Individual provider Active NPI

Robert Nguyen, DPM

  • Podiatrist
  • Fort Lauderdale, FL
National Provider Identifier
1225293442
Registry record updated Nov 20, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3297 Issued in FL
Practice address
2699 Stirling Rd
Suite A301/302
Fort Lauderdale, FL 33312-6517
Phone
(954) 278-3890
Fax
(954) 251-1470
NPI assigned
Jul 28, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO3297 FL Primary

Addresses

Primary practice location

2699 Stirling Rd
Suite A301/302
Fort Lauderdale, FL 33312-6517

Mailing address

10273 SW 24TH St
Miramar, FL 33025-6507
Phone (630) 688-1240

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091019000342 FL Practitioner - Podiatry 7416094701 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

10273 SW 24TH St
Miramar, FL 33025-6507
Phone (630) 688-1240

Hospital & facility affiliations

  • Community Care Providers, Inc. Home health agency, Pembroke Pines, FL, CCN 109241
  • Douglas Gardens Hospital Hospital, Miami, FL, CCN 100277

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue637
Removal or shaving of skin growth31

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PO3297FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Robert Nguyen DPM LLC CurrentSince Mar 10, 2014 Accepting new patients

Locations

2699 Stirling Rd
Ste A301302
Fort Lauderdale, FL 33312
Phone (954) 278-3890

18905 NE 25th Ave
Miami, FL 33180
Phone (305) 932-6360

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 2

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": "1217203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1416441600000",
    "number": "1225293442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10273 SW 24TH ST",
            "city": "MIRAMAR",
            "state": "FL",
            "postal_code": "330256507",
            "telephone_number": "630-688-1240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2699 STIRLING RD",
            "address_2": "SUITE A301/302",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333126517",
            "telephone_number": "954-278-3890",
            "fax_number": "954-251-1470"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ROBERT",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-28",
        "last_updated": "2014-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

Verify at the official NPI Registry.