Dr. Duy Trong Dao, MD
Surgery, Pediatric Surgery in Philadelphia, PA. Individual provider (NPI-1).
NPI number1104263391
StatusActive
Last updated in NPPESSep 9, 2025
Details
- NPI
- 1104263391
- Entity type
- Individual (NPI-1)
- Name
- Dr. Duy Trong Dao
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 28, 2013
- Certification date
- Sep 9, 2025
- Last updated
- Sep 9, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - GENERAL SURGERY
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0120X | Surgery, Pediatric Surgery | MD476961 | PA | Yes |
Practice location
3401 Civic Center BlvdDivision Of Pediatric General Surgery
Philadelphia, PA 19104
Phone 215-590-5294
Mailing address
3401 Civic Center BlvdPhiladelphia, PA 19104-4319
Phone 267-425-9538
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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