NPIMap

Individual provider Active NPI

Truong Bao, M.D.

  • Internal Medicine Physician
  • Rockville, MD
National Provider Identifier
1972553394
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
D0057124 Issued in MD
Practice address
10110 Molecular Dr Ste 114
Rockville, MD 20850-7538
Phone
(301) 780-4745
Fax
(301) 605-7550
NPI assigned
May 10, 2006
Last updated
Apr 23, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X D0057124 MD Primary

Addresses

Primary practice location

10110 Molecular Dr Ste 114
Rockville, MD 20850-7538

Mailing address

10110 Molecular Dr Ste 114
Rockville, MD 20850-7538
Phone (301) 780-4745

Other identifiers 1

IdentifierTypeStateIssuer
699026600MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101130000773 DC Practitioner - Internal Medicine 6608952049 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Maryland School of Medicine, 1994
Medicare assignment
May accept Medicare assignment
Group practices
Maryland Medical Group IncGroup PAC ID 1052788114, 11 clinicians

Practice addresses (Care Compare)

10110 Molecular Dr
Suite 114
Rockville, MD 20850-7538
Phone (301) 780-4745

6410 Rockledge Dr
Suite 600
Bethesda, MD 20817-1844

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D0057124MDMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Maryland Medical Group, Inc Internal Medicine CurrentSince Oct 15, 2022 Accepting new patients
Montgomery Medical Associates, P.C. CurrentSince Sep 1, 2001 Accepting new patients
Bethesda Operator LLC Past Accepting new patients
Kensington Nursing, LLC Past Accepting new patients
Carriage Hill Opco LLC Past Accepting new patients
Friends House Retirement Community, Inc Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients
Bethesda SNF Operator LLC Past Accepting new patients
8700 Jones Mill Road Opco LLC Past Accepting new patients
Wheaton Operator LLC Past Accepting new patients

Locations

10110 Molecular Dr
Ste 114
Rockville, MD 20850
Phone (301) 780-4745

10110 Molecular Dr
Ste 206
Rockville, MD 20850
Phone (301) 279-2779

10110 Molecular Dr
Ste 218
Rockville, MD 20850
Phone (301) 315-2227

Interoperability endpoints

  • Direct secure messaging: drbao@montgomerymedical.gwaydirect.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.519005
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.608025
  • Direct secure messaging: truong.bao@mmgi.gwaydirect.com

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Collingswood Rehabilitation and Healthcare CenterRockville, MD, CCN 215092 Skilled nursing facility Operational/Managerial Control
Adp of the SNF		 Jan 1, 2019
Jan 1, 2019

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 11

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 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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1972553394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10110 MOLECULAR DR STE 114",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507538",
            "telephone_number": "301-780-4745",
            "fax_number": "301-605-7550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10110 MOLECULAR DR STE 114",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208507538",
            "telephone_number": "301-780-4745",
            "fax_number": "301-605-7550"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAO",
        "first_name": "TRUONG",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MD",
            "license": "D0057124",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "699026600",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rockville, MD

Sources for this page

Verify at the official NPI Registry.