Individual provider Active NPI

Duc K Trieu, MD

  • Obstetrics & Gynecology Physician
  • South Boston, VA
National Provider Identifier
1659317576
Registry record updated Nov 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
0101239403 Issued in VA
Practice address
2212 Wilborn Ave
South Boston, VA 24592-1630
Phone
(434) 572-8921
Fax
(434) 572-2063
NPI assigned
Jun 20, 2006
Last updated
Nov 2, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 2, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 0101239403 VA Primary

Addresses

Primary practice location

2212 Wilborn Ave
South Boston, VA 24592-1630

Mailing address

2212 Wilborn Ave
PO Box 10
South Boston, VA 24592-1630
Phone (434) 572-8921

Other identifiers 2

IdentifierTypeStateIssuer
PEINDINGMedicaidVA
PENDINGOtherPENDING

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20060908000189 VA Practitioner - Obstetrics/Gynecology 7012911845 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Fuller Roberts OB-GYN and Primary CareGroup PAC ID 1153624788, 2 clinicians

Practice addresses (Care Compare)

1020 Bill Tuck Hwy
Suite 900
South Boston, VA 24592-7152
Phone (434) 572-8921

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101239403VAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fuller Roberts OB-GYN and Primary Care Obstetrics & Gynecology CurrentSince Mar 16, 2015 Accepting new patients
Southside Behavioral Health CurrentSince Feb 1, 2019 Accepting new patients

Locations

7004 Little River Tpke
Ste H
Annandale, VA 22003
Phone (703) 658-9010

1020 Bill Tuck Hwy
Ste 900
South Boston, VA 24592
Phone (434) 572-8921

2212 Wilborn Ave
South Boston, VA 24592
Phone (434) 572-8921

424 Hamilton Blvd
South Boston, VA 24592
Phone (434) 572-2936

Interoperability endpoints

  • Direct secure messaging: trieu@dktrieu.kareodirect.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1150761600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1288656000000",
    "number": "1659317576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 WILBORN AVE",
            "address_2": "PO BOX 10",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921630",
            "telephone_number": "434-572-8921",
            "fax_number": "434-572-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 WILBORN AVE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921630",
            "telephone_number": "434-572-8921",
            "fax_number": "434-572-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRIEU",
        "first_name": "DUC",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-20",
        "last_updated": "2010-11-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "VA",
            "license": "0101239403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PEINDING",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PENDING",
            "identifier": "PENDING",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in South Boston, VA

Sources for this page

Verify at the official NPI Registry.