NPIMap

Individual provider Active NPI

Huy Nguyen, M.D

  • Surgery Physician
  • Crookston, MN
National Provider Identifier
1194143693
Registry record updated Dec 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
67044 Issued in MN
Practice address
323 S Minnesota St
Crookston, MN 56716-1601
Phone
(612) 873-3000
NPI assigned
Apr 1, 2014
Last updated
Dec 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 67044 MN Primary

Addresses

Primary practice location

323 S Minnesota St
Crookston, MN 56716-1601

Mailing address

2150 47TH Ave S Apt 329
Grand Forks, ND 58201-3611
Phone (651) 399-6052

Other practice location 1

200 Elm St N
Onamia, MN 56359-7901
Phone (320) 532-3154

Other identifiers 1

IdentifierTypeStateIssuer
67044OtherMNSURGERY

Other names 1

  • Khanh Huy Nguyen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200824000735 MN Practitioner - General Surgery 4486959657 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
University of Minnesota Medical School, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mille Lacs Health SystemGroup PAC ID 4789577834, 47 clinicians
Welia HealthGroup PAC ID 6709295496, 60 clinicians

Practice addresses (Care Compare)

200 Elm St N
Onamia, MN 56359-7901
Phone (320) 532-3154

301 Hwy 65 S
Mora, MN 55051-1899
Phone (320) 679-1212

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Mille Lacs Health System CurrentSince Jan 1, 2024 Accepting new patients
Riverview Healthcare Association CurrentSince Aug 17, 2020 Accepting new patients
Welia Health Current Accepting new patients
Mille Lacs Health System Surgery CurrentSince Jan 4, 2026 Accepting new patients
Riverview Healthcare Association CurrentSince Aug 17, 2020 Accepting new patients
Riverview Healthcare Association Current Accepting new patients
Mille Lacs Health System CurrentSince Jan 1, 2024 Accepting new patients
Welia Health CurrentSince May 4, 2024 Accepting new patients
Mille Lacs Health System Past Accepting new patients
Riverview Healthcare Association Past Accepting new patients

Locations

323 S Minnesota St
Crookston, MN 56716
Phone (218) 281-9200

301 Highway 65 S
Mora, MN 55051
Phone (320) 225-3317

200 Elm St N
Onamia, MN 56359
Phone (320) 532-2750

1425 Main St N
Pine City, MN 55063
Phone (320) 322-5141

Interoperability endpoints

  • Direct secure messaging: hnguyen409354@excellian.direct.allina.com

Organizations & group practices 10

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.

Hospital & facility affiliations 13

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

View all 13

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1396310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1703203200000",
    "number": "1194143693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2150 47TH AVE S APT 329",
            "city": "GRAND FORKS",
            "state": "ND",
            "postal_code": "582013611",
            "telephone_number": "651-399-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 S MINNESOTA ST",
            "city": "CROOKSTON",
            "state": "MN",
            "postal_code": "567161601",
            "telephone_number": "612-873-3000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Elm St N",
            "address_purpose": "LOCATION",
            "city": "Onamia",
            "state": "MN",
            "postal_code": "563597901",
            "country_code": "US",
            "telephone_number": "320-532-3154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HUY",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-01",
        "last_updated": "2023-12-22",
        "certification_date": "2023-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "67044",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SURGERY",
            "identifier": "67044",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHANH HUY",
            "last_name": "NGUYEN",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Crookston, MN

Sources for this page

Verify at the official NPI Registry.