Individual provider Active NPI

Linh Ngoc Nguyen, DPM

  • Podiatrist
  • Gretna, LA
National Provider Identifier
1215926480
Registry record updated Jul 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PD218R Issued in LA
Practice address
775 Behrman Hwy
Ste B
Gretna, LA 70056-3011
Phone
(504) 227-2749
Fax
(504) 263-1900
NPI assigned
Oct 19, 2005
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 27, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PD218R LA Primary

Addresses

Primary practice location

775 Behrman Hwy
Ste B
Gretna, LA 70056-3011

Mailing address

2209 N Village Green St
Harvey, LA 70058-7020
Phone (504) 227-2749

Other identifiers 3

IdentifierTypeStateIssuer
1541621MedicaidLA
480029699OtherLARAILROAD MEDICARE
1248990001OtherLAPALMETTO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070219000448 LA Practitioner - Podiatry 4385746502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
New York College of Podiatric Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

775 Behrman Hwy
Suite B
Gretna, LA 70056-3011
Phone (504) 227-2749

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. 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.

State licenses

LicenseStateTypeSpecialty
PD218RLAMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot Clinic of Gretna ,LLC. Podiatrist CurrentSince Aug 15, 2016 Accepting new patients

Locations

775 Behrman Hwy
Ste B
Gretna, LA 70056
Phone (504) 227-2749

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.

NPI Registry JSON

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1469577600000",
    "number": "1215926480",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2209 N VILLAGE GREEN ST",
            "city": "HARVEY",
            "state": "LA",
            "postal_code": "700587020",
            "telephone_number": "504-227-2749",
            "fax_number": "504-263-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "775 BEHRMAN HWY",
            "address_2": "STE B",
            "city": "GRETNA",
            "state": "LA",
            "postal_code": "700563011",
            "telephone_number": "504-227-2749",
            "fax_number": "504-263-1900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LINH",
        "middle_name": "NGOC",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-10-19",
        "last_updated": "2016-07-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "PD218R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1541621",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "480029699",
            "state": "LA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "1248990001",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Gretna, LA

Sources for this page

Verify at the official NPI Registry.