Individual provider Active NPI

Khanh Lebao Nguyen, M.D.

  • Clinical Neurophysiology Physician
  • Nashville, TN
National Provider Identifier
1174677975
Registry record updated Feb 23, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Neurophysiology PhysicianTaxonomy code 2084N0600X
License
A106183 Issued in CA
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, 2015By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 23, 2015

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, HI5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20100608000162 CA Practitioner - Neurology 0345332979 Reassigns benefits to 1 organization
I20121019000386 IL Practitioner - Neurology 0345332979 Reassigns benefits to 1 organization
I20140603001566 NY Practitioner - Neurology 0345332979 Reassigns benefits to 1 organization
I20190322001885 TN Practitioner - Neurology 0345332979 Reassigns benefits to 1 organization
I20230222000491 HI Practitioner - Neurology 0345332979 Reassigns benefits to 2 organizations

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
CGH Medical CenterGroup PAC ID 6103723267, 199 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M4896TXMDNeurology Physician
A106183CAMDClinical Neurophysiology Physician
MD2011-0796NMMDClinical Neurophysiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Samuel Mahelona Memorial Hospital CurrentSince Apr 15, 2023 Accepting new patients
Samuel Mahelona Memorial Hospital CurrentSince Apr 15, 2023 Accepting new patients
Samuel Mahelona Memorial Hospital Current Accepting new patients
CGH Medical Center CurrentSince Jul 22, 2022 Accepting new patients
Kauai Veterans Memorial Hospital Current Accepting new patients
Kauai Veterans Memorial Hospital CurrentSince Feb 1, 2023 Accepting new patients
CGH Medical Center CurrentSince Jul 22, 2022 Accepting new patients
T V Seshan M D P C CurrentSince Feb 17, 2014 Accepting new patients
Access Telecare, PLLC Family Medicine PastSince Apr 2, 2019 Accepting new patients
Neuralview Medical Group PC PastSince Dec 1, 2015 Accepting new patients
Precision Neuromonitoring, LLC Clinical Neurophysiology PastSince Jan 12, 2020 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

  • Direct secure messaging: khanh.nguyen@direct.hvhc.org
  • Direct secure messaging: knguyen182060@direct.llu.edu
  • Direct secure messaging: 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.

View all 14

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.