Individual provider Active NPI

Quyen Van Truong, MD

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Lake Mary, FL
National Provider Identifier
1881056018
Registry record updated Sep 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
ME150249 Issued in FL
Practice address
761 Stirling Center PL
Lake Mary, FL 32746-5700
Phone
(386) 274-2977
NPI assigned
Mar 26, 2016
Last updated
Sep 2, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X ME150249 FL Primary

Addresses

Primary practice location

761 Stirling Center PL
Lake Mary, FL 32746-5700

Mailing address

1671 N Clyde Morris Blvd Ste 100
Daytona Beach, FL 32117-5590
Phone (386) 274-2977

Other practice location 1

1671 N Clyde Morris Blvd Ste 100
Daytona Beach, FL 32117-5590
Phone (386) 274-2977

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20210602000795 FL Practitioner - Physical Medicine and RehabilitationPractitioner - Pain Management 3072866342 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and RehabilitationAlso: Pain Management
Education
University of Miami, LM Miller School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ability Health Services, IncGroup PAC ID 4082523329, 1,249 clinicians
Ability Health Services and Rehabilitation LPGroup PAC ID 4981986288, shared by 2 NPIs, 1,260 clinicians
PRC Associates LLCGroup PAC ID 5890698708, 15 clinicians

Practice addresses (Care Compare)

1200 Lexington Green LN
Sanford, FL 32771-1013

761 Stirling Ctr PL
Lake Mary, FL 32746-5700
Phone (407) 732-7682

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME150249FLMDPain Medicine (Physical Medicine & Rehabilitation) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
PRC Associates LLC CurrentSince Jul 1, 2021 Accepting new patients
PRC Associates LLC CurrentSince Jul 1, 2021 Accepting new patients
Anesthesia Dynamics LLC Past Accepting new patients

Locations

1671 N Clyde Morris Blvd
Ste 100
Daytona Beach, FL 32117
Phone (386) 274-2977

517 Health Blvd
Daytona Beach, FL 32114
Phone (386) 274-1005

644 W Plymouth Ave
Deland, FL 32720
Phone (386) 410-4926

750 W Plymouth Ave
#B
Deland, FL 32720
Phone (386) 740-1123

761 Stirling Center Pl
Lake Mary, FL 32746
Phone (386) 274-2977

245 N Causeway
New Smyrna Beach, FL 32169
Phone (386) 410-4926

501 S Orange St
New Smyrna Beach, FL 32168
Phone (386) 265-1913

2720 Rebecca Ln
Ste 104
Orange City, FL 32763
Phone (386) 456-1160

1545 Hand Ave
Ste A1
Ormond Beach, FL 32174
Phone (386) 274-2977

21 Hospital Dr
Ste 120
Palm Coast, FL 32164
Phone (386) 586-2280

1165 Dunlawton Ave
Ste 101
Pt Orange, FL 32127
Phone (386) 760-0815

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1458950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662076800000",
    "number": "1881056018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1671 N CLYDE MORRIS BLVD STE 100",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321175590",
            "telephone_number": "386-274-2977",
            "fax_number": "386-274-2362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "761 STIRLING CENTER PL",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327465700",
            "telephone_number": "386-274-2977"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1671 N Clyde Morris Blvd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Daytona Beach",
            "state": "FL",
            "postal_code": "321175590",
            "country_code": "US",
            "telephone_number": "386-274-2977",
            "fax_number": "386-274-2362",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "QUYEN",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-26",
        "last_updated": "2022-09-02",
        "certification_date": "2022-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "FL",
            "license": "ME150249",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Mary, FL

Sources for this page

Verify at the official NPI Registry.