Active NPI
Duc Q Vu, M.D.
- Nephrology Physician
- Kingsport, TN
National Provider Identifier
1770573172
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 024026
- Practice address
- 2002 Brookside Dr
Suite 102
Kingsport, TN 37660-4634 - Phone
- (423) 245-6000
- Fax
- (423) 245-6062
- NPI assigned
- Oct 26, 2005
- Last updated
- Jan 28, 2020
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 024026 | TN | Primary |
Addresses
Primary practice location
2002 Brookside Dr
Suite 102
Kingsport, TN 37660-4634
Mailing address
2002 Brookside Dr
Suite 102
Kingsport, TN 37660-4634
Phone (423) 245-6000
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6088082 | Medicaid | VA | |
| 850002 | Other | TN | JOHN DEERE HEALTH |
| 152677 | Other | TN | BLUE CROSS BLUE SHIELD |
| 3073768 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- University of Texas Medical School at San Antonio, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2002 Brookside Dr
Suite 102
Kingsport, TN 37660-4634
Phone 4232456000211
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 024026 | TN | MD | Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Kidney Care, PC | Current | Accepting new patients |
Locations
2002 Brookside Dr
Ste 102
Kingsport, TN 37660
Phone (423) 245-6000
Interoperability endpoints
- dvu12101@direct.acumenmd.com
Organizations & group practices 1
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.
-
- Specialist
- Kingsport, TN
- NPI 1073638144
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Indian Path Community Hospital
- General Acute Care Hospital
- Kingsport, TN
- NPI 1992813240
-
dba Bristol Regional Medical Center
- General Acute Care Hospital
- Bristol, TN
- NPI 1124058615
-
dba Holston Valley Medical Center
- General Acute Care Hospital
- Kingsport, TN
- NPI 1487690400
-
dba Clinch Valley Medical Center
- General Acute Care Hospital
- Richlands, VA
- NPI 1871534297
-
dba Lonesome Pine Hospital
- General Acute Care Hospital
- Big Stone Gap, VA
- NPI 1801826912
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130284800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1580169600000",
"number": "1770573172",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2002 BROOKSIDE DR",
"address_2": "SUITE 102",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604634",
"telephone_number": "423-245-6000",
"fax_number": "423-245-6062"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2002 BROOKSIDE DR",
"address_2": "SUITE 102",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604634",
"telephone_number": "423-245-6000",
"fax_number": "423-245-6062"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VU",
"first_name": "DUC",
"middle_name": "Q",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-26",
"last_updated": "2020-01-28",
"certification_date": "2020-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "TN",
"license": "024026",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6088082",
"state": "VA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE HEALTH",
"identifier": "850002",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "152677",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3073768",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2020; 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.