PHUC CAO DANG MD
NPI 1457316150
Internal Medicine in San Jose, CA

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment
1692 TULLY RD, SUITE #10, SAN JOSE, CA 95122(408) 531-8572(408) 531-8574 Get Directions Write a Review

NPPES record last updated: September 25, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Phuc Cao Dang Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PHUC CAO DANG MD (NPI 1457316150) is an individual internal medicine provider in San Jose, California, licensed in California (A67799) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1457316150
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NamePHUC CAO DANGCredential: MD
Location Address1692 TULLY RD, SUITE #10San Jose, CA 95122-2549
Mailing AddressPo Box 21850San Jose, CA 95151-1850
Fax(408) 531-8574
Sole ProprietorNo
Medical School CMSOtherGraduated 1989
Enumeration DateApril 18, 2006
Last NPPES UpdateSeptember 25, 2012
NPI 1457316150 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in CA · A67799
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
1692 TULLY RD, San Jose, CA 95122

Other Identifiers 3

Medicare ID-Type Unspecified00A677991CA
Medicaid00A677990CA
Medicare UPINH08518

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Phuc Cao Dang Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8729102884
PECOS Enrollment IDI20100826000995
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95122 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 10

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
1692 TULLY RD, 18
SAN JOSE, CA 95122
Dentist (General Practice)
1692 TULLY RD, STE 4
SAN JOSE, CA 95122
Pharmacy (Community/Retail Pharmacy)
1692 TULLY RD, SUITE 7
SAN JOSE, CA 95122
Internal Medicine
1692 TULLY RD, SUITE # 10
SAN JOSE, CA 95122
Dentist (General Practice)
1692 TULLY RD, STE 4
SAN JOSE, CA 95122
Pharmacist
1692 TULLY RD, STE 7
SAN JOSE, CA 95122
Internal Medicine
1692 TULLY RD, SUITE #10
SAN JOSE, CA 95122
Dentist (General Practice)
1692 TULLY RD, 18
SAN JOSE, CA 95122

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Phuc Dang's NPI number?

The NPI number for Phuc Dang is 1457316150. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Phuc Dang located?

Phuc Dang practices at 1692 Tully Rd Suite #10, San Jose, CA 95122. The listed phone number is (408) 531-8572.

What is Phuc Dang's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Phuc Dang enrolled in Medicare?

Yes. Phuc Dang is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Phuc Dang was last updated on September 25, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.