Active NPI
Lieuko Nguyen, M.D.
- Pediatric Nephrology Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Nephrology Physician
- License
- 2025-02108
- Practice address
- Medical Center Blvd
Winston Salem, NC 27157-0001 - Phone
- (336) 713-4500
- Fax
- (336) 713-4501
- NPI assigned
- Jan 11, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Nephrology Physician | 2080P0210X | 2025-02108 | NC | Primary |
| Pediatric Nephrology Physician | 2080P0210X | A108993 | CA | |
| Pediatrics Physician | 208000000X | 25153 | OK | |
| Pediatrics Physician | 208000000X | MD213664 | OR | |
| Pediatric Nephrology Physician | 2080P0210X | MD2021-0528 | NM | |
| Pediatric Nephrology Physician | 2080P0210X | MD213664 | OR |
Addresses
Primary practice location
Medical Center Blvd
Winston Salem, NC 27157-0001
Mailing address
100 Kimel Forest Dr
Winston Salem, NC 27103-6074
Phone (336) 716-2255
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NM, OH, OR, GA, NC, ID
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2220 N Druid Hills Rd NE
Atlanta, GA 30329-3117
Phone (404) 785-5437
3181 SW Sam Jackson Park Rd
Portland, OR 97239-3011
Phone (503) 494-8311
Merit-based Incentive Payment System (MIPS)
- Final score
- 94.62 of 100
- Quality
- 77.21
- Promoting interoperability
- 99.06
- Improvement activities
- 40
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.64 of 100
- Quality
- 75.49
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 76.92
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25153 | OK | MD | Pediatrics Physician |
| MD213664 | OR | MD | Pediatrics Physician |
| A108993 | CA | MD | Pediatric Nephrology Physician |
| 2025-02108 | NC | MD | Pediatric Nephrology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Choa Multispecialty, LLC | Pediatrics | Current | Accepting new patients |
| Unm Medical Group, Inc. | Current | Accepting new patients | |
| University Hospitals Medical Group Inc | Pediatrics | Current | Accepting new patients |
| Choa Hospital Based, LLC | Pediatrics | Current | Accepting new patients |
| University Professional Services | Current | Accepting new patients | |
| Unm Medical Group Inc | Current | Accepting new patients | |
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| University Professional Services | Current | Accepting new patients | |
| Legacy Emanuel Hospital & Health Center | Current | Accepting new patients | |
| Egleston Pediatric Group | Pediatrics | Current | Accepting new patients |
| Legacy Emanuel Hospital & Health Center | Pediatrics | Current | Accepting new patients |
| Marilyn Kaufhold, M.D., a Medical Corporation | Past | Accepting new patients |
Locations
1405 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 785-1112
2220 N Druid Hills Rd NE
Brookhaven, GA 30329
Phone (404) 778-1440
100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
800 Bradbury Dr SE
Ste 116
Albuquerque, NM 87106
Phone (505) 272-1476
2211 Lomas Blvd NE
Unm, NM 87106
Phone (505) 272-1111
11100 Euclid Ave
Cleveland Heights, OH 44106
15700 SW Greystone Ct
Beaverton, OR 97006
Phone (503) 203-1000
3181 SW Sam Jackson Park Rd
Portland, OR 97239
Phone (503) 494-5674
501 N Graham St
Ste 355
Portland, OR 97227
Phone (503) 413-2560
1919 NW Lovejoy St
Portland, OR 97209
Phone (503) 415-5600
2801 N Gantenbein Ave
Portland, OR 97227
Phone (503) 413-2200
Interoperability endpoints
- lnguyen3026804@carolinashealthcaresystem.direct-ci.com
- lnguyen38138@ehrdirect.uhhospitals.org
Organizations & group practices 14
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.
-
- Pediatrics Physician
- Brookhaven, GA
- NPI 1437493467
-
- General Practice Physician
- Portland, OR
- NPI 1376709535
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- General Acute Care Hospital
- Portland, OR
- NPI 1831112358
-
- Multi-Specialty Clinic/Center
- Cleveland, OH
- NPI 1669499414
Pediatrics
-
- Multi-Specialty Clinic/Center
- Albuquerque, NM
- NPI 1831218627
-
- Family Medicine Physician
- Boise, ID
- NPI 1326336058
-
- Pediatrics Physician
- Brookhaven, GA
- NPI 1457695488
-
- Pediatrics Physician
- Atlanta, GA
- NPI 1811041452
-
- Community/Retail Pharmacy
- Portland, OR
- NPI 1417977976
-
- Pharmacy
- Beaverton, OR
- NPI 1073054714
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779753600000",
"number": "1235289364",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 KIMEL FOREST DR",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271036074",
"telephone_number": "336-716-2255"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "MEDICAL CENTER BLVD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271570001",
"telephone_number": "336-713-4500",
"fax_number": "336-713-4501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "LIEUKO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-11",
"last_updated": "2026-05-26",
"certification_date": "2026-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "NC",
"license": "2025-02108",
"primary": true
},
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "CA",
"license": "A108993",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OK",
"license": "25153",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "OR",
"license": "MD213664",
"primary": false
},
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "NM",
"license": "MD2021-0528",
"primary": false
},
{
"code": "2080P0210X",
"taxonomy_group": "",
"desc": "Pediatrics, Pediatric Nephrology",
"state": "OR",
"license": "MD213664",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.