Active NPI
Ngoc-Lan Thi Nguyen, M.D.
- Family Medicine Physician
- Overland Park, KS
National Provider Identifier
1033157086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 04-26808
- Practice address
- 10600 Mastin St
Overland Park, KS 66212-5723 - Phone
- (913) 469-6447
- Fax
- (913) 338-1311
- NPI assigned
- Jun 3, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 042-0011481 | VT | |
| Family Medicine Physician | 207Q00000X | 2019014153 | MO | |
| Family Medicine Physician | 207Q00000X | 04-26808 | KS | Primary |
Addresses
Primary practice location
10600 Mastin St
Overland Park, KS 66212-5723
Mailing address
PO Box 741331
Atlanta, GA 30374-1331
Phone (913) 469-0503
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000430901 | Other | VT | MEDICARE PTAN |
| 1014418 | Medicaid | VT |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | lan.knoff@cpfc.eclinicaldirectplus.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- 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
- Family Practice
- Education
- University of Kansas School of Med (KC/Wich/Sal), 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10500 Quivira Rd
Overland Park, KS 66215-2306
Phone (913) 541-5000
10600 Mastin St
Overland Park, KS 66212-5723
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.84 of 100
- Quality
- 78.92
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 71.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04-26808 | KS | MD | Family Medicine Physician |
| 042-0011481 | VT | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pain Solutions PLLC | Past | Accepting new patients | |
| College Park Family Care Center, P.a. | Past | Accepting new patients | |
| Centers for Pain Solutions,LLC | Past | Accepting new patients |
Networks
- IA HMO C-SNP
- IA HMO
- devoted network organization-2b183dd2-4e80-4977-80a6-4fdf0df4361d
Interoperability endpoints
- ngoclan.nguyen@hca2.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
dba College Park Family Care Center Physicians Group
- Family Medicine Physician
- Overland Park, KS
- NPI 1760798540
-
- Radiology Clinic/Center
- Overland Park, KS
- NPI 1881803229
-
- Ambulatory Surgical Clinic/Center
- Nashua, NH
- NPI 1508934373
-
- Pain Medicine Physician
- Nashua, NH
- NPI 1811025877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149292800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1643241600000",
"number": "1033157086",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 741331",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303741331",
"telephone_number": "913-469-0503",
"fax_number": "913-469-5267"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10600 MASTIN ST",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662125723",
"telephone_number": "913-469-6447",
"fax_number": "913-338-1311"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "NGOC-LAN",
"middle_name": "THI",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-03",
"last_updated": "2022-01-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VT",
"license": "042-0011481",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MO",
"license": "2019014153",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KS",
"license": "04-26808",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "000430901",
"state": "VT"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1014418",
"state": "VT"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "lan.knoff@cpfc.eclinicaldirectplus.com",
"affiliation": "N",
"address_1": "10600 Mastin St",
"city": "Overland Park",
"state": "KS",
"country_code": "US",
"postal_code": "662125723",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Overland Park, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2022; 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.