Individual provider Active NPI

Albert Donald Luong, MD

  • Surgery Physician
  • Lansing, MI
National Provider Identifier
1821518531
Registry record updated Jun 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
A167624 Issued in CA
Practice address
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone
(517) 267-2487
NPI assigned
Jun 23, 2017
Last updated
Jun 7, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 4301112921 MI
Surgery Physician 208600000X A167624 CA Primary

Addresses

Primary practice location

1215 E Michigan Ave
Lansing, MI 48912-1811

Mailing address

5150 N 6TH St Ste 104
Fresno, CA 93710-7505
Phone (559) 899-9607

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
I20250905004095 CA Practitioner - General Surgery 9436651676 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Innovative Wound Care IncGroup PAC ID 7911443650, 3 clinicians

Practice addresses (Care Compare)

5150 N 6TH St
Suite 100
Fresno, CA 93710-7505
Phone (559) 222-5362

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue152

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A167624CAMDSurgery Physician
4301112921MIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Innovative Wound Care Inc CurrentSince Jun 15, 2025 Accepting new patients

Locations

5150 N 6th St
Ste 100
Fresno, CA 93710
Phone (559) 222-5362

5150 N 6th St
Ste 104
Fresno, CA 93710
Phone (559) 222-4802

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.

NPI Registry JSON

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

{
    "created_epoch": "1498176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1749254400000",
    "number": "1821518531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 N 6TH ST STE 104",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937107505",
            "telephone_number": "559-899-9607",
            "fax_number": "559-222-5028"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 E MICHIGAN AVE",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489121811",
            "telephone_number": "517-267-2487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LUONG",
        "first_name": "ALBERT",
        "middle_name": "DONALD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-06-23",
        "last_updated": "2025-06-07",
        "certification_date": "2025-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MI",
            "license": "4301112921",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "CA",
            "license": "A167624",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.