Individual provider Active NPI

Van Q. Nguyen, M.D.

  • Cardiovascular Disease Physician
  • Safety Harbor, FL
National Provider Identifier
1205898236
Registry record updated Oct 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
ME68214 Issued in FL
Practice address
1840 Mease Dr
Suite 200
Safety Harbor, FL 34695-6602
Phone
(727) 724-8611
Fax
(727) 724-0425
NPI assigned
Apr 5, 2006
Last updated
Oct 17, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X ME68214 FL Primary

Addresses

Primary practice location

1840 Mease Dr
Suite 200
Safety Harbor, FL 34695-6602

Mailing address

1840 Mease Dr Ste 200
Safety Harbor, FL 34695-6604
Phone (727) 724-8611

Other identifiers 1

IdentifierTypeStateIssuer
022519800MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address van.nguyen@direct.mybaycare.org Health Information Exchange (HIE) BayCare Medical Group, Inc.

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20040429001357 FL Practitioner - Cardiovascular Disease (Cardiology) 1355338393 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
University of Louisville School of Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Morton Plant Health Services IncGroup PAC ID 2163336777, 88 clinicians
Morton Plant Mease Diagnostic Cardiology LLCGroup PAC ID 0648415034, 27 clinicians
Baycare Medical Group, Inc.Group PAC ID 6406753623, 1,539 clinicians

Practice addresses (Care Compare)

2102 Trinity Oaks Blvd
Trinity, FL 34655-4409
Phone (727) 372-4000

455 Pinellas St
Suite 330
Clearwater, FL 33756-3369
Phone (727) 724-8611

6633 Forest Ave
Suite 300
New Port Richey, FL 34653-2612
Phone (727) 376-0612

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. Cardiovascular Disease Current Accepting new patients
Morton Plant Mease Diagnostic Cardiology LLC Cardiovascular Disease CurrentSince Mar 1, 2013 Accepting new patients
Baycare Medical Group, Inc CurrentSince Jan 1, 2016 Accepting new patients
Morton Plant Mease Health Services Inc Current Accepting new patients
Baycare Medical Group, Inc. CurrentSince Jan 1, 2016 Accepting new patients
Morton Plant Mease Health Services, Inc CurrentSince Feb 19, 2018 Accepting new patients
MPM Cardiology Services LLC Cardiovascular Disease Past Accepting new patients
Coastal Cardiology Consultants PA Cardiovascular Disease Past Accepting new patients

Locations

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

300 Pinellas St
Clearwater, FL 33756
Phone (727) 461-8552

455 Pinellas St
Ste 330
Clearwater, FL 33756
Phone (727) 489-2550

646 Virginia St
Ste 200
Dunedin, FL 34698
Phone (727) 724-0425

6633 Forest Ave
Ste 300
New Port Richey, FL 34653
Phone (727) 376-0612

6633 Forest Ave
Ste 105
New Prt Rchy, FL 34653
Phone (727) 845-4300

1840 Mease Dr
Ste 200
Safety Harbor, FL 34695
Phone (727) 724-6500

8787 Bryan Dairy Rd
Seminole, FL 33777
Phone (727) 391-4758

2102 Trinity Oaks Blvd
Trinity, FL 34655
Phone (727) 372-4000

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: van.nguyen@direct.mybaycare.org

Organizations & group practices 9

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 5

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": "1144195200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665964800000",
    "number": "1205898236",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR STE 200",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956604",
            "telephone_number": "727-724-8611",
            "fax_number": "727-724-0425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1840 MEASE DR",
            "address_2": "SUITE 200",
            "city": "SAFETY HARBOR",
            "state": "FL",
            "postal_code": "346956602",
            "telephone_number": "727-724-8611",
            "fax_number": "727-724-0425"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VAN",
        "middle_name": "Q.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-05",
        "last_updated": "2022-10-17",
        "certification_date": "2022-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "FL",
            "license": "ME68214",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "022519800",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "van.nguyen@direct.mybaycare.org",
            "affiliation": "Y",
            "affiliationName": "BayCare Medical Group, Inc.",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2995 Drew St Fl 2",
            "city": "Clearwater",
            "state": "FL",
            "country_code": "US",
            "postal_code": "337593012",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Safety Harbor, FL

Sources for this page

Verify at the official NPI Registry.