Active NPI
Peter Nguyen, MD
- Dermatology Physician
- Westminster, CO
National Provider Identifier
1104576198
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- DR0077722
- Practice address
- 10359 Federal Blvd Ste 210
Westminster, CO 80260-7453 - Phone
- (303) 426-4525
- Fax
- (720) 941-5597
- NPI assigned
- Mar 24, 2022
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | DR0077722 | CO | Primary |
Addresses
Primary practice location
10359 Federal Blvd Ste 210
Westminster, CO 80260-7453
Mailing address
824 Luxor CT
Grand Prairie, TX 75052-1695
Phone (682) 553-9830
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230622001531 | TX | Order and Referring Only - Dermatology | 4183082209 |
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Texas a & M University System, HSC, College of Medicine, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
151 Southhall LN
Suite 300
Maitland, FL 32751-7100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DR0077722 | CO | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1648080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780531200000",
"number": "1104576198",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 LUXOR CT",
"city": "GRAND PRAIRIE",
"state": "TX",
"postal_code": "750521695",
"telephone_number": "682-553-9830"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10359 FEDERAL BLVD STE 210",
"city": "WESTMINSTER",
"state": "CO",
"postal_code": "802607453",
"telephone_number": "303-426-4525",
"fax_number": "720-941-5597"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "PETER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-03-24",
"last_updated": "2026-06-04",
"certification_date": "2026-06-04",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "CO",
"license": "DR0077722",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westminster, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2026; 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.