Individual provider Active NPI

Thach Nguyen, M.D.

  • Internal Medicine Physician
  • West New York, NJ
National Provider Identifier
1043614860
Registry record updated Sep 12, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD453092 Issued in PA
Practice address
6050 Blvd East Apt 4F
West New York, NJ 07093-3932
Phone
(501) 834-4462
NPI assigned
Oct 22, 2014
Last updated
Sep 12, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD453092 PA Primary
Internal Medicine Physician 207R00000X 35125652 OH
Internal Medicine Physician 207R00000X T5415 TX
Hospitalist Physician 208M00000X T5415 TX

Addresses

Primary practice location

6050 Blvd East Apt 4F
West New York, NJ 07093-3932

Mailing address

307 S Front St
1St Floor
Harrisburg, PA 17104-1621

Other practice location 1

800 E Dawson St
Tyler, TX 75701-2036
Phone (903) 606-7264

Other identifiers 1

IdentifierTypeStateIssuer
102990448MedicaidPA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, KY, OH, TX, NC5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20150213000609 PA Practitioner - Internal Medicine 6507181534 Reassigns benefits to 2 organizations
I20151201000453 KY Practitioner - Internal Medicine 6507181534 Reassigns benefits to 3 organizations
I20160328001051 OH Practitioner - Internal Medicine 6507181534 Reassigns benefits to 5 organizations
I20231013002103 TX Practitioner - HospitalistPractitioner - Internal Medicine 6507181534 Reassigns benefits to 2 organizations
I20240329001149 NC Practitioner - Internal Medicine 6507181534 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

150 N Eagle Creek Dr
Lexington, KY 40509-1805
Phone (859) 967-5000

200 Abraham Flexner Way
Louisville, KY 40202-1886
Phone (502) 587-4401

4777 E Galbraith Rd
Cincinnati, OH 45236-2725
Phone (513) 686-3000

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35125652OHMDInternal Medicine Physician
MD453092PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Luke's Physician Group, Inc. CurrentSince Jan 17, 2017 Accepting new patients
Pinnacle Health Hospitalist Services LLC Internal Medicine CurrentSince Mar 1, 2015 Accepting new patients
Hospitalist Medicine Physicians of Ohio, Professional Corporation Internal Medicine CurrentSince Jun 23, 2022 Accepting new patients
Usacs Integrated Acute Care Services of Ohio, LLC Internal Medicine CurrentSince Jul 22, 2023 Accepting new patients
Cogent Healthcare of Kentucky, PSC Internal Medicine CurrentSince Jun 23, 2025 Accepting new patients
Christus Trinity Clinic Texas Internal Medicine CurrentSince Nov 18, 2023 Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 1, 2021 Accepting new patients
University of Louisville Physicians, Inc. Internal Medicine Current Accepting new patients
University of Louisville Physicians, Inc. CurrentSince Jan 1, 2021 Accepting new patients
Mercy Health Physicians Lima Specialty Care LLC Hospitalist CurrentSince Sep 1, 2020 Accepting new patients
Cogent Healthcare of North Carolina, PC Internal Medicine CurrentSince Feb 18, 2024 Accepting new patients
Hospitalist Medicine Physicians of Richland County, LTD Internal Medicine CurrentSince Oct 15, 2022 Accepting new patients
24 On Physicians, PC Hospitalist CurrentSince Oct 27, 2015 Accepting new patients
St. Luke's Physician Group, Inc. Current Accepting new patients
St Luke's Physician Group Inc CurrentSince Jan 17, 2017 Accepting new patients
24 On Physicians, P.C. Hospitalist CurrentSince Oct 27, 2015 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Nov 18, 2023 Accepting new patients
Hospitalist Medicine Physicians of Ohio-Columbus II Professional Corp Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients
North Texas Physician Services, PLLC Internal Medicine CurrentSince Apr 1, 2024 Accepting new patients
Uofl Health-Louisville Inc Past Accepting new patients
Akron General Medical Center Past Accepting new patients

Locations (25 of 28)

7752 Solution Ctr
Chicago, IL 60677

217 S 3rd St
Danville, KY 40422
Phone (859) 239-1000

1 Saint Joseph Dr
Lexington, KY 40504
Phone (502) 350-5000

150 N Eagle Creek Dr
Lexington, KY 40509
Phone (859) 267-9773

1001 Saint Joseph Ln
London, KY 40741
Phone (606) 330-6000

200 Abraham Flexner Way
Louisville, KY 40202
Phone (502) 569-7983

571 S Floyd St
Louisville, KY 40202
Phone (502) 561-2700

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

2420 Lake Ave
Ashtabula, OH 44004
Phone (216) 986-2919

1320 Timken Mercy Dr NW
Canton, OH 44708
Phone (330) 489-1000

272 Hospital Rd
Chillicothe, OH 45601
Phone (740) 779-4275

4777 E Galbraith Rd
Cincinnati, OH 45236
Phone (513) 686-3000

181 Taylor Ave
Columbus, OH 43203
Phone (614) 257-2358

730 W Market St
Lima, OH 45801
Phone (419) 226-4310

730 W Market St
#1
Lima, OH 45801
Phone (419) 996-1667

770 W High St
Lima, OH 45801
Phone (419) 996-5240

770 W High St
Ste 450
Lima, OH 45801
Phone (419) 996-5069

830 W High St
Ste 390
Lima, OH 45801
Phone (419) 995-4960

100 Medical Center Dr
Springfield, OH 45504
Phone (937) 523-1000

100 Dawn Ln
Waverly, OH 45690
Phone (740) 947-2186

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

307 S Front St
Fl 1
Harrisburg, PA 17104
Phone (717) 782-3670

4300 Londonderry Rd
Lower Paxton, PA 17109
Phone (717) 597-7044

120 Brentwood Commons Way
Ste 510
Brentwood, TN 37027
Phone (253) 682-6040

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

Interoperability endpoints

  • Direct secure messaging: tnguyen341320@christushealth.direct-ci.net
  • Direct secure messaging: tnguyen419330@direct.stlukeshealth.org

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 21

Hospital & facility affiliations 4

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": "1413936000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694476800000",
    "number": "1043614860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 S FRONT ST",
            "address_2": "1ST FLOOR",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171041621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6050 BLVD EAST APT 4F",
            "city": "WEST NEW YORK",
            "state": "NJ",
            "postal_code": "070933932",
            "telephone_number": "501-834-4462"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "800 E Dawson St",
            "address_purpose": "LOCATION",
            "city": "Tyler",
            "state": "TX",
            "postal_code": "757012036",
            "country_code": "US",
            "telephone_number": "903-606-7264",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THACH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-10-22",
        "last_updated": "2023-09-12",
        "certification_date": "2023-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD453092",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "35125652",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "T5415",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "TX",
            "license": "T5415",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102990448",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in West New York, NJ

Sources for this page

Verify at the official NPI Registry.