NPIMap

Individual provider Active NPI

Alan Manh-Tuong Nguyen, DO

  • Interventional Pain Medicine Physician
  • Fort Myers, FL
National Provider Identifier
1073014213
Registry record updated Feb 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Pain Medicine PhysicianTaxonomy code 208VP0014X
License
OS17219 Issued in FL
Practice address
3033 Winkler Ave Unit 100
Fort Myers, FL 33916-9523
Phone
(239) 277-7070
NPI assigned
Feb 23, 2018
Last updated
Feb 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Physical Medicine & Rehabilitation) Physician 2081S0010X OS17219 FL
Interventional Pain Medicine Physician 208VP0014X OS17219 FL Primary

Addresses

Primary practice location

3033 Winkler Ave Unit 100
Fort Myers, FL 33916-9523

Mailing address

3033 Winkler Ave Unit 100
Fort Myers, FL 33916-9523
Phone (239) 277-7070

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220613001224 FL Practitioner - Physical Medicine and Rehabilitation 2264810738 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Medicine and Rehabilitation
Education
Nova Southeastern College of Osteo Medicine, 2018
Medicare assignment
May accept Medicare assignment
Group practices
Cora Health Services IncGroup PAC ID 1759290992, shared by 21 NPIs, 1,125 clinicians
Gardner Orthopedics LLCGroup PAC ID 2668793332, 23 clinicians

Practice addresses (Care Compare)

20009 Verdana Village Blvd
Unit 103
Estero, FL 33928-9826
Phone (419) 221-6717

3033 Winkler Ave
Unit 100
Fort Myers, FL 33916-9523
Phone (239) 277-7070

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS17219FLMDInterventional Pain Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gardner Orthopedics LLC CurrentSince Sep 5, 2023 Accepting new patients
Tenet Florida Physician Services II, LLC CurrentSince Jun 9, 2022 Accepting new patients
Gardner Orthopedics, LLC CurrentSince Sep 5, 2023 Accepting new patients
Tenet Florida Physician Services II, LLC Sports Medicine CurrentSince Jun 9, 2022 Accepting new patients
Albatross Lab Solutions LLC PastSince Oct 1, 2023 Accepting new patients
Physicians Surgery Center LLC Past Accepting new patients

Locations

3033 Winkler Ave
Unit 100
Fort Myers, FL 33916
Phone (239) 277-7070

3000 Bayview Dr
Ste 100
Ft Lauderdale, FL 33306
Phone (954) 567-1332

1000 NE 56th St
Oakland Park, FL 33334
Phone (954) 229-8608

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: anguyen@go2078.srs-direct.com

Organizations & group practices 6

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.

Hospital & facility affiliations 3

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": "1519344000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708387200000",
    "number": "1073014213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3033 WINKLER AVE UNIT 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169523",
            "telephone_number": "239-277-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3033 WINKLER AVE UNIT 100",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339169523",
            "telephone_number": "239-277-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ALAN",
        "middle_name": "MANH-TUONG",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-23",
        "last_updated": "2024-02-20",
        "certification_date": "2024-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "FL",
            "license": "OS17219",
            "primary": false
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "OS17219",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Myers, FL

Sources for this page

Verify at the official NPI Registry.