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Deactivated NPI 1023057023 Deactivated / Inactive NPI Male Practitioner

Dr. Hieu Khac Vu , MD

General Practice • Dorchester, MA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Hieu Khac Vu has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date June 05, 2006
NPI Deactivation Date February 27, 2025
Total Practice Duration ~19 Years of Practice (2006 – 2025)

Professional Overview & Biography Verified Profile Summary

Dr. Hieu Khac Vu, MD was a registered General Practice practicing in Dorchester, MA. Throughout an active medical career spanning 19 years, Dr. Vu provided care at the practice location at 1165 DORCHESTER AVE until profile deactivation on 2025-02-27.

Practice Location & Contact Primary Location

Practice Address

1165 Dorchester Ave
Suite #2

Dorchester, MA 021251520

Telephone 6172654742

Specialty Benchmarks & Practice Insights

Comparative analytics for General Practice in Dorchester, MA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 30.7 Yrs
Regional Practice Density
1 Specialists

Practicing in Dorchester, MA (160 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

General Practice Primary Specialty

NUCC Taxonomy Code: 208D00000X

State License MA 74675

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated February 27, 2025

Record deactivated on February 27, 2025

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1165 DORCHESTER AVE, SUITE #2, DORCHESTER, MA 021251520 (Tel: 6172654742)

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Updated Business Mailing Address July 08, 2007

Registered at 451 CENTRE ST, MILTON, MA 021864118 (Tel: 6172654742)

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Provider Name / Credentials Updated July 08, 2007

Recorded as HIEU KHAC VU, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

General Practice (License #74675 in MA)

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Initial NPI Registration & Enumeration June 05, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1023057023
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: June 05, 2006
Last Update: July 08, 2007
Deactivation Date: February 27, 2025

Mailing Address

451 Centre St

Milton, MA 021864118

Phone: 6172654742

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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