Individual provider Active NPI

Nguyen D Vu, M.D.

  • Internal Medicine Physician
  • Sanford, FL
National Provider Identifier
1144265117
Registry record updated Dec 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME109751 Issued in FL
Practice address
201 Bellagio Cir
Sanford, FL 32771-5001
Phone
(386) 917-0007
Fax
(386) 917-0089
NPI assigned
Jun 16, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 2, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 01051081A IN
Internal Medicine Physician 207R00000X ME109751 FL Primary

Addresses

Primary practice location

201 Bellagio Cir
Sanford, FL 32771-5001

Mailing address

201 Bellagio Cir
Sanford, FL 32771-5001
Phone (386) 917-0007

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
I20240219001283 FL Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 8123290921

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME109751FLMDInternal Medicine Physician
01051081AINMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Aimfl PLLC CurrentSince Dec 5, 2021 Accepting new patients
Major Hospital Past Accepting new patients
University Emergency Medicine Past Accepting new patients
Ha Van, DC, PA PastSince Dec 24, 2011 Accepting new patients

Locations

201 Bellagio Cir
Sanford, FL 32771
Phone (386) 917-0007

Organizations & group practices 4

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": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638403200000",
    "number": "1144265117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 BELLAGIO CIR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327715001",
            "telephone_number": "386-917-0007",
            "fax_number": "386-917-0089"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 BELLAGIO CIR",
            "city": "SANFORD",
            "state": "FL",
            "postal_code": "327715001",
            "telephone_number": "386-917-0007",
            "fax_number": "386-917-0089"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VU",
        "first_name": "NGUYEN",
        "middle_name": "D",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2021-12-02",
        "certification_date": "2021-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IN",
            "license": "01051081A",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME109751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, FL

Sources for this page

Verify at the official NPI Registry.