Individual provider Active NPI

Van T Tuong

  • Family Medicine Physician
  • Louisville, KY
National Provider Identifier
1972660678
Registry record updated Oct 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02499 Issued in KY
Practice address
2619 Evergreen Wynde
Louisville, KY 40223-1370
Phone
(502) 254-0087
NPI assigned
Jan 2, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 6, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 02499 KY Primary

Addresses

Primary practice location

2619 Evergreen Wynde
Louisville, KY 40223-1370

Mailing address

2619 Evergreen Wynde
Louisville, KY 40223-1370

Other identifiers 4

IdentifierTypeStateIssuer
080127646OtherRAILROAD MEDICARE
64024995MedicaidKY
2436295000OtherPASSPORT ADVANTAGE
1101539OtherPASSPORT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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
I20110411000121 KY Practitioner - Family Practice 4284818618 Reassigns benefits to 1 organization
Practice locations: Louisiville, KY; Lousiville, KY; Louisville, KY

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
02499KYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Alignmed Partners, PC CurrentSince Jan 1, 2018 Accepting new patients
Hieu Tuong Inc. Past Accepting new patients

Locations

845 Paddock Ave
Meriden, CT 06450
Phone (203) 238-2645

1040 US Highway 127 S
Frankfort, KY 40601
Phone (502) 229-1425

4604 Lowe Rd
Louisville, KY 40220
Phone (502) 403-1620

5123 Juan Tabo Blvd NE
Albuquerque, NM 87111
Phone (505) 292-3333

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1167696000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1286323200000",
    "number": "1972660678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 EVERGREEN WYNDE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402231370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 EVERGREEN WYNDE",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402231370",
            "telephone_number": "502-254-0087"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TUONG",
        "first_name": "VAN",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-02",
        "last_updated": "2010-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "02499",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "080127646",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64024995",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE",
            "identifier": "2436295000",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT",
            "identifier": "1101539",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.