Individual provider Active NPI

Christopher Dac Nguyen, M.D.

  • Diagnostic Radiology Physician
  • Portsmouth, VA
National Provider Identifier
1114997806
Registry record updated Jun 1, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101255968 Issued in VA
Practice address
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone
(757) 953-1143
NPI assigned
Jan 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 1, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 0101255968 VA Primary

Addresses

Primary practice location

620 John Paul Jones Cir
Portsmouth, VA 23708-2111

Mailing address

620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Phone (757) 953-7550

Other practice location 1

554 Keily Street
Jacksonville, FL 32212
Phone (757) 953-7550

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, DC, MD, TX4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20150113002472 VA Practitioner - Diagnostic Radiology 8820312275
I20160912000243 DC Practitioner - Diagnostic Radiology 8820312275 Reassigns benefits to 1 organization
I20160912000300 MD Practitioner - Diagnostic Radiology 8820312275 Reassigns benefits to 2 organizations
I20180917000079 TX Practitioner - Diagnostic Radiology 8820312275 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
83.23 of 100Reported as group
Quality
60.26
Promoting interoperability
100
Improvement activities
40
Cost
76.75

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101255968VAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Agnes Healthcare, Inc. Diagnostic Radiology CurrentSince Sep 19, 2016 Accepting new patients
Professional Services of Holy Cross CurrentSince Jun 23, 2023 Accepting new patients
Insight Health Corp Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Eagle Butte Indian Health Service Hospital CurrentSince Jul 27, 2018 Accepting new patients
St Agnes Healthcare Inc Current Accepting new patients
Lifebridge Community Physicians, Inc. CurrentSince Dec 12, 2022 Accepting new patients
Insight Health Corp Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Lifebridge Community Physicians Inc CurrentSince Dec 12, 2022 Accepting new patients
Insight Health Corp Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
Professional Services of Holy Cross CurrentSince Jun 23, 2023 Accepting new patients
St Agnes Healthcare Inc Diagnostic Radiology CurrentSince Sep 19, 2016 Accepting new patients
Lifebridge Community Physicians, Inc Current Accepting new patients
Insight Health Corp Diagnostic Radiology CurrentSince Nov 13, 2025 Accepting new patients
Eastpointe Radiologists, PC Diagnostic Radiology Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

2401 W Belvedere Ave
Baltimore, MD 21215

900 S Caton Ave
Baltimore, MD 21229
Phone (410) 368-3120

3449 Wilkens Ave
Ste 102
Baltimore, MD 21229
Phone (667) 234-8675

19801 Observation Dr
Germantown, MD 20876
Phone (301) 557-5928

1500 Forest Glen Rd
Silver Spring, MD 20910
Phone (301) 754-7230

410 Malcolm Dr
Ste A
Westminster, MD 21157
Phone (410) 876-1633

6415 Peters Creek Rd
Roanoke, VA 24019
Phone (703) 562-2110

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1138147200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590969600000",
    "number": "1114997806",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082111",
            "telephone_number": "757-953-7550",
            "fax_number": "757-953-7560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "620 JOHN PAUL JONES CIR",
            "city": "PORTSMOUTH",
            "state": "VA",
            "postal_code": "237082111",
            "telephone_number": "757-953-1143"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "554 Keily Street",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "32212",
            "country_code": "US",
            "telephone_number": "757-953-7550",
            "fax_number": "757-953-7560",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CHRISTOPHER",
        "middle_name": "DAC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-25",
        "last_updated": "2020-06-01",
        "certification_date": "2020-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101255968",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, VA

Sources for this page

Verify at the official NPI Registry.