Individual provider Active NPI

Vu Quoc Nguyen

  • Internal Medicine Physician
  • Wormleysburg, PA
National Provider Identifier
1215465935
Registry record updated Jul 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD471723 Issued in PA
Practice address
1007 Mumma Rd Ste 200
Wormleysburg, PA 17043-1183
Phone
(717) 775-8100
NPI assigned
May 24, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD471723 PA Primary

Addresses

Primary practice location

1007 Mumma Rd Ste 200
Wormleysburg, PA 17043-1183

Mailing address

1007 Mumma Rd Ste 200
Wormleysburg, PA 17043-1183
Phone (717) 775-8100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Previously, effective Sep 10, 2020 through Sep 10, 2026

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

409 S 2ND St
Harrisburg, PA 17104-1612

4300 Londonderry Rd
Harrisburg, PA 17109-5397

Hospital & facility affiliations

  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sage Integrative Medicine & Wellness Internal Medicine CurrentSince Jul 13, 2025 Accepting new patients

Locations

5015 E Trindle Rd
Mechanicsburg, PA 17050
Phone (717) 712-8452

1007 Mumma Rd
Ste 200
Wormleysburg, PA 17043
Phone (717) 608-3582

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

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": "1495584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751846400000",
    "number": "1215465935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1007 MUMMA RD STE 200",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431183",
            "telephone_number": "717-775-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1007 MUMMA RD STE 200",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431183",
            "telephone_number": "717-775-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VU",
        "middle_name": "QUOC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-24",
        "last_updated": "2025-07-07",
        "certification_date": "2025-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD471723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wormleysburg, PA

Sources for this page

Verify at the official NPI Registry.