Active NPI
Henry Nguyen, DO
- Pediatrics Physician
- Detroit, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 5101028059
- Practice address
- 3901 Beaubien St
Detroit, MI 48201-2119 - Phone
- (313) 745-5870
- NPI assigned
- Mar 25, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 036.157711 | IL | |
| Pediatrics Physician | 208000000X | 5101028059 | MI | Primary |
Addresses
Primary practice location
3901 Beaubien St
Detroit, MI 48201-2119
Mailing address
7430 2ND Ave Apt 340
Detroit, MI 48202-2738
Phone (713) 816-7553
Other practice location 1
1740 W Taylor St
Chicago, IL 60612-7232
Phone (866) 600-2273
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL, MI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036.157711 | IL | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| University Pediatricians | Pediatrics | Current | Accepting new patients |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| The Board of Trustees of the University of Illinois | Pediatrics | Current | Accepting new patients |
| The Board of Trustees of the University of Illinois | Current | Accepting new patients | |
| The University of Chicago Medical Center | Current | Accepting new patients | |
| University Pediatricians | Pediatrics | Current | Accepting new patients |
Locations
150 Harvester Dr
Ste 300
Burr Ridge, IL 60527
Phone (773) 702-1061
7732 Solution Ctr
Chicago, IL 60677
Phone (312) 355-6290
1740 W Taylor St
Chicago, IL 60612
Phone (312) 355-4000
1801 W Taylor St
#2A
Chicago, IL 60612
Phone (312) 355-3060
840 S Wood St
#856
Chicago, IL 60612
Phone (312) 413-1429
1740 W Taylor St
#931
Chicago, IL 60612
Phone (312) 355-5258
120 N Oak St
Oak Brook Mall, IL 60521
Phone (630) 856-6700
3901 Beaubien St
Ste H
Detroit, MI 48201
Phone (313) 745-5437
3901 Beaubien St
Detroit, MI 48201
Phone (313) 745-5227
Interoperability endpoints
- hnguyen18454@uihealth.direct-ci.com
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.
-
- Pediatrics Physician
- Detroit, MI
- NPI 1811920549
-
- Anatomic Pathology Physician
- Chicago, IL
- NPI 1386863819
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1033218128
-
- Pediatrics Physician
- Detroit, MI
- NPI 1184471690
-
- Occupational Medicine Physician
- Chicago, IL
- NPI 1043727571
-
- Pediatrics Physician
- Chicago, IL
- NPI 1093934275
-
- Community/Retail Pharmacy
- Calumet City, IL
- NPI 1255895678
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1553472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1053871962",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7430 2ND AVE APT 340",
"city": "DETROIT",
"state": "MI",
"postal_code": "482022738",
"telephone_number": "713-816-7553"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3901 BEAUBIEN ST",
"city": "DETROIT",
"state": "MI",
"postal_code": "482012119",
"telephone_number": "313-745-5870"
}
],
"practiceLocations": [
{
"address_1": "1740 W Taylor St",
"address_purpose": "LOCATION",
"city": "Chicago",
"state": "IL",
"postal_code": "606127232",
"country_code": "US",
"telephone_number": "866-600-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "HENRY",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-25",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "IL",
"license": "036.157711",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "5101028059",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Detroit, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.