Active NPI
Paul H Nguyen, M.D.
- Cardiovascular Disease Physician
- Sycamore, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036116210
- Practice address
- 2550 Hauser Ross Drive
Suite 325
Sycamore, IL 60178-3180 - Phone
- (815) 758-7700
- NPI assigned
- Jul 20, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 2001016936 | MO | |
| Specialist | 174400000X | 036116210 | IL | |
| Cardiovascular Disease Physician | 207RC0000X | 036116210 | IL | Primary |
Addresses
Primary practice location
2550 Hauser Ross Drive
Suite 325
Sycamore, IL 60178-3180
Mailing address
2550 Hauser Ross Drive
Suite 325
Sycamore, IL 60178-3180
Phone (815) 758-7700
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207248907 | Medicaid | MO | |
| 036116210 | Medicaid | IL | |
| 200308280A | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
2550 Hauser Ross Dr
Suite 325
Sycamore, IL 60178-3180
Phone (815) 758-7700
Hospital & facility affiliations
- Saint Joseph Hospital-Elgin
- Northwestern Medicine Kishwaukee Hospital
- Advocate Sherman Hospital
- Saint Francis Hospital-Evanston
- Northwestern Medicine Central Dupage Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2001016936 | MO | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Cardiology Solutions LLC | Specialist | Current | Accepting new patients |
| Point Care Testing Center, LLC | Past | Accepting new patients |
Locations
1325 N Highland Ave
Aurora, IL 60506
Phone (630) 801-2756
1 Kish Hospital Dr
DeKalb, IL 60115
Phone (815) 754-1521
500 N McLean Blvd
Ste 100
Elgin, IL 60123
Phone (224) 535-9922
2550 Hauser Ross Dr
Ste 350
Sycamore, IL 60178
Phone (815) 754-5010
2550 Hauser Ross Dr
Ste 325
Sycamore, IL 60178
Phone (815) 758-7700
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.
-
- Specialist
- Sycamore, IL
- NPI 1740428184
-
- Internal Medicine Physician
- Elgin, IL
- NPI 1801605332
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Elgin, IL
- NPI 1629026364
-
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
-
- General Acute Care Hospital
- Dekalb, IL
- NPI 1669534517
-
- General Acute Care Hospital
- Evanston, IL
- NPI 1982442398
-
- General Acute Care Hospital
- Elgin, IL
- NPI 1922846351
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1640908800000",
"number": "1023017019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2550 HAUSER ROSS DRIVE",
"address_2": "SUITE 325",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783180",
"telephone_number": "815-758-7700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2550 HAUSER ROSS DRIVE",
"address_2": "SUITE 325",
"city": "SYCAMORE",
"state": "IL",
"postal_code": "601783180",
"telephone_number": "815-758-7700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "PAUL",
"middle_name": "H",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2021-12-31",
"certification_date": "2021-12-31",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "MO",
"license": "2001016936",
"primary": false
},
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "IL",
"license": "036116210",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036116210",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207248907",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036116210",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200308280A",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sycamore, IL
- National Youth Advocate Program, Inc
- Michael Mauro Neglia, DMD
- Lindsay Beth Nelson, M.A.
- Neuro Monitoring Services LLC
- New Beginnings Obstetrics and Gynecology SC
- Anita Nelson Niehues, M.S.,OTR
- Megan Elizabeth Noren, PSY.D.
- Northern Illinois ENT Specialists LTD
- Northern Illinois Foot & Ankle Specialist, LTD
- Northern Illinois Plastic Surgery Consultants LTD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 31, 2021; 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.