Active NPI
Binh T Nguyen, D.O
- Cardiovascular Disease Physician
- Pontiac, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 036135508
- Practice address
- 50 N Perry St
Pontiac, MI 48342-2217 - Phone
- (248) 338-5392
- NPI assigned
- Apr 21, 2007
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 5101016741 | MI | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 57239-21 | WI | |
| Clinical Cardiac Electrophysiology Physician | 207RC0001X | 5101016741 | MI | |
| Cardiovascular Disease Physician | 207RC0000X | 036135508 | IL | Primary |
Addresses
Primary practice location
50 N Perry St
Pontiac, MI 48342-2217
Mailing address
PO Box 955860
Saint Louis, MO 63195-2217
Phone (636) 498-5944
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bnguyen115920@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- 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
- Cardiac Electrophysiology
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1 Good Samaritan Way
Mount Vernon, IL 62864-2402
Phone (557) 203-1601
2 Good Samaritan Way
Suite 320
Mount Vernon, IL 62864-2408
Phone (618) 899-1944
400 N Pleasant Ave
Centralia, IL 62801-3056
Phone (618) 436-8000
911 Stacey Burk Dr
Flora, IL 62839-3241
Phone (618) 662-2131
Hospital & facility affiliations
- Good Samaritan Regional HLTH Center
- Clay County Hospital
- SSM Health St Mary'S Hospital -Centralia
- Washington County Hospital
- Fairfield Memorial Hospital 1
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Pacemaker insertion or repair | 11 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 57239-21 | WI | MD | Clinical Cardiac Electrophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| County of Clay | Current | Accepting new patients | |
| St. Mary'S Hospital, Centralia, Illinois | Current | Accepting new patients | |
| County of Clay | Current | Accepting new patients | |
| County of Clay | Current | Accepting new patients | |
| St. Mary'S Hospital, Centralia, Illinois | Current | Accepting new patients | |
| Physician Services Corporation of Southern Illinois Inc. | Internal Medicine | Current | Accepting new patients |
Locations
400 N Pleasant Ave
Centralia, IL 62801
Phone (618) 436-5221
7420 Solutions Ctr
Chicago, IL 60677
Phone (314) 989-3155
911 Stacey Burk Dr
Flora, IL 62839
Phone (618) 662-2161
605 N 12th St
Mount Vernon, IL 62864
Phone (618) 241-2200
602 S 42nd St
Ste B
Mount Vernon, IL 62864
Phone (618) 899-3278
2 Good Samaritan Way
Ste 320
Mount Vernon, IL 62864
Phone (618) 899-1944
2 Good Samaritan Way
Ste 220
Mount Vernon, IL 62864
Phone (618) 899-3900
1 Good Samaritan Way
Mount Vernon, IL 62864
Phone (618) 242-4600
3221 McKelvey Rd
Ste 301
Bridgeton, MO 63044
Interoperability endpoints
- bnguyen115920@direct-ehr-ssmhc.com
- bnguy@yourcarecommunity.org
Organizations & group practices 7
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.
-
- Critical Access Hospital
- Flora, IL
- NPI 1184655136
-
- Internal Medicine Physician
- Mount Vernon, IL
- NPI 1831101807
-
- Emergency Medicine Physician
- Centralia, IL
- NPI 1770687196
-
- Emergency Medicine Physician
- Mount Vernon, IL
- NPI 1487758801
-
- Community/Retail Pharmacy
- Flora, IL
- NPI 1235990276
-
- Rural Health Clinic/Center
- Flora, IL
- NPI 1811946411
-
- Comprehensive Outpatient Rehabilitation Facility (CORF)
- Centralia, IL
- NPI 1710105192
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Critical Access Hospital
- Flora, IL
- NPI 1184655136
-
- Critical Access Hospital
- Fairfield, IL
- NPI 1255422416
-
- General Acute Care Hospital
- Mount Vernon, IL
- NPI 1609897339
-
- General Acute Care Hospital
- Centralia, IL
- NPI 1083617245
-
- Rural Health Clinic/Center
- Nashville, IL
- NPI 1316555816
Hospital
-
- Critical Access Hospital
- Nashville, IL
- NPI 1659321560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177113600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603929600000",
"number": "1093933665",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 955860",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631952217",
"telephone_number": "636-498-5944"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "50 N PERRY ST",
"city": "PONTIAC",
"state": "MI",
"postal_code": "483422217",
"telephone_number": "248-338-5392"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "BINH",
"middle_name": "T",
"credential": "D.O",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-21",
"last_updated": "2020-10-29",
"certification_date": "2020-10-29",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "MI",
"license": "5101016741",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "WI",
"license": "57239-21",
"primary": false
},
{
"code": "207RC0001X",
"taxonomy_group": "",
"desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
"state": "MI",
"license": "5101016741",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "IL",
"license": "036135508",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bnguyen115920@direct-ehr-ssmhc.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "bnguyen115920@direct-ehr-ssmhc.com",
"address_1": "2 Good Samaritan Way Ste 220",
"city": "Mount Vernon",
"state": "IL",
"country_code": "US",
"postal_code": "628642476",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/",
"affiliation": "N",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "CCD",
"address_1": "2 Good Samaritan Way Ste 220",
"city": "Mount Vernon",
"state": "IL",
"country_code": "US",
"postal_code": "628642476",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Pontiac, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.