DR. PAUL NHAN-CHINH LUONG M.D.
NPI 1558687798
Internal Medicine - Hospice and Palliative Medicine in Modesto, CA

NPI Status: Active since April 13, 2010

Contact Information

4601 DALE RD
MODESTO, CA
ZIP 95356
Phone: (209) 323-0942

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  • Individual
  • Male
  • Years of Experience 21
  • Internal Medicine
  • Hospice and Palliative Medicine
  • Accepts Medicare Approved Payment
  • PECOS Enrolled

About PAUL LUONG

This page provides the complete NPI Profile along with additional information for Paul Luong, an internist established in Modesto, California with a medical specialization in Internal Medicine, focusing in hospice and palliative medicine and more than 21 years of experience. The healthcare provider is registered in the NPI registry with number 1558687798 assigned on April 2010. The practitioner's primary taxonomy code is 207RH0002X with license number A109848 (CA). The provider is registered as an individual and his NPI record was last updated 5 years ago.

NPI
1558687798
Provider Name
DR. PAUL NHAN-CHINH LUONG M.D.
Other Name
DR. NHAN CHINH LUONG M.D.
Other Name Type
Other Name (5)
Gender
Male
Entity Type
Individual
Location Address
4601 DALE RD MODESTO, CA 95356
Location Phone
(209) 323-0942
Mailing Address
2023 WESTPORT ST MANTECA, CA 95337
Mailing Phone
(209) 665-4163
Medical School Name
OTHER
Graduation Year
2006
Is Sole Proprietor?
No
Enumeration Date
04-13-2010
Last Update Date
01-10-2022
Code Navigator

An internist like Paul Luong is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Internal Medicine Hospice and Palliative Medicine

Taxonomy Code
207RH0002X
Type
Allopathic & Osteopathic Physicians
License No.
A109848
License State
CA
Taxonomy Description
An internal medicine physician with special knowledge and skills to prevent and relieve the suffering experienced by patients with life-limiting illnesses. This specialist works with an interdisciplinary hospice or palliative care team to maximize quality of life while addressing physical, psychological, social and spiritual needs of both patient and family throughout the course of the disease, through the dying process, and beyond for the family. This specialist has expertise in the assessment of patients with advanced disease; the relief of distressing symptoms; the coordination of interdisciplinary patient and family-centered care in diverse venues; the use of specialized care systems including hospice; the management of the imminently dying patient; and legal and ethical decision making in end-of-life care.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

A109848 (CA)
2390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

257761 (NY)

Medicare Participation & PECOS Enrollment Status

Paul Luong is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

Paul Luong is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 9335398924

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20120925000254

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

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NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1558687798, we treat the final digit (8) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 72. The final step is to find the difference between that total and the next multiple of ten (80 - 72 = 8).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
5
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
8
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
8
Unchanged
Pos 7
7
Doubled → 14 → 1 + 4
Pos 8
7
Unchanged
Pos 9
9
Doubled → 18 → 1 + 8
Check
8
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 6 → 12 → 3 7 → 14 → 5 9 → 18 → 9

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 5 + 1 + 0 + 8 + 1 + 2 + 8 + 1 + 4 + 7 + 1 + 8 + 24 = 72

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 72 is 80. The difference is the calculated check digit.

80 - 72 = 8
This NPI is valid
The calculated check digit is 8, which matches the last digit of 1558687798.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Urology
4601 DALE RD, MODESTO
MODESTO, CA 95356
Internal Medicine
4601 DALE RD
MODESTO, CA 95356
Hospitalist
4601 DALE RD
MODESTO, CA 95356
Family Medicine
4601 DALE RD
MODESTO, CA 95356
Family Medicine
4601 DALE RD
MODESTO, CA 95356
Pediatrics
4601 DALE RD
MODESTO, CA 95356
Pediatrics
4601 DALE RD
MODESTO, CA 95356
Radiology (Diagnostic Radiology)
4601 DALE RD
MODESTO, CA 95356
Pediatrics
4601 DALE RD
MODESTO, CA 95356
Psychiatry & Neurology (Psychiatry)
4601 DALE RD
MODESTO, CA 95356
Urology
4601 DALE RD
MODESTO, CA 95356
Podiatrist
4601 DALE RD
MODESTO, CA 95356
Preventive Medicine (Occupational Medicine)
4601 DALE RD
MODESTO, CA 95356
Family Medicine
4601 DALE RD
MODESTO, CA 95356
Internal Medicine (Cardiovascular Disease)
4601 DALE RD
MODESTO, CA 95356
Pharmacist
4601 DALE RD
MODESTO, CA 95356
Psychiatry & Neurology (Child & Adolescent Psychiatry)
4601 DALE RD
MODESTO, CA 95356
Physical Therapy Assistant
4601 DALE RD
MODESTO, CA 95356
Pain Medicine (Pain Medicine)
4601 DALE RD
MODESTO, CA 95356
Ophthalmology
4601 DALE RD
MODESTO, CA 95356

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1558687798, enumerated as an "individual" on April 13, 2010.

The provider is located at 4601 DALE RD MODESTO, CA 95356 and the phone number is (209) 323-0942.

Internal Medicine with taxonomy code 207RH0002X and a focus in Hospice and Palliative Medicine.