Individual provider Active NPI

Thieu Van Nguyen, MD

  • Internal Medicine Physician
  • Sarasota, FL
National Provider Identifier
1093781486
Registry record updated Jan 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME46204 Issued in FL
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

Updated by the provider on Jan 15, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
049257400MedicaidFL

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110210000047 FL Practitioner - General Practice 6901086800 Reassigns benefits to 1 organization

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
Florida Department of HealthGroup PAC ID 3072424282, 126 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME46204FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Department of Health Current Accepting new patients
Florida Department of Health CurrentSince Apr 3, 1995 Accepting new patients
Florida Department of Health CurrentSince Apr 3, 1995 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.

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

Verify at the official NPI Registry.