Individual provider Active NPI

Vu H Nguyen, M.D.

  • Diagnostic Radiology Physician
  • South Bend, IN
National Provider Identifier
1073569729
Registry record updated Dec 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
01057684A Issued in IN
Practice address
121 S Saint Louis Blvd
South Bend, IN 46617-2924
Phone
(574) 233-3123
Fax
(574) 233-3125
NPI assigned
May 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 01057684A IN Primary

Addresses

Primary practice location

121 S Saint Louis Blvd
South Bend, IN 46617-2924

Mailing address

121 S Saint Louis Blvd
South Bend, IN 46617-2924
Phone (574) 233-3123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, IL2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20050126000143 IN Practitioner - Diagnostic Radiology 4082695770 Reassigns benefits to 4 organizations
I20250207001145 IL Practitioner - Diagnostic Radiology 4082695770 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Indiana University School of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Huron Valley Radiology PCGroup PAC ID 2961466859, 76 clinicians
X-Ray Consultants IncGroup PAC ID 7315859832, 38 clinicians

Practice addresses (Care Compare)

Mishawaka, IN 46545

Chicago, IL 60603
Phone (734) 712-8350

121 S Saint Louis Blvd
South Bend, IN 46617-2924
Phone (219) 233-3123

1915 Lake Ave
Plymouth, IN 46563-9366
Phone (574) 936-3181

5215 Holy Cross Pkwy
Mishawaka, IN 46545-1469
Phone (574) 335-5000

5340 Holy Cross Pkwy
Mishawaka, IN 46545-1470
Phone (574) 237-1328

Hospital & facility affiliations

  • Saint Joseph Regional Medical Center Hospital, Mishawaka, IN, CCN 150012
  • Saint Joseph Regional Medical Center - Plymouth Hospital, Plymouth, IN, CCN 150076
  • Trinity Health Ann Arbor Hospital Hospital, Ann Arbor, MI, CCN 230156
  • Trinity Health Livingston Hospital Hospital, Howell, MI, CCN 230069
  • Memorial Hospital of South Bend Hospital, South Bend, IN, CCN 150058

Procedures performed for Medicare patients

ProcedureNumber of procedures
Mastectomy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01057684AINMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc. CurrentSince Mar 11, 2022 Accepting new patients
Huron Valley Radiology PC Diagnostic Radiology CurrentSince Nov 1, 2022 Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc Current Accepting new patients
Elk Grove Imaging Associates, S.C. Diagnostic Radiology CurrentSince Aug 4, 2025 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc CurrentSince Mar 11, 2022 Accepting new patients
Saint Joseph Regional Medical Center-South Bend Campus, Inc Current Accepting new patients
Saint Joseph Regional Medical Center- Plymouth Campus Inc CurrentSince Mar 11, 2022 Accepting new patients
XRC Medical Imaging, LLC Diagnostic Radiology Past Accepting new patients
Major Hospital Past Accepting new patients

Locations

611 E Douglas Rd
Ste 137
Mishawaka, IN 46545
Phone (574) 335-6214

611 E Douglas Rd
Ste 122
Mishawaka, IN 46545
Phone (574) 272-9991

5215 Holy Cross Pkwy
Mishawaka, IN 46545
Phone (574) 335-2443

510 W Adams St
Ste 150
Plymouth, IN 46563
Phone (574) 335-3987

1915 Lake Ave
Plymouth, IN 46563
Phone (219) 936-3181

121 S Saint Louis Blvd
South Bend, IN 46617
Phone (219) 233-3123

801 E Lasalle Ave
South Bend, IN 46617
Phone (574) 237-7111

53940 Carmichael Dr
South Bend, IN 46635
Phone (574) 243-0100

Interoperability endpoints

  • Direct secure messaging: vnguyenmd1365433@direct.trinity-health.org

Organizations & group practices 10

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 8

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": "1148515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1197849600000",
    "number": "1073569729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 S SAINT LOUIS BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172924",
            "telephone_number": "574-233-3123",
            "fax_number": "574-233-3125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 S SAINT LOUIS BLVD",
            "city": "SOUTH BEND",
            "state": "IN",
            "postal_code": "466172924",
            "telephone_number": "574-233-3123",
            "fax_number": "574-233-3125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VU",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-25",
        "last_updated": "2007-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IN",
            "license": "01057684A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Bend, IN

Sources for this page

Verify at the official NPI Registry.