NPIMap

Individual provider Active NPI

Terrence Truong, M.D.

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1508805300
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
17032 Issued in OK
Practice address
3500 NW 56TH St
Suite 100
Oklahoma City, OK 73112-4529
Phone
(405) 951-2855
Fax
(405) 951-2858
NPI assigned
Jun 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 17032 OK Primary

Addresses

Primary practice location

3500 NW 56TH St
Suite 100
Oklahoma City, OK 73112-4529

Mailing address

5300 N Independence Ave
Suite 280
Oklahoma City, OK 73112-5556
Phone (405) 951-2855

Other identifiers 1

IdentifierTypeStateIssuer
100229900AMedicaidOK

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100329000123 OK Practitioner - Family Practice 3577699669 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Plains Medical FoundationGroup PAC ID 9335188184, 12 clinicians
Variety Care, Inc.Group PAC ID 1557260007, shared by 23 NPIs, 101 clinicians

Practice addresses (Care Compare)

3625 NW 56TH St
Suite 200
Oklahoma City, OK 73112-4509
Phone (405) 951-2855

721 W Britton Rd
Variety Care
Oklahoma City, OK 73114-2909
Phone (405) 632-6688

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
17032OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Plains Medical Foundation Family Medicine CurrentSince Oct 1, 2001 Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients
Integris Baptist Medical Center Inc Past Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

3625 NW 56th St
Ste 200
Oklahoma City, OK 73112
Phone (405) 951-2855

3500 NW 56th St
Ste 100
Oklahoma City, OK 73112
Phone (405) 951-2855

Interoperability endpoints

  • Direct secure messaging: ttruong376813@direct.ochin.org
  • Direct secure messaging: ttruong12060@direct.integrisok.com

Organizations & group practices 4

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 7

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491350400000",
    "number": "1508805300",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE",
            "address_2": "SUITE 280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125556",
            "telephone_number": "405-951-2855",
            "fax_number": "405-951-2858"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 NW 56TH ST",
            "address_2": "SUITE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124529",
            "telephone_number": "405-951-2855",
            "fax_number": "405-951-2858"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "TERRENCE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2017-04-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "17032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100229900A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.