Active NPI
Kim-Dung T Nguyen, M.D.
- Internal Medicine Physician
- Alexandria, VA
National Provider Identifier
1013953397
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101226147
- Practice address
- 5130 Duke St
8
Alexandria, VA 22304-2924 - Phone
- (703) 823-2849
- Fax
- (703) 823-2847
- NPI assigned
- Jun 22, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101226147 | VA | Primary |
Addresses
Primary practice location
5130 Duke St
8
Alexandria, VA 22304-2924
Mailing address
PO Box 11193
Alexandria, VA 22312-0193
Phone (703) 823-2849
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 031903700 | Medicaid | DC | |
| 5849543 | Medicaid | VA |
Other names 1
- Kim D Nguyen
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1988
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
5130 Duke St
Suite 8
Alexandria, VA 22304-2955
Phone (703) 823-2849
Hospital & facility affiliations
- Inova Home Health LLC
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101226147 | VA | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kim-Dung T. Nguyen, MD, PC | Internal Medicine | Current | Accepting new patients |
| Frederick Health Hospital Inc | Past | Accepting new patients |
Locations
5130 Duke St
Ste 8
Alexandria, VA 22304
Phone (703) 823-2848
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/EBJDDD/Endpoint/EBJDDD
- https://fhir4.healow.com/fhir/r4/EBJDDD
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Fairfax, VA
- NPI 1710473673
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150934400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1320019200000",
"number": "1013953397",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 11193",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223120193",
"telephone_number": "703-823-2849",
"fax_number": "703-823-2847"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5130 DUKE ST",
"address_2": "8",
"city": "ALEXANDRIA",
"state": "VA",
"postal_code": "223042924",
"telephone_number": "703-823-2849",
"fax_number": "703-823-2847"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KIM-DUNG",
"middle_name": "T",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-22",
"last_updated": "2011-10-31",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101226147",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "031903700",
"state": "DC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5849543",
"state": "VA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KIM",
"last_name": "NGUYEN",
"middle_name": "D",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Alexandria, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.