Individual provider Active NPI

Vincent Tam Nguyen, MD

  • Family Medicine Physician
  • Prairieville, LA
National Provider Identifier
1053459644
Registry record updated Sep 24, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD200621 Issued in LA
Practice address
17520 Old Jefferson Hwy
Ste B
Prairieville, LA 70769-3929
Phone
(225) 673-8983
Fax
(225) 677-8983
NPI assigned
Feb 3, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD200621 LA Primary

Addresses

Primary practice location

17520 Old Jefferson Hwy
Ste B
Prairieville, LA 70769-3929

Mailing address

8490 Picardy Ave
BLDG 200
Baton Rouge, LA 70809-3731
Phone (225) 237-1754

Other identifiers 2

IdentifierTypeStateIssuer
248568YRBUOtherLAMEDICARE PTAN
1071005MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20070724000179 LA Practitioner - Family Practice 5193826980 Reassigns benefits to 4 organizations
Practice locations: Baton Rouge, LA

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Baton Rouge General Physicians IncGroup PAC ID 5193623643, 189 clinicians

Practice addresses (Care Compare)

14105 Hwy 73
Suite 200
Prairieville, LA 70769-3626
Phone (225) 673-8983

Hospital & facility affiliations

  • Baton Rouge General Medical Center Hospital, Baton Rouge, LA, CCN 190065

Merit-based Incentive Payment System (MIPS)

Final score
86.02 of 100Reported as group
Quality
74.57
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD200621LAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Doctors After Hours Urgent Care & Walk in Clinic Clearview LLC CurrentSince May 8, 2012 Accepting new patients
Doctors After Hours Urgent Care & Walk in Clinic - Lakeview L.L.C. CurrentSince May 8, 2012 Accepting new patients
Doctors After Hours LLC CurrentSince May 8, 2012 Accepting new patients
Vincent Nguyen M.D. PastSince Jul 3, 2013 Accepting new patients

Locations

5236 Veterans Memorial Blvd
Metairie, LA 70006
Phone (504) 885-8700

1000 Clearview Pkwy
Metairie, LA 70001
Phone (504) 455-4433

101 W Robert E Lee Blvd
Ste 100
New Orleans, LA 70124
Phone (504) 288-3456

101 W Robert E Lee Blvd
New Orleans, LA 70124
Phone (504) 282-2203

Organizations & group practices 5

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": "1170460800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1411516800000",
    "number": "1053459644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8490 PICARDY AVE",
            "address_2": "BLDG 200",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708093731",
            "telephone_number": "225-237-1754",
            "fax_number": "225-237-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17520 OLD JEFFERSON HWY",
            "address_2": "STE B",
            "city": "PRAIRIEVILLE",
            "state": "LA",
            "postal_code": "707693929",
            "telephone_number": "225-673-8983",
            "fax_number": "225-677-8983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VINCENT",
        "middle_name": "TAM",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-03",
        "last_updated": "2014-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "MD200621",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "248568YRBU",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1071005",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairieville, LA

Sources for this page

Verify at the official NPI Registry.