Individual provider Active NPI

Gerald Triminh Huy Dang, M.D.

  • Urology Physician
  • Memphis, TN
National Provider Identifier
1992908297
Registry record updated Dec 18, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
42380 Issued in TN
Practice address
995 S Yates Rd
Ste. 1
Memphis, TN 38119-0882
Phone
(901) 527-7100
NPI assigned
Jun 6, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X 42380 TN Primary
Urology Physician 208800000X 19806 MS

Addresses

Primary practice location

995 S Yates Rd
Ste. 1
Memphis, TN 38119-0882

Mailing address

995 S Yates Rd
Ste. 1
Memphis, TN 38119-0882
Phone (901) 527-7100

Other identifiers 3

IdentifierTypeStateIssuer
09350075MedicaidMS
3000256MedicaidTN
P00405464OtherMSRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS, TN2 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
I20070730000093 MS Practitioner - Urology 9638270085 Reassigns benefits to 1 organization
I20070806000506 TN Practitioner - Urology 9638270085 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Tulane University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Urology Network PCGroup PAC ID 3779501390, shared by 2 NPIs, 3 clinicians

Practice addresses (Care Compare)

7420 Guthrie Dr N
Suite 111
Southaven, MS 38671-5877
Phone (662) 349-2220

995 S Yates
Suite 1
Memphis, TN 38119-0882

995 S Yates Rd
Suite 1
Memphis, TN 38119-0882
Phone (901) 527-7100

9950 S Yates Rd
Suite 1
Memphis, TN 38119-0882

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
42380TNMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Urology Network PC Urology CurrentSince Jul 1, 2007 Accepting new patients
Southeast Urology Network PC Urology CurrentSince Jul 1, 2007 Accepting new patients
Trasun LLC SH Past Accepting new patients

Locations

7420 Guthrie Dr N
Ste 111
Southaven, MS 38671
Phone (662) 349-2220

995 S Yates Rd
Ste 1
Memphis, TN 38119
Phone (901) 527-7100

Interoperability endpoints

  • Direct secure messaging: gdang26268@mlh.direct-ci.com

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 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": "1181088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229558400000",
    "number": "1992908297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "995 S YATES RD",
            "address_2": "STE. 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190882",
            "telephone_number": "901-527-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "995 S YATES RD",
            "address_2": "STE. 1",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381190882",
            "telephone_number": "901-527-7100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANG",
        "first_name": "GERALD",
        "middle_name": "TRIMINH HUY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-06",
        "last_updated": "2008-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "TN",
            "license": "42380",
            "primary": true
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "MS",
            "license": "19806",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09350075",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3000256",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00405464",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.