Khanghy D Nguyen, DO
Individual provider Active NPI Surgery Physician · Mason, MI
NPI 1043316680 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043316680
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Surgery Physician 208600000X
- License
- 5101016035 (MI)
- Practice address
- 800 E Columbia St
Mason, MI 48854-1381 - Phone
- (517) 244-8900
- Fax
- (517) 244-8911
- NPI assigned
- Sep 14, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 26
Hospital & facility affiliations 2
Medicare Care Compare profile
- Specialty
- General Surgery
- Education
- Michigan State University College of Osteopathic Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Edward W Sparrow Hospital Association
Practice addresses (Care Compare)
1200 E Michigan Ave
655 SMG General Surgery
Lansing, MI 48912-1837
Phone (517) 364-5388
1210 W Saginaw St
Lansing, MI 48915-1927
Phone (517) 364-5388
1215 E Michigan Ave
Lansing, MI 48912-1811
Phone (517) 364-5388
Hospital & facility affiliations
- Edward W Sparrow Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 35 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 14 |
| Removal of tissue | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20061228000229 | MI | Practitioner - General Surgery | 0840290706 | Reassigns benefits to 3 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101016035 | MI | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sparrow Eaton Hospital | Surgery | Current |
Accepting new patients |
| Sparrow Eaton Hospital | Current |
Accepting new patients | |
| Edward W Sparrow Hospital Association | Current |
Accepting new patients | |
| Sparrow Eaton Hospital | Current |
Accepting new patients | |
| Edward W Sparrow Hospital Association | Surgery | Current |
Accepting new patients |
| Edward W. Sparrow Hospital Association | Past | Accepting new patients | |
| Sparrow Eaton Hospital | Past | Accepting new patients | |
| Edward W Sparrow Hospital Association | Past | Accepting new patients |
Locations
8175 Reliable Pkwy
Chicago, IL 60686
111 Lansing St
Ste 220
Charlotte, MI 48813
Phone (517) 543-9563
321 E Harris St
Charlotte, MI 48813
Phone (517) 541-5840
1200 E Michigan Ave
Ste 655
Lansing, MI 48912
Phone (517) 267-2460
1210 W Saginaw St
Lansing, MI 48915
Phone (517) 364-7180
1200 E Michigan Ave
Ste 775
Lansing, MI 48912
Phone (517) 364-5160
1707 Lake Lansing Rd
Lansing, MI 48912
Phone (517) 267-0033
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
800 E Columbia St
Mason, MI 48854
Phone (517) 244-8900
805 S Oakland St
Saint Johns, MI 48879
Phone (989) 224-6881
Interoperability endpoints
- knguyen53498@sparrowdirecthie.org
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 5101016035 | MI | Yes |
Addresses
Primary practice location
800 E Columbia St
Mason, MI 48854-1381
Mailing address
PO Box 13008
Lansing, MI 48901-3008
Phone (517) 364-6253
Other names
- Dr. Khang Hy Duy Nguyen
Other providers in Mason, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.