Individual provider Active NPI

Kim-Dung T Nguyen, M.D.

  • Internal Medicine Physician
  • Alexandria, VA
National Provider Identifier
1013953397
Registry record updated Oct 31, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101226147 Issued in VA
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

Updated by the provider on Oct 31, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
031903700MedicaidDC
5849543MedicaidVA

Other names 1

  • Kim D Nguyen Professional name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040907000359 DC Practitioner - Internal Medicine 8224004783 Reassigns benefits to 1 organization

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 Home health agency, Fairfax, VA, CCN 497008

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101226147VAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kim-Dung T. Nguyen, MD, PC Internal Medicine CurrentSince Dec 1, 2000 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

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBJDDD/Endpoint/EBJDDD
  • FHIR API: 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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.