Individual provider Active NPI

Thomas M. Nguyen, M.D.

  • Family Medicine Physician
  • Dublin, OH
National Provider Identifier
1144282880
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.084595 Issued in OH
Practice address
6515 Longshore Loop Ste 1a
Dublin, OH 43017-2950
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Apr 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 319778 NY
Family Medicine Physician 207Q00000X 84595 OH
Family Medicine Physician 207Q00000X M4897 TX
Family Medicine Physician 207Q00000X 35.084595 OH Primary

Addresses

Primary practice location

6515 Longshore Loop Ste 1a
Dublin, OH 43017-2950

Mailing address

1 Embarcadero Ctr
Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Other practice location 1

3870 Townsfair Way # 103-B
Columbus, OH 43219-6173
Phone (888) 663-6331

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, NY2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20211209002095 OH Practitioner - Family Practice 8628251899 Reassigns benefits to 2 organizations
I20230206002674 NY Practitioner - Family Practice 8628251899 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Saint Louis University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohio State University - CapGroup PAC ID 3375434707, 7 clinicians

Practice addresses (Care Compare)

3870 Townsfair Way
N 103 B
Columbus, OH 43219-6173
Phone (888) 663-6331

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
319778NYMDFamily Medicine Physician
84595OHMDFamily Medicine Physician
M4897TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mount Sinai School of Medicine Family Medicine CurrentSince Feb 15, 2023 Accepting new patients
Mount Sinai School of Medicine CurrentSince Feb 15, 2023 Accepting new patients
Ohio State University - Cap Family Medicine CurrentSince Dec 6, 2021 Accepting new patients
The Cleveland Clinic Foundation CurrentSince Oct 2, 2025 Accepting new patients
St Joseph Physician Associates Family Medicine Past Accepting new patients
Montefiore Medical Center Past Accepting new patients

Locations

165 Smith St
Brooklyn, NY 11201
Phone (212) 441-4380

1155 Northern Blvd
Manhasset, NY 11030
Phone (516) 407-4000

9500 Euclid Ave
Cleveland, OH 44195
Phone (216) 442-1270

3870 Townsfair Way
#103B
Columbus, OH 43219

5771 N Hamilton Rd
Columbus, OH 43230

Organizations & group practices 6

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": "1144281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1144282880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR",
            "address_2": "STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6515 LONGSHORE LOOP STE 1A",
            "city": "DUBLIN",
            "state": "OH",
            "postal_code": "430172950",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3870 Townsfair Way # 103-B",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "OH",
            "postal_code": "432196173",
            "country_code": "US",
            "telephone_number": "888-663-6331",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THOMAS",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-06",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NY",
            "license": "319778",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "84595",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M4897",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.084595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dublin, OH

Sources for this page

Verify at the official NPI Registry.