KELLY VAN TRUONG
NPI 1528848637
Anesthesiologist Assistant in Davie, FL

Q: What is Kelly Truong's NPI number?

The NPI number for Kelly Truong is 1528848637. It was assigned to this individual provider in the NPPES registry on October 5, 2023.

Q: What is Kelly Truong's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Truong was last updated on October 5, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.

Active since October 05, 2023Accepts Medicare Assignment

3476 S UNIVERSITY DR, DAVIE, FL 33328(954) 475-4400 Get Directions Write a Review

NPPES record last updated: October 5, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kelly Van Truong NPPES

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

KELLY VAN TRUONG (NPI 1528848637) is an individual anesthesiologist assistant in Davie, Florida, licensed in Florida (AA871) and active in the NPI registry since October 2023. She is affiliated with Hca Florida University Hospital and is a graduate of Other (2023).

NPPES Registry Identity

NPI1528848637

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameKELLY VAN TRUONG

Location Address3476 S UNIVERSITY DRDavie, FL 33328-2000

Mailing Address1301 Sw 80th Ter Apt 127Plantation, FL 33324-4075

Phone(954) 475-4400

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateOctober 5, 2023

NPPES CertifiedOctober 5, 2023

✔ NPI 1528848637 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in FL · AA871

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

3476 S UNIVERSITY DR, Davie, FL 33328

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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

Kelly Van Truong 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 ID9537509310

PECOS Enrollment IDI20240426000664

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Hca Florida University Hospital

Acute Care Hospitals · Davie, FL

3/5 CMS rating

OwnershipProprietary

CMS Certification Number100360

Location3476 S University DrDavie, FL 33328 · Broward County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

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

PEDIATRIX MEDICAL GROUP OF FLORIDA INC

Pediatrics (Pediatric Cardiology)

3476 S UNIVERSITY DR
FT LAUDERDALE, FL 33328

Broward County (800) 243-3839

SHERIDAN CHILDREN'S HEALTHCARE SERVICES, INC.

Audiologist