Individual provider Active NPI

Paul H Nguyen, M.D.

  • Cardiovascular Disease Physician
  • Sycamore, IL
National Provider Identifier
1023017019
Registry record updated Dec 31, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
036116210 Issued in IL
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

Updated by the provider on Dec 31, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
207248907MedicaidMO
036116210MedicaidIL
200308280AMedicaidKS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060925000208 IL Practitioner - Cardiovascular Disease (Cardiology) 4284671546 Reassigns benefits to 1 organization

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 Hospital, Elgin, IL, CCN 140217
  • Northwestern Medicine Kishwaukee Hospital Hospital, Dekalb, IL, CCN 140286
  • Advocate Sherman Hospital Hospital, Elgin, IL, CCN 140030
  • Saint Francis Hospital-Evanston Hospital, Evanston, IL, CCN 140080
  • Northwestern Medicine Central Dupage Hospital Hospital, Winfield, IL, CCN 140242

Procedures performed for Medicare patients

ProcedureNumber of procedures
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2001016936MOMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Elite Cardiology Solutions LLC Specialist CurrentSince Jan 29, 2009 Accepting new patients
Point Care Testing Center, LLC PastSince Jan 1, 2025 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.

Hospital & facility affiliations 7

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": "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

Sources for this page

Verify at the official NPI Registry.