Individual provider Active NPI

Allan Philip Kuong, DO

  • Emergency Medicine Physician
  • Shrewsbury, MA
National Provider Identifier
1790868412
Registry record updated Mar 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
80098 Issued in MA
Practice address
222 Boston Tpke
Shrewsbury, MA 01545-5224
Phone
(508) 831-4080
NPI assigned
Oct 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 80098 MA Primary

Addresses

Primary practice location

222 Boston Tpke
Shrewsbury, MA 01545-5224

Mailing address

222 Boston Tpke
Shrewsbury, MA 01545-5224
Phone (508) 831-4080

Other identifiers 8

IdentifierTypeStateIssuer
010453642OtherMEMEDNET
2533222OtherMEAETNA
282200099MedicaidME
104384OtherMECIGNA
039480OtherMEANTHEM
010453642OtherMEGREATWEST/ONE HEALTH
930103617OtherMERR MEDICARE
F88000OtherMEHARVARD PILGRIM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, VA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20071013000092 MA Practitioner - Emergency Medicine 1153368733 Reassigns benefits to 4 organizations
I20240209002872 VA Practitioner - Emergency Medicine 1153368733 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgi Center Medical GroupGroup PAC ID 3476790601, 83 clinicians

Practice addresses (Care Compare)

2 Jan Sebastian Dr
Suite 101
Sandwich, MA 02563-2377
Phone (508) 833-2639

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
80098MAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Virginia Emergency Medicine CurrentSince Dec 28, 2023 Accepting new patients
Emerson Practice Associates, Inc. CurrentSince Jun 1, 2017 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince May 1, 2016 Accepting new patients
Medexpress Urgent Care, PC - Massachusetts Emergency Medicine CurrentSince Jul 26, 2022 Accepting new patients
Medexpress Urgent Care, PC - Virginia Emergency Medicine CurrentSince Dec 28, 2023 Accepting new patients
Urgi Center Medical Group CurrentSince May 1, 2016 Accepting new patients
Medexpress Urgent Care, PC - Massachusetts Emergency Medicine CurrentSince Jul 26, 2022 Accepting new patients
Medical Affiliates of Cape Cod, Inc. CurrentSince May 1, 2016 Accepting new patients
Webster Emergency Physicians Emergency Medicine Past Accepting new patients

Locations

200 Groton Rd
Ayer, MA 01432
Phone (978) 784-9000

1505 Memorial Dr
Chicopee, MA 01020
Phone (413) 331-4336

133 Ornac
Concord, MA 01742
Phone (978) 287-3000

100 Ter Heun Dr
Falmouth, MA 02540
Phone (508) 457-3501

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

2 Jan Sebastian Dr
Ste 101
Sandwich, MA 02563
Phone (508) 833-2639

430 Cooley St
Springfield, MA 01128
Phone (413) 295-4144

273 Teaticket Hwy
Teaticket, MA 02536
Phone (508) 495-8000

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510

Interoperability endpoints

  • Direct secure messaging: allan.kuong.npi1790868412.reliant@direct.optumcare.masshiway.net

Organizations & group practices 9

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1161648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1363132800000",
    "number": "1790868412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 BOSTON TPKE",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015455224",
            "telephone_number": "508-831-4080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 BOSTON TPKE",
            "city": "SHREWSBURY",
            "state": "MA",
            "postal_code": "015455224",
            "telephone_number": "508-831-4080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KUONG",
        "first_name": "ALLAN",
        "middle_name": "PHILIP",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-24",
        "last_updated": "2013-03-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MA",
            "license": "80098",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDNET",
            "identifier": "010453642",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2533222",
            "state": "ME"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "282200099",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "104384",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "039480",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREATWEST/ONE HEALTH",
            "identifier": "010453642",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "930103617",
            "state": "ME"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "F88000",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Shrewsbury, MA

Sources for this page

Verify at the official NPI Registry.