QUAN M LUONG D.O. NPI 1366705600

NPI Information

  • NPI: 1366705600
  • Provider Name: QUAN M LUONG, D.O.
  • Classification: General Practice - 208D00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 10506 SOUTH RIVA RIDGE LOOP
    CONNOR TROOP MEDICAL CLINIC BLDG 10506
    FORT DRUM, NY
    ZIP 13602
  • Phone: (315) 772-8443

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NPI Details

Quan M Luong, D.O. is a general practice in Fort Drum, NY with 13 years of experience. The provider is a physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee Quan M Luong, D.O. NPI is 1366705600. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Graduation Year:2012

The provider's business location address is:

10506 SOUTH RIVA RIDGE LOOP
CONNOR TROOP MEDICAL CLINIC BLDG 10506
FORT DRUM, NY
ZIP 13602-000
Phone: (315) 772-8443

The NPI 1366705600 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • New patient office or other outpatient visit, 45-59 minutes (HCPCS:99204)
  • Established patient office or other outpatient visit, 30-39 minutes (HCPCS:99214)
  • X-ray of lower and sacral spine, 2-3 views (HCPCS:72100)
  • Established patient office or other outpatient visit, 20-29 minutes (HCPCS:99213)

The enumeration date for this NPI number is 6/21/2012 and was last updated on 8/29/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1208D00000XGeneral Practice1051NEBRASKAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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