Cuong DO
Individual provider Active NPI Emergency Medicine Physician · Toledo, OH
NPI 1861456964 · NPPES record last updated Dec 24, 2007
Key facts
- NPI
- 1861456964
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 35-07-6648 (OH)
- Practice address
- 2142 N Cove Blvd
Toledo, OH 43606-3895 - Phone
- (419) 291-4101
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 16
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- The Toledo Hospital
Emergency Physicians of Northwest Ohio, Inc.
Practice addresses (Care Compare)
2142 N Cove Blvd
Toledo, OH 43606-3895
Phone (419) 291-4000
718 N Macomb St
Monroe, MI 48162-7815
Phone (734) 240-8400
Hospital & facility affiliations
- Promedica Toledo Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 99.25 of 100
- Quality
- 96.55
- Improvement activities
- 40
- Cost
- 89.76
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in OH, MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050512000610 | OH | Practitioner - Emergency Medicine | 5395795512 | Reassigns benefits to 4 organizations |
| I20190904001754 | MI | Practitioner - Emergency Medicine | 5395795512 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 52584 | CA | MD | Marriage & Family Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Observation Physicians of Northwest Ohio LLC | Emergency Medicine | Current |
Accepting new patients |
| The Toledo Hospital | Current |
Accepting new patients | |
| The Toledo Hospital | Current |
Accepting new patients | |
| The Toledo Hospital | Current | Accepting new patients | |
| Haematology-Oncology Associates of Ohio and Michigan PC | Current | Accepting new patients | |
| Consultants in Laboratory Medicine of Greater Toledo | Current | Accepting new patients | |
| Joint Township District Memorial Hospital | Current |
Accepting new patients | |
| Emergency Physicians of Northwest Ohio Inc. | Emergency Medicine | Current |
Accepting new patients |
| Emergency Physicians of Northwest Ohio, LLC | Emergency Medicine | Past | Accepting new patients |
| Fostoria Hospital Association | Past | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients | |
| JTDM Family Practice LLC | Past | Accepting new patients |
Locations
718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097
1200 Ralston Ave
Defiance, OH 43512
Phone (419) 783-6944
501 Van Buren St
Fostoria, OH 44830
Phone (419) 435-7734
455 W 4th St
Ste 10
Fostoria, OH 44830
Phone (419) 436-8320
1001 Bellefontaine Ave
Lima, OH 45804
Phone (419) 228-3335
200 Saint Clair Ave
Saint Marys, OH 45885
Phone (419) 394-3387
2142 N Cove Blvd
Toledo, OH 43606
Phone (419) 291-1111
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 35-07-6648 | OH | Yes |
Addresses
Primary practice location
2142 N Cove Blvd
Toledo, OH 43606-3895
Mailing address
6896 W Snowville Rd
Brecksville, OH 44141-3214
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 810547599048 | Medicaid | OH | |
| 727186 | Other | OH | BCHP |
| 4440955 | Medicaid | MI | |
| 341960760032 | Other | OH | CARESOURCE |
| 000000271431 | Other | OH | ANTHEM |
| 000000372948 | Other | OH | ANTHEM |
| 2222106 | Medicaid | OH |
Other providers in Toledo, OH
- Tiffany Dixon
- Yonnis Dixon
- Elizabeth Lipsey Diyanni
- Djmnp LLC
- Kristina Djordjevski
- Megan Dobbelaere
- Jessica Ann Dobbs
- Karen Emily Dobies
- Mallory Dobrosky
- Lavon Doby
All providers in Toledo, OH · Emergency Medicine Physician in Ohio
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 24, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.