Individual provider Active NPI

Marie Vu Nguyen, M.D.

  • Diagnostic Radiology Physician
  • Lakewood, CO
National Provider Identifier
1174844807
Registry record updated Apr 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
DR.0072462 Issued in CO
Practice address
1746 Cole Blvd Ste 100
Lakewood, CO 80401-3208
Phone
(303) 914-8800
NPI assigned
Jun 16, 2010
Last updated
Apr 9, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 9, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A125712 CA
Diagnostic Radiology Physician 2085R0202X MD24222 ME
Surgery Physician 208600000X MDR-5913 HI
Diagnostic Radiology Physician 2085R0202X DR.0072462 CO Primary

Addresses

Primary practice location

1746 Cole Blvd Ste 100
Lakewood, CO 80401-3208

Mailing address

1746 Cole Blvd Ste 100
Lakewood, CO 80401-3208

Other practice location 1

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

Other identifiers 1

IdentifierTypeStateIssuer
1174844807MedicaidME

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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
I20201005001673 CA Practitioner - Diagnostic Radiology 6608295092 Reassigns benefits to 10 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Warren Alpert Medical School of Brown University, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diversified Radiology of Colorado IncGroup PAC ID 0143132316, 92 clinicians
Charlotte Radiology PAGroup PAC ID 4587577390, 222 clinicians
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

Huntington Beach, CA 92649
Phone (303) 914-8800

Huntington Beach, CA 92649-4510
Phone (812) 282-6631

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A125712CAMDDiagnostic Radiology Physician
DR.0072462COMDDiagnostic Radiology Physician
MD24222MEMDDiagnostic Radiology Physician
MDR-5913HIMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Clark Physician Practices, LLC Surgery CurrentSince Jul 1, 2024 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Jun 2, 2025 Accepting new patients
Spectrum Medical Imaging, LLC Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Scltdi JV, LLC CurrentSince Apr 30, 2024 Accepting new patients
Diversified Radiology of Colorado, Inc Diagnostic Radiology CurrentSince Apr 1, 2025 Accepting new patients
Musc Community Physicians CurrentSince Jul 1, 2024 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Feb 1, 2026 Accepting new patients
American Health Imaging of Georgia, LLC CurrentSince Jan 1, 2026 Accepting new patients
Scltdi JV, LLC CurrentSince Apr 30, 2024 Accepting new patients
Radiant Imaging, Inc. Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Feb 1, 2026 Accepting new patients
Scltdi JV, LLC CurrentSince Apr 30, 2024 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Feb 10, 2026 Accepting new patients
Scltdi JV, LLC CurrentSince Apr 30, 2024 Accepting new patients
Synergy Radiology, LLC Diagnostic Radiology CurrentSince Dec 3, 2025 Accepting new patients
Charlotte Radiology P a CurrentSince Apr 1, 2025 Accepting new patients
Scltdi JV, LLC CurrentSince Apr 30, 2024 Accepting new patients
Scltdi JV, LLC CurrentSince Sep 30, 2024 Accepting new patients
Scltdi JV, LLC CurrentSince Apr 30, 2024 Accepting new patients
Henry County Memorial Hospital Surgery CurrentSince Apr 1, 2021 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Feb 1, 2026 Accepting new patients
American Health Imaging of Georgia LLC CurrentSince Jan 29, 2026 Accepting new patients
Scltdi JV, LLC CurrentSince Apr 30, 2024 Accepting new patients
Musc Community Physicians Diagnostic Radiology CurrentSince Jul 1, 2024 Accepting new patients
Henry County Memorial Hospital Current Accepting new patients
Gainesville Radiology Group, PC Diagnostic Radiology CurrentSince Jan 1, 2024 Accepting new patients
M & B Imaging, PC Diagnostic Radiology CurrentSince May 1, 2025 Accepting new patients
Pro Radiology, LLC Diagnostic Radiology CurrentSince Nov 16, 2025 Accepting new patients
Henry County Memorial Hospital CurrentSince Apr 1, 2021 Accepting new patients
Scltdi JV, LLC CurrentSince Apr 30, 2024 Accepting new patients
Pro Radiology, LLC PastSince Jul 21, 2024 Accepting new patients
Major Hospital Past Accepting new patients
Synergy Radiology, LLC PastSince Jul 21, 2024 Accepting new patients

Locations

9900 Talbert Ave
Ste 102
Fountain Valley, CA 92708
Phone (714) 378-7000

100 W California Blvd
Pasadena, CA 91105
Phone (626) 397-3445

1746 Cole Blvd
Ste 100
Lakewood, CO 80401

1746 Cole Blvd
Ste 150
Lakewood, CO 80401
Phone (303) 716-3787

181 W Meadow Dr
Vail, CO 81657
Phone (970) 476-1225

743 Spring St NE
Gainesville, GA 30501
Phone (770) 219-5915

1220 Missouri Ave
Jeffersonvlle, IN 47130
Phone (812) 282-2072

1000 N 16th St
New Castle, IN 47362
Phone (765) 521-0890

2200 Forest Ridge Pkwy
New Castle, IN 47362
Phone (765) 521-7385

1451 N Gardner St
Scottsburg, IN 47170
Phone (812) 752-8500

400 S Clark St
Butte, MT 59701
Phone (406) 495-7260

Organizations & group practices 33

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 33

Hospital & facility affiliations 8

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": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744156800000",
    "number": "1174844807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1746 COLE BLVD STE 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013208"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1746 COLE BLVD STE 100",
            "city": "LAKEWOOD",
            "state": "CO",
            "postal_code": "804013208",
            "telephone_number": "303-914-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "489 State St",
            "address_purpose": "LOCATION",
            "city": "Bangor",
            "state": "ME",
            "postal_code": "044016616",
            "country_code": "US",
            "telephone_number": "207-973-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MARIE",
        "middle_name": "VU",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2025-04-09",
        "certification_date": "2025-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A125712",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "ME",
            "license": "MD24222",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "HI",
            "license": "MDR-5913",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CO",
            "license": "DR.0072462",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1174844807",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lakewood, CO

Sources for this page

Verify at the official NPI Registry.