Active NPI
Khanh Lebao Nguyen, M.D.
- Clinical Neurophysiology Physician
- Nashville, TN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Neurophysiology Physician
- License
- A106183
- Practice address
- 336 22ND Ave N
Nashville, TN 37203-1844 - Phone
- (615) 346-8182
- Fax
- (615) 829-8970
- NPI assigned
- Jan 22, 2007
- Last updated
- Feb 23, 2015
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neurology Physician | 2084N0400X | M4896 | TX | |
| Clinical Neurophysiology Physician | 2084N0600X | A106183 | CA | Primary |
| Clinical Neurophysiology Physician | 2084N0600X | MD2011-0796 | NM |
Addresses
Primary practice location
336 22ND Ave N
Nashville, TN 37203-1844
Mailing address
336 22ND Ave N
Nashville, TN 37203-1844
Phone (615) 346-8182
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, IL, NY, TN, HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Neurology
- Education
- University of Oklahoma College of Medicine, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 E Miller Rd
Sterling, IL 61081-1252
Phone (815) 625-4790
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M4896 | TX | MD | Neurology Physician |
| A106183 | CA | MD | Clinical Neurophysiology Physician |
| MD2011-0796 | NM | MD | Clinical Neurophysiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Samuel Mahelona Memorial Hospital | Current | Accepting new patients | |
| Samuel Mahelona Memorial Hospital | Current | Accepting new patients | |
| Samuel Mahelona Memorial Hospital | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| Kauai Veterans Memorial Hospital | Current | Accepting new patients | |
| Kauai Veterans Memorial Hospital | Current | Accepting new patients | |
| CGH Medical Center | Current | Accepting new patients | |
| T V Seshan M D P C | Current | Accepting new patients | |
| Access Telecare, PLLC | Family Medicine | Past | Accepting new patients |
| Neuralview Medical Group PC | Past | Accepting new patients | |
| Precision Neuromonitoring, LLC | Clinical Neurophysiology | Past | Accepting new patients |
| Rtna PC | Past | Accepting new patients |
Locations
101 E Miller Rd
Sterling, IL 61081
Phone (815) 632-5285
244 Westchester Ave
Ste 316
White Plains, NY 10604
Phone (914) 288-0045
336 22nd Ave N
Nashville, TN 37203
Phone 6153468182920
Interoperability endpoints
- khanh.nguyen@direct.hvhc.org
- knguyen182060@direct.llu.edu
- knguyen20432@cghmc.direct-ci.com
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
-
- Critical Access Hospital
- Waimea, HI
- NPI 1467510743
-
- Specialist
- Kapa'a, HI
- NPI 1346419553
-
dba Neuro Alert Monitoring Services
- Physical Medicine & Rehabilitation Physician
- White Plains, NY
- NPI 1902922792
-
dba CGH Medical Center-Morrison
- Durable Medical Equipment & Medical Supplies
- Morrison, IL
- NPI 1447415724
-
- Specialist
- Waimea, HI
- NPI 1467620328
-
- Psychiatric Hospital Unit
- Kapa'a, HI
- NPI 1255406575
-
dba HHSC - Kauai Region Clinics The Specialty Clinic at Kalaheo
- Rural Health Clinic/Center
- Kalaheo, HI
- NPI 1326634569
-
- Specialist
- Nashville, TN
- NPI 1871830380
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Sterling, IL
- NPI 1902854623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169424000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424649600000",
"number": "1174677975",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "336 22ND AVE N",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031844",
"telephone_number": "615-346-8182",
"fax_number": "615-829-8970"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "336 22ND AVE N",
"city": "NASHVILLE",
"state": "TN",
"postal_code": "372031844",
"telephone_number": "615-346-8182",
"fax_number": "615-829-8970"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KHANH",
"middle_name": "LEBAO",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-22",
"last_updated": "2015-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "2084N0400X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Neurology",
"state": "TX",
"license": "M4896",
"primary": false
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "CA",
"license": "A106183",
"primary": true
},
{
"code": "2084N0600X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Clinical Neurophysiology",
"state": "NM",
"license": "MD2011-0796",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nashville, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2015; 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.