Individual provider Active NPI

Truong Dinh Duong, MD

  • Clinical Cardiac Electrophysiology Physician
  • Glendale, AZ
National Provider Identifier
1922033729
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X
License
71816 Issued in AZ
Practice address
18700 N 64TH Dr Ste 105
Glendale, AZ 85308-7110
Phone
(602) 698-7325
Fax
(480) 500-8430
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 71816 AZ
Cardiovascular Disease Physician 207RC0000X A70137 CA
Clinical Cardiac Electrophysiology Physician 207RC0001X 71816 AZ Primary

Addresses

Primary practice location

18700 N 64TH Dr Ste 105
Glendale, AZ 85308-7110

Mailing address

12361 W Bola Dr Ste 100
Surprise, AZ 85378-9021
Phone (602) 698-7325

Other identifiers 1

IdentifierTypeStateIssuer
00A701373MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20060911000561 CA Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 6002810744
I20240516004185 AZ Practitioner - Cardiac ElectrophysiologyPractitioner - Cardiovascular Disease (Cardiology) 6002810744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiac ElectrophysiologyAlso: Cardiovascular Disease (Cardiology)
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
National Cardiovascular Associates LLCGroup PAC ID 7315362969, 16 clinicians

Practice addresses (Care Compare)

12361 W Bola Dr
Suite 100
Surprise, AZ 85378-9021
Phone (602) 641-9486

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
70137CAMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
A70137CAMDCardiovascular Disease Physician
71816AZMDClinical Cardiac Electrophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
National Cardiovascular Associates, LLC Cardiovascular Disease CurrentSince May 1, 2024 Accepting new patients
Dignity Health Medical Foundation PastSince Jun 11, 2011 Accepting new patients
Inpatient Management Medical Group Inc Past Accepting new patients

Locations

10825 W McDowell Rd
Ste 320
Avondale, AZ 85392
Phone (602) 698-7325

10825 W McDowell Rd
Ste 310
Avondale, AZ 85392
Phone (602) 698-7325

203 S Candy Ln
Ste 4A
Cottonwood, AZ 86326
Phone (928) 649-1389

1501 S Yale St
Ste 152
Flagstaff, AZ 86001
Phone (254) 747-5243

1340 N Rim Dr
Flagstaff, AZ 86001
Phone (928) 774-1873

18700 N 64th Dr
Ste 105
Glendale, AZ 85308
Phone (602) 698-7325

3773 Crossings Dr
Ste C
Prescott, AZ 86305
Phone (602) 698-7325

12361 W Bola Dr
Ste 100
Surprise, AZ 85378
Phone (602) 698-7325

12361 W Bola Dr
Ste 112
Surprise, AZ 85378
Phone (602) 698-7325

Networks

  • BSC 65 PLUS INDIVIDUAL MAPD

Interoperability endpoints

  • Direct secure messaging: tduong100911@direct.llu.edu

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.

Hospital & facility affiliations 7

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1922033729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12361 W BOLA DR STE 100",
            "city": "SURPRISE",
            "state": "AZ",
            "postal_code": "853789021",
            "telephone_number": "602-698-7325",
            "fax_number": "480-500-8430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18700 N 64TH DR STE 105",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853087110",
            "telephone_number": "602-698-7325",
            "fax_number": "480-500-8430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DUONG",
        "first_name": "TRUONG",
        "middle_name": "DINH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "71816",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "CA",
            "license": "A70137",
            "primary": false
        },
        {
            "code": "207RC0001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": "AZ",
            "license": "71816",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A701373",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

Verify at the official NPI Registry.