Individual provider Active NPI

Tru Dang, MD

  • Vascular Surgery Physician
  • Charleston, SC
National Provider Identifier
1760006316
Registry record updated May 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
LL84248 Issued in SC
Practice address
169 Ashley Avenue
Room 202 Main Hospital, Msc333
Charleston, SC 29425
Phone
(843) 792-6296
NPI assigned
May 29, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 29, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X LL84248 SC Primary

Addresses

Primary practice location

169 Ashley Avenue
Room 202 Main Hospital, Msc333
Charleston, SC 29425

Mailing address

2225 Ashley River Rd Apt 322
Charleston, SC 29414-4733
Phone (808) 392-7181

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20250827004676 CA Practitioner - Vascular Surgery 5991124067 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
University of Hawaii John a. Burns School of Medicine, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
General Vascular Surgery Medical Group IncGroup PAC ID 1951390137, 5 clinicians

Practice addresses (Care Compare)

13851 E 14TH St
201 202
San Leandro, CA 94578-2631
Phone (510) 347-4700

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10
Removal of tissue11
Removal of skin lesions1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
General Vascular Surgery Medical Group, Inc. Vascular Surgery CurrentSince Sep 1, 2025 Accepting new patients
California Pacific Medical Group, Inc. PastSince Sep 1, 2025 Accepting new patients

Locations

2070 Clinton Ave
#3
Alameda, CA 94501
Phone (510) 521-4412

2800 Benedict Dr
San Leandro, CA 94577
Phone (510) 357-8300

13855 E 14th St
#2
San Leandro, CA 94578
Phone (510) 357-4006

13851 E 14th St
Ste 202
San Leandro, CA 94578
Phone (510) 347-4700

13851 E 14th St
#201202
San Leandro, CA 94578
Phone (510) 347-4700

100 Park Pl
#150
San Ramon, CA 94583
Phone (925) 275-0551

Interoperability endpoints

  • Direct secure messaging: tru.dang.1@1920.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/1920/brand/1/csg/1/fhir/r4

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 and National Provider Directory roles.

Hospital & facility affiliations 6

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": "1590710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590710400000",
    "number": "1760006316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2225 ASHLEY RIVER RD APT 322",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294144733",
            "telephone_number": "808-392-7181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "169 ASHLEY AVENUE",
            "address_2": "ROOM 202 MAIN HOSPITAL, MSC333",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "29425",
            "telephone_number": "843-792-6296"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "TRU",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-29",
        "last_updated": "2020-05-29",
        "certification_date": "2020-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "SC",
            "license": "LL84248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, SC

Sources for this page

Verify at the official NPI Registry.