Individual provider Active NPI

Thanh H Nguyen, M.D.

  • Diagnostic Radiology Physician
  • Wilmington, DE
National Provider Identifier
1083690929
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
C1-0006273 Issued in DE
Practice address
3105 Limestone Rd
Suite 106
Wilmington, DE 19808-2147
Phone
(302) 995-2037
Fax
(302) 633-9311
NPI assigned
Dec 22, 2005
Last updated
Dec 18, 2012By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X C1-0006273 DE
Diagnostic Radiology Physician 2085R0202X C1-0006273 DE Primary

Addresses

Primary practice location

3105 Limestone Rd
Suite 106
Wilmington, DE 19808-2147

Mailing address

1601 Milltown Rd
Suite 13
Wilmington, DE 19808-4027
Phone (302) 993-2330

Other identifiers 1

IdentifierTypeStateIssuer
1000023202MedicaidDE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DE, PA2 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
I20080528000298 DE Practitioner - Diagnostic Radiology 1355411778 Reassigns benefits to 3 organizations
I20221209001569 PA Practitioner - Diagnostic Radiology 1355411778 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Christiana Care Health Services IncGroup PAC ID 9739097569, shared by 25 NPIs, 1,480 clinicians
Christiana Care Pennsylvania IncGroup PAC ID 8921549973, 176 clinicians

Practice addresses (Care Compare)

161 Wilmington W Chester Pike
CCHS Concord Radiology
Chadds Ford, PA 19317-9041
Phone (610) 361-1150

4755 Ogletown Stanton Rd
Newark, DE 19718-2200

900 W Baltimore Pike
Suite 102
West Grove, PA 19390-9313
Phone (302) 838-3088

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
C1-0006273DEMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Christiana Care Pennsylvania Inc CurrentSince Oct 1, 2024 Accepting new patients
Christiana Care Pennsylvania Inc Diagnostic Radiology Current Accepting new patients
Christiana Care Health Services Inc Current Accepting new patients
Christiana Care Health Services Inc CurrentSince Nov 29, 2022 Accepting new patients
Delaware Radiology Associates PA Diagnostic Radiology CurrentSince Dec 18, 2017 Accepting new patients
Christiana Care Health Services, Inc Current Accepting new patients
Christiana Care Pennsylvania Inc CurrentSince Oct 1, 2024 Accepting new patients
Christiana Care Health Services Inc CurrentSince Jan 15, 2020 Accepting new patients
Christiana Care Health Services Inc Diagnostic Radiology CurrentSince Jan 15, 2020 Accepting new patients
Christiana Care Health Services Inc Diagnostic Radiology CurrentSince Jan 21, 2020 Accepting new patients
Koniver Fiss Mansoory MD PA Diagnostic Radiology Past Accepting new patients
Omega Nuclear LLC Past Accepting new patients

Locations

4755 Ogletown Stanton Rd
Newark, DE 19718
Phone (302) 733-1700

1020 N Union St
Wilmington, DE 19805
Phone (302) 427-9855

3105 Limestone Rd
Ste 106
Wilmington, DE 19808
Phone (302) 995-2037

3206 Concord Pike
Wilmington, DE 19803
Phone (302) 654-5300

3401 Brandywine Pkwy
Ste 102
Wilmington, DE 19803
Phone (302) 533-2160

29493 Network Pl
Chicago, IL 60673

161 Wilmington W Chester Pike
Chadds Ford, PA 19317
Phone (610) 361-1060

161 Wilmington W Chester Pike
#P
Chadds Ford, PA 19317
Phone (610) 361-1042

161 Wilmington W Chester Pike
Ste 1400
Chadds Ford, PA 19317
Phone (610) 361-1145

900 W Baltimore Pike
Ste 102
West Grove, PA 19390
Phone (302) 838-3088

Organizations & group practices 12

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 2

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": "1135209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1355788800000",
    "number": "1083690929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 MILLTOWN RD",
            "address_2": "SUITE 13",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198084027",
            "telephone_number": "302-993-2330",
            "fax_number": "302-993-2344"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3105 LIMESTONE RD",
            "address_2": "SUITE 106",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198082147",
            "telephone_number": "302-995-2037",
            "fax_number": "302-633-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THANH",
        "middle_name": "H",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-22",
        "last_updated": "2012-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0006273",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "DE",
            "license": "C1-0006273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1000023202",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

Verify at the official NPI Registry.