Active NPI
Duong M Duong, MD
- Internal Medicine Physician
- Lakewood, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD00017755
- Practice address
- 4901 108TH St SW
Lakewood, WA 98499-3724 - Phone
- (206) 682-2101
- Fax
- (206) 682-2089
- NPI assigned
- Apr 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD00017755 | WA | Primary |
Addresses
Primary practice location
4901 108TH St SW
Lakewood, WA 98499-3724
Mailing address
PO Box 98886
Lakewood, WA 98496-8886
Phone (253) 589-6484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2099097 | Medicaid | WA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
- 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
- Internal Medicine
- Education
- Other, 1975
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
9725 SE 36TH St
214 Northwest Geriatrics
Mercer Island, WA 98040-3840
Phone (206) 275-3588
Hospital & facility affiliations
- Evergreen Health Hospice Care
- Kline Galland Hospice Services
- Briarwood at Timber Ridge
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD00017755 | WA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Duong Minh Duong,MD,PS | Current | Accepting new patients | |
| John H. Addison MD PS | Current | Accepting new patients | |
| Dong Nai Pharmacy | Past | Accepting new patients |
Locations
9725 SE 36th St
Ste 214
Mercer Island, WA 98040
Phone (206) 275-3588
9725 SE 36th St
Ste 410
Mercer Island, WA 98040
Phone (206) 275-3588
620 S Jackson St
Seattle, WA 98104
Phone (206) 624-4238
4901 108th St SW
Tacoma, WA 98499
Phone (253) 584-3577
Organizations & group practices 3
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Mercer Island, WA
- NPI 1497706774
-
- Clinic/Center
- Lakewood, WA
- NPI 1558665661
-
- Pharmacy
- Seattle, WA
- NPI 1326108770
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Inpatient Hospice
- Seattle, WA
- NPI 1831426352
-
- Community Based Hospice Care Agency
- Kirkland, WA
- NPI 1285719609
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567641600000",
"number": "1831154293",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 98886",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984968886",
"telephone_number": "253-589-6484",
"fax_number": "253-984-1079"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4901 108TH ST SW",
"city": "LAKEWOOD",
"state": "WA",
"postal_code": "984993724",
"telephone_number": "206-682-2101",
"fax_number": "206-682-2089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DUONG",
"first_name": "DUONG",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2019-09-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WA",
"license": "MD00017755",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2099097",
"state": "WA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lakewood, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; 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.