallas, TX 75237-3461

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20150324001045 TX Practitioner - NephrologyPractitioner - Internal Medicine 1557688959 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Texas Medical Branch at Galveston, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dallas Renal Group, P.a.Group PAC ID 0244277283, 52 clinicians

Practice addresses (Care Compare)

1222 N Bishop Ave
Suite 500
Dallas, TX 75208-1478
Phone (972) 274-5555

7999 W Virginia Dr
Suite a
Dallas, TX 75237-3845
Phone (888) 616-6322

Hospital & facility affiliations

  • USRC Premier Mansfield Dialysis facility, Mansfield, TX, CCN 672757
  • Methodist Mansfield Medical Center Hospital, Mansfield, TX, CCN 670023

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
00000000TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Dallas Renal Group PA Nephrology CurrentSince Mar 1, 2015 Accepting new patients

Locations

8200 Matlock Rd
Ste 160
Arlington, TX 76002
Phone (817) 678-6449

3571 W Wheatland Rd
#101
Dallas, TX 75237
Phone (972) 274-5555

1222 N Bishop Ave
Ste 500
Dallas, TX 75208
Phone (972) 274-5555

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HEHCAD
  • Direct secure messaging: phuong.truong@drg.eclinicaldirectplus.com

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.

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": "1253836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1425772800000",
    "number": "1376877191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3571 W WHEATLAND RD",
            "address_2": "SUITE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3571 W WHEATLAND RD",
            "address_2": "SUITE 101",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752373461",
            "telephone_number": "972-274-5555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "PHUONG",
        "middle_name": "MINH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-25",
        "last_updated": "2015-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "00000000",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "Q2863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.