Individual provider Active NPI

Oscar H Nguyen, MD

  • Pediatrics Physician
  • Little Rock, AR
National Provider Identifier
1235767765
Registry record updated Jun 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
E16963 Issued in AR
Practice address
27 Corporate Hill Dr Ste 100
Little Rock, AR 72205-4537
Phone
(501) 227-6727
Fax
(501) 223-9462
NPI assigned
Mar 30, 2020
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208000000X E16963 AR Primary

Addresses

Primary practice location

27 Corporate Hill Dr Ste 100
Little Rock, AR 72205-4537

Mailing address

27 Corporate Hill Dr Ste 100
Little Rock, AR 72205-4537
Phone (501) 227-6727

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20200715000204 AR Order and Referring Only - Pediatric MedicinePractitioner - Pediatric Medicine 3779906318

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E16963ARMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Little Rock Children'S Clinic, P.a. Single Specialty PastSince Jun 16, 2024 Accepting new patients

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": "1585526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1235767765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27 CORPORATE HILL DR STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054537",
            "telephone_number": "501-227-6727",
            "fax_number": "501-223-9462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27 CORPORATE HILL DR STE 100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054537",
            "telephone_number": "501-227-6727",
            "fax_number": "501-223-9462"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "OSCAR",
        "middle_name": "H",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-03-30",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "AR",
            "license": "E16963",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.