Individual provider Active NPI

Phu Thien Truong, D.O.

  • Internal Medicine Physician
  • Euless, TX
National Provider Identifier
1750668448
Registry record updated Sep 30, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
P5900 Issued in TX
Practice address
469 Westpark Way
Euless, TX 76040-3957
Phone
(817) 283-2888
NPI assigned
Nov 8, 2011
Last updated
Sep 30, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 30, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X P5900 TX Primary

Addresses

Primary practice location

469 Westpark Way
Euless, TX 76040-3957

Mailing address

2102 Scenic Bay Dr
Arlington, TX 76013-5204
Phone (817) 368-4826

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
I20140922000831 TX Practitioner - Internal Medicine 9739308933 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Texas Southwestern Medical School at Dallas, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Catalyst Physician Group - NTX, PLLCGroup PAC ID 4284074758, 87 clinicians

Practice addresses (Care Compare)

469 Westpark Way
Euless, TX 76040-3957
Phone (817) 283-2888

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
P5900TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Tarrant Internal Medicine Associates Internal Medicine CurrentSince Oct 1, 2014 Accepting new patients
Catalyst Physician Group - NTX, PLLC Internal Medicine CurrentSince Mar 1, 2024 Accepting new patients

Locations

469 Westpark Way
Euless, TX 76040
Phone (817) 283-2888

8740 Medical City Way
Fort Worth, TX 76177
Phone (817) 283-5166

8277 Belleview Dr
Plano, TX 75024
Phone (214) 291-5087

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: phu.truong.1@30724.direct.athenahealth.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 3

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": "1320710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1412035200000",
    "number": "1750668448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2102 SCENIC BAY DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760135204",
            "telephone_number": "817-368-4826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "469 WESTPARK WAY",
            "city": "EULESS",
            "state": "TX",
            "postal_code": "760403957",
            "telephone_number": "817-283-2888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "PHU",
        "middle_name": "THIEN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-11-08",
        "last_updated": "2014-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "P5900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Euless, TX

Sources for this page

Verify at the official NPI Registry.