Active NPI
Thieu Van Nguyen, MD
- Internal Medicine Physician
- Sarasota, FL
National Provider Identifier
1093781486
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- ME46204
- Practice address
- 2200 Ringling Boulevard
Sarasota, FL 34237 - Phone
- (941) 861-2900
- Fax
- (941) 861-2868
- NPI assigned
- Feb 24, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | ME46204 | FL | Primary |
Addresses
Primary practice location
2200 Ringling Boulevard
Sarasota, FL 34237
Mailing address
PO Box 2658
Sarasota, FL 34230
Phone (941) 861-2900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 049257400 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Practice
- Education
- Un of California, Irvine, College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2200 Ringling Blvd
Sarasota, FL 34237-6102
Phone (941) 861-2900
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME46204 | FL | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Department of Health | Current | Accepting new patients | |
| Florida Department of Health | Current | Accepting new patients | |
| Florida Department of Health | Current | Accepting new patients |
Locations
2010 E Georgia St
Bartow, FL 33830
Phone (813) 533-1111
5300 N Pearl St
Jacksonville, FL 32208
Phone (904) 253-1025
2200 Ringling Blvd
Sarasota, FL 34237
Phone (941) 861-2900
Organizations & group practices 3
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.
-
- Public Health or Welfare Agency
- Starke, FL
- NPI 1932174240
-
- Public Health or Welfare Agency
- Bronson, FL
- NPI 1154395390
-
- Public Health or Welfare Agency
- Sarasota, FL
- NPI 1841268216
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140739200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358208000000",
"number": "1093781486",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2658",
"city": "SARASOTA",
"state": "FL",
"postal_code": "34230",
"telephone_number": "941-861-2900",
"fax_number": "941-861-2868"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 RINGLING BOULEVARD",
"city": "SARASOTA",
"state": "FL",
"postal_code": "34237",
"telephone_number": "941-861-2900",
"fax_number": "941-861-2868"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THIEU",
"middle_name": "VAN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-24",
"last_updated": "2013-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "FL",
"license": "ME46204",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "049257400",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sarasota, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.