Individual provider Active NPI

Linda L Luong, M.D.

  • Family Medicine Physician
  • Winchester, VA
National Provider Identifier
1689647257
Registry record updated Jan 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
213085 Issued in MA
Practice address
44 W Jubal Early Drive
Suite 240
Winchester, VA 22601
Phone
(540) 450-2702
NPI assigned
Feb 13, 2006
Last updated
Jan 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2008

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 213085 MA Primary

Addresses

Primary practice location

44 W Jubal Early Drive
Suite 240
Winchester, VA 22601

Mailing address

771 Albany St
Dowling 5 South
Boston, MA 02118-2525
Phone (617) 414-4465

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
I20061121000298 VA Practitioner - Family Practice 4880669753 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Virginia Commonwealth University, School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

440 W Jubal Early Dr
Suite 240
Winchester, VA 22601-6319
Phone (540) 450-2706

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
23.05 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
76.84

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
213085MAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orchard Family Medicine, PC Family Medicine CurrentSince Feb 27, 2008 Accepting new patients
Boston University Family Medicine, Inc. Family Medicine Past Accepting new patients
Massachusetts Institute of Technology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Cambridge Public Health Commission Past Accepting new patients

Locations

440 W Jubal Early Dr
Ste 240
Winchester, VA 22601
Phone (540) 450-2706

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DEBCDD

Organizations & group practices 5

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 9

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200009600000",
    "number": "1689647257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "771 ALBANY ST",
            "address_2": "DOWLING 5 SOUTH",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021182525",
            "telephone_number": "617-414-4465",
            "fax_number": "617-414-3345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 W JUBAL EARLY DRIVE",
            "address_2": "SUITE 240",
            "city": "WINCHESTER",
            "state": "VA",
            "postal_code": "22601",
            "telephone_number": "540-450-2702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUONG",
        "first_name": "LINDA",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2008-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MA",
            "license": "213085",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winchester, VA

Sources for this page

Verify at the official NPI Registry.