Active NPI
Phuong Luu, PA
- Physician Assistant
- Dallas, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA05428
- Practice address
- 1935 Medical District Dr
Dallas, TX 75235-7701 - Phone
- (214) 456-2331
- NPI assigned
- Dec 23, 2005
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 000957 | CT | |
| Physician Assistant | 363A00000X | PA05428 | TX | Primary |
Addresses
Primary practice location
1935 Medical District Dr
Dallas, TX 75235-7701
Mailing address
1935 Medical District Dr
Dallas, TX 75235-7701
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 9490683 | Other | TX | PHCS |
| 191512601 | Medicaid | TX | |
| 290000957CT02 | Other | CT | BCBS |
| 8Y3171 | Other | TX | BCBS OF TEXAS |
| 752616977008 | Other | TX | TRICARE |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
821 N Coleman St
Suite 100
Prosper, TX 75078-2339
Phone (469) 800-5200
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TEMPORARY | TX | MD | Hematology & Oncology Physician |
| 000957 | CT | MD | Physician Assistant |
| PA05428 | TX | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthtexas Provider Network | Current | Accepting new patients | |
| Healthtexas Provider Network | Current | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| The University of Texas Southwestern Medical Center at Dallas | Current | Accepting new patients | |
| Dallas Physician Medical Services for Children Inc | Current | Accepting new patients | |
| Complex Care Medical Services Corporation | Past | Accepting new patients | |
| University of Texas Southwestern Medical Center at Dallas | Past | Accepting new patients | |
| Healthtexas Provider Network | Past | Accepting new patients |
Locations
1935 Medical District Dr
Unit A
Dallas, TX 75235
1935 Medical District Dr
Dallas, TX 75235
Phone (214) 456-2735
2222 Welborn St
Dallas, TX 75219
Phone (214) 559-5000
301 N Washington Ave
Dallas, TX 75246
Phone (469) 800-8330
4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665
1825 Cannon Dr
Mansfield, TX 76063
Phone (817) 453-7770
7601 Preston Rd
Plano, TX 75024
Phone (469) 303-7300
4708 Alliance Blvd
Ste 200
Plano, TX 75093
Phone (469) 800-6020
821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200
1300 Childrens Way
Prosper, TX 75078
Phone (469) 228-4805
Interoperability endpoints
- pluu935032@direct.sw.org
Organizations & group practices 11
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.
-
- Family Medicine Physician
- Dallas, TX
- NPI 1760488936
-
dba Children's Health Medical Group
- Pediatrics Physician
- Dallas, TX
- NPI 1194153650
-
- Anesthesiology Physician
- Dallas, TX
- NPI 1942270566
-
dba Children's Health Medical Group
- Pediatrics Physician
- Dallas, TX
- NPI 1558407908
-
dba Symmetry Anesthesia
- Anesthesiology Physician
- Lakeway, TX
- NPI 1104714583
-
- Family Medicine Physician
- Colleyville, TX
- NPI 1235135906
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1396832713
-
- Diagnostic Radiology Physician
- Dallas, TX
- NPI 1972579365
-
- Pediatrics Physician
- Dallas, TX
- NPI 1013256098
-
- Family Medicine Physician
- Plano, TX
- NPI 1003811639
-
- Internal Medicine Physician
- Dallas, TX
- NPI 1760452767
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Baylor Scott & White Medical Center - Plano
- General Acute Care Hospital
- Plano, TX
- NPI 1649273434
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135296000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384300800000",
"number": "1649257353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1935 MEDICAL DISTRICT DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 MEDICAL DISTRICT DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752357701",
"telephone_number": "214-456-2331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LUU",
"first_name": "PHUONG",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-12-23",
"last_updated": "2013-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CT",
"license": "000957",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "TX",
"license": "PA05428",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "9490683",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "191512601",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "290000957CT02",
"state": "CT"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TEXAS",
"identifier": "8Y3171",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "752616977008",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dallas, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.