NPIMap

Individual provider Active NPI

Andy Nguyen

  • Internal Medicine Physician
  • Salt Lake City, UT
National Provider Identifier
1033362694
Registry record updated Oct 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
7152579-1205 Issued in UT
Practice address
30 N 1900 E
Som4C104
Salt Lake City, UT 84132-0002
Phone
(801) 581-7899
NPI assigned
Oct 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2008

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 7152579-1205 UT Primary

Addresses

Primary practice location

30 N 1900 E
Som4C104
Salt Lake City, UT 84132-0002

Mailing address

30 N 1900 E
Som4C104
Salt Lake City, UT 84132-0002
Phone (801) 581-7899

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT, NV2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20100727001059 UT Practitioner - Hematology/OncologyPractitioner - Internal MedicinePractitioner - Hematology 1355474347 Reassigns benefits to 1 organization
I20240102001787 NV Practitioner - Hematology/Oncology 1355474347 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hematology/Oncology
Education
University of Missouri, Columbia School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ihc Health Services IncGroup PAC ID 1850209420, shared by 68 NPIs, 3,948 clinicians

Practice addresses (Care Compare)

2650 N Tenaya Way
Suite 201
Las Vegas, NV 89128-1110
Phone (702) 736-7154

8 TH Ave and C St
Salt Lake City, UT 84143-0001
Phone (801) 408-3043

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services, Inc. CurrentSince Apr 1, 2018 Accepting new patients
Ihc Health Services Inc Internal Medicine CurrentSince Apr 1, 2018 Accepting new patients
Ihc Health Services Inc Current Accepting new patients
Ihc Health Services Inc CurrentSince Oct 28, 2023 Accepting new patients
University Radiology Associates PastSince Feb 1, 1997 Accepting new patients
Ihc Health Services Inc Past Accepting new patients

Locations

2650 N Tenaya Way
Ste 201
Las Vegas, NV 89128
Phone (702) 736-7154

700 S Highway 99
Ste 3
Fillmore, UT 84631
Phone (435) 743-5555

1281 N 600 E
Logan, UT 84341
Phone (435) 716-6400

8th Ave And C St
Salt Lake City, UT 84143
Phone (801) 350-4110

8 Th Ave C St
Salt Lake City, UT 84143
Phone (801) 408-5482

8th Ave C St
Salt Lake City, UT 84143
Phone (801) 269-2500

50 N Medical Dr
Slc, UT 84132
Phone (801) 581-2292

600 S Medical Center Dr
St George, UT 84790
Phone (435) 251-4900

Organizations & group practices 7

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 6

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": "1225152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1225152000000",
    "number": "1033362694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 N 1900 E",
            "address_2": "SOM4C104",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320002",
            "telephone_number": "801-581-7899"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 N 1900 E",
            "address_2": "SOM4C104",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841320002",
            "telephone_number": "801-581-7899"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANDY",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "UT",
            "license": "7152579-1205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.