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MAI THI TRUC PHUNG MD
NPI 1912114216
Pediatrics - Neonatal-Perinatal Medicine in Orlando, FL

Active since May 17, 2007PECOS Enrolled
83 W MILLER ST, ORLANDO, FL 32806(407) 841-5218(407) 649-6939 Get Directions Write a Review

NPPES record last updated: June 27, 2014. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About Mai Thi Truc Phung Md NPPES

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

MAI THI TRUC PHUNG MD (NPI 1912114216) is an individual neonatal-perinatal medicine provider in Orlando, Florida, licensed in Florida (ME98813) and active in the NPI registry since May 2007. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912114216
Entity TypeIndividualFemale
Primary Taxonomy2080N0001X
Provider Legal NameMAI THI TRUC PHUNGCredential: MD
Location Address83 W MILLER STOrlando, FL 32806-2031
Mailing Address1500 Concord TerSunrise, FL 33323-2815 · (800) 243-3839 · Fax (954) 858-0404
Phone(407) 841-5218
Fax(407) 649-6939
Sole ProprietorNo
Enumeration DateMay 17, 2007
Last NPPES UpdateJune 27, 2014
✔ NPI 1912114216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatrics · Neonatal-Perinatal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080N0001X
License✔ Licensed in FL · ME98813
Definition
A pediatrician who is the principal care provider for sick newborn infants. Clinical expertise is used for direct patient care and for consulting with obstetrical colleagues to plan for the care of mothers who have high-risk pregnancies.
83 W MILLER ST, Orlando, FL 32806
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Other Identifiers 1

Medicaid278518800FL

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mai Thi Truc Phung Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

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.

DR. MELISSA SOLTERO CASTANER MD
Obstetrics & Gynecology
83 W MILLER ST
ORLANDO, FL 32806
Orange County (321) 841-5281
TERESA L. CONRAD M.D.
Obstetrics & Gynecology
83 W MILLER ST
ORLANDO, FL 32806
Orange County (321) 843-8164
PUJA KALIDAS M.D.
Obstetrics & Gynecology
83 W MILLER ST
ORLANDO, FL 32806
Orange County (321) 841-5281
DR. CHRISTA ERIN MATRONE
Pediatrics (Neonatal-Perinatal Medicine)
83 W MILLER ST
ORLANDO, FL 32806
Orange County (352) 346-2108
DEAN SIDER MD
Anesthesiology
83 W MILLER ST
ORLANDO, FL 32806
Orange County (321) 843-2584
SINDY CAROLINA MORENO RENDON MD
Obstetrics & Gynecology
83 W MILLER ST
ORLANDO, FL 32806
Orange County (321) 843-5523
PEDIATRIX MEDICAL GROUP OF FLORIDA, INC
Pediatrics (Pediatric Cardiology)
83 W MILLER ST
ORLANDO, FL 32806
Orange County (321) 843-9792
CASEY LEE ARLOTTA PA-C
Physician Assistant (Surgical)
83 W MILLER ST
ORLANDO, FL 32806
Orange County (321) 842-9863

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 Mai Phung's NPI number?

The NPI number for Mai Phung is 1912114216. It was assigned to this individual provider in the NPPES registry on May 17, 2007.

Where is Mai Phung located?

Mai Phung practices at 83 W Miller St, Orlando, FL 32806. The listed phone number is (407) 841-5218.

What is Mai Phung's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Neonatal-Perinatal Medicine, with taxonomy code 2080N0001X.

Is Mai Phung enrolled in Medicare?

Yes. Mai Phung is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mai Phung was last updated on June 27, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.