Individual provider Active NPI

Duc Cong Bui, M.D.

  • Nephrology Physician
  • Glendale, CA
National Provider Identifier
1831170950
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
A45958 Issued in CA
Practice address
801 S Chevy Chase Dr Ste 101
Glendale, CA 91205-4437
Phone
(818) 265-2204
Fax
(818) 265-2201
NPI assigned
Nov 7, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X A45958 CA Primary

Addresses

Primary practice location

801 S Chevy Chase Dr Ste 101
Glendale, CA 91205-4437

Mailing address

801 S Chevy Chase Dr Ste 101
Glendale, CA 91205-4437
Phone (818) 265-2204

Other practice location 1

801 S Chevy Chase Dr Ste 101
Glendale, CA 91205-4437
Phone (818) 265-2204

Other identifiers 1

IdentifierTypeStateIssuer
00A459580MedicaidCA

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
I20040324001212 CA Practitioner - Internal Medicine 9335030550 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

801 S Chevy Chase Dr
Suite 101
Glendale, CA 91205-4437
Phone (818) 265-2204

801 S Chevy Chase Dr
Suite 105
Glendale, CA 91205-4432

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A45958CAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glendale Community Medical Group Inc CurrentSince Mar 1, 2002 Accepting new patients

Locations

801 S Chevy Chase Dr
Ste 105
Glendale, CA 91205
Phone (818) 242-5299

1509 Wilson Ter
Glendale, CA 91206
Phone (818) 409-8071

801 S Chevy Chase Dr
Ste 101
Glendale, CA 91205
Phone (323) 242-5299

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1131321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1831170950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 S CHEVY CHASE DR STE 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054437",
            "telephone_number": "818-265-2204",
            "fax_number": "818-265-2201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 S CHEVY CHASE DR STE 101",
            "city": "GLENDALE",
            "state": "CA",
            "postal_code": "912054437",
            "telephone_number": "818-265-2204",
            "fax_number": "818-265-2201"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "801 S Chevy Chase Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Glendale",
            "state": "CA",
            "postal_code": "912054437",
            "country_code": "US",
            "telephone_number": "818-265-2204",
            "fax_number": "818-265-2201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUI",
        "first_name": "DUC",
        "middle_name": "CONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-11-07",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "CA",
            "license": "A45958",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A459580",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, CA

Sources for this page

Verify at the official NPI Registry.