Active NPI
Khoa Dang Nguyen, DO
- Psychiatry Physician
- Bozeman, MT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 116195
- Practice address
- 915 Highland Blvd
Bozeman, MT 59715-6902 - Phone
- (406) 414-5000
- NPI assigned
- Apr 22, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 11
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2022019697 | MO | |
| Psychiatry Physician | 2084P0800X | 2026-02909 | NC | |
| Psychiatry Physician | 2084P0800X | 20223 | ND | |
| Psychiatry Physician | 2084P0800X | OS19750 | FL | |
| Psychiatry Physician | 2084P0800X | 02007643A | IN | |
| Psychiatry Physician | 2084P0800X | 25MB11136400 | NJ | |
| Psychiatry Physician | 2084P0800X | 72466 | MN | |
| Geriatric Psychiatry Physician | 2084P0805X | EMC0002521 | MI | |
| Psychiatry Physician | 2084P0800X | 036162523 | IL | |
| Psychiatry Physician | 2084P0800X | 116195 | MT | Primary |
| Psychiatry Physician | 2084P0800X | Q9213 | TX |
Addresses
Primary practice location
915 Highland Blvd
Bozeman, MT 59715-6902
Mailing address
7808 Clodus Fields Dr
Dallas, TX 75251-2206
Phone (972) 991-9504
Other practice location 1
2450 Riverside Ave
Minneapolis, MN 55454-1450
Phone (612) 672-6000
Other practice location 2
5101 Willow Springs Rd
LA Grange, IL 60525-2600
Phone (708) 245-9000
Other practice location 3
211 NE 54th St Ste 201
Kansas City, MO 64118-4330
Phone (816) 453-6777
Other practice location 4
6565 Fannin St Ste 300
Houston, TX 77030-2703
Phone (832) 667-5301
Other practice location 5
750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6000
Other practice location 6
1500 S Main St
Fort Worth, TX 76104
Phone (817) 702-3431
Other practice location 7
2100 NW 35th Avenue Rd
Ocala, FL 34475-4630
Phone (352) 392-0140
Other practice location 8
1800 E Interstate Ave
Bismarck, ND 58503-1399
Phone (701) 323-8800
Other practice location 9
8111 S Emerson Ave
Indianapolis, IN 46237-8601
Phone (317) 528-5261
Other practice location 10
1600 SW Archer Rd
Gainesville, FL 32610-3003
Phone (352) 392-0140
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX, MO, NJ, KS, MT, IA, MI, NY, GA, IL, MN, OK, FL, IN, WI, ND, VA, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 18
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20171205002080 | TX | Practitioner - Psychiatry | 3779784699 | Reassigns benefits to 13 organizations |
| I20220307000635 | MO | Practitioner - Psychiatry | 3779784699 | Reassigns benefits to 2 organizations |
| I20221031001443 | NJ | Practitioner - Psychiatry | 3779784699 | Reassigns benefits to 1 organization |
| I20221216000797 | KS | Practitioner - Psychiatry | 3779784699 | Reassigns benefits to 1 organization |
| I20230123000903 | MT | Practitioner - Psychiatry | 3779784699 | Reassigns benefits to 3 organizations |
| I20230123002570 | IA | Practitioner - Psychiatry | 3779784699 | Reassigns benefits to 1 organization |
| I20230214002116 | MI | Practitioner - Psychiatry | 3779784699 | Reassigns benefits to 3 organizations |
| I20230221002980 | NY | Practitioner - Psychiatry | 3779784699 | Reassigns benefits to 1 organization |
| I20230321000740 | GA | Practitioner - Psychiatry | 3779784699 | Reassigns benefits to 1 organization |
| I20231113001913 | IL | Practitioner - Psychiatry | 3779784699 | Reassigns benefits to 2 organizations |
| I20240206001525 | MN | Practitioner - Psychiatry | 3779784699 | Reassigns benefits to 3 organizations |
| I20240409003307 | OK | Practitioner - Psychiatry | 3779784699 | Reassigns benefits to 1 organization |
| I20240605003928 | FL | Practitioner - Psychiatry | 3779784699 | Reassigns benefits to 2 organizations |
| I20241001002140 | IN | Practitioner - Psychiatry | 3779784699 | Reassigns benefits to 1 organization |
| I20241018002452 | WI | Practitioner - Psychiatry | 3779784699 | Reassigns benefits to 2 organizations |
| I20251008000850 | ND | Practitioner - Psychiatry | 3779784699 | Reassigns benefits to 1 organization |
| I20260624002798 | VA | Practitioner - Psychiatry | 3779784699 | Reassigns benefits to 1 organization |
| I20260624002875 | NC | Practitioner - Psychiatry | 3779784699 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Touro Un Col of Osteopathic Medicine, Henderson, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Adventist Health System Georgia IncSanford BismarckIntegris Ambulatory Care CorporationHouston Methodist Specialty PhysiciansOsf Multi-Specialty GroupCapital Health Multispecialty GroupFranciscan Physician Network
Practice addresses (Care Compare)
1035 Red Bud Rd NE
Calhoun, GA 30701-6000
Phone (706) 879-5850
3318 N 14TH St
Bismarck, ND 58503-1614
Phone (701) 323-8300
4401 S Western Ave
Oklahoma City, OK 73109-3413
Phone (405) 636-7000
6445 Main St
Suite 2500
Houston, TX 77030-1502
Phone (713) 441-3150
6445 Paradise Valley Rd
Fort Worth, TX 76112-7536
Phone (405) 949-4112
750 Brunswick Ave
Trenton, NJ 08638-4143
Phone (609) 394-6000
8111 S Emerson Ave
Indianapolis, IN 46237-8601
Phone (317) 528-8930
Hospital & facility affiliations
- Capital Health Regional Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 72466 | MN | MD | Psychiatry Physician |
| 2022019697 | MO | MD | Psychiatry Physician |
| 116195 | MT | MD | Psychiatry Physician |
| 25MB11136400 | NJ | MD | Psychiatry Physician |
| Q9213 | TX | MD | Psychiatry Physician |
Practice roles (60 of 63)
Locations (25 of 60)
2001 SW 13th St
Gainesville, FL 32608
Phone (352) 265-8990
1600 SW Archer Rd
Gainesville, FL 32610
Phone (352) 265-0077
2100 NW 35th Avenue Rd
Ocala, FL 34475
Phone (352) 280-7400
10435 SE 170th Pl
Summerfield, FL 34491
Phone (352) 245-7788
1035 Red Bud Rd NE
Calhoun, GA 30701
Phone (706) 602-7800
707 Old Dalton Ellijay Rd
Chatsworth, GA 30705
Phone (706) 517-2050
865 Lincoln Rd
Ste 100
Bettendorf, IA 52722
Phone (563) 355-1000
1227 E Rusholme St
Davenport, IA 52803
Phone (563) 324-8160
4700 E 56th St
Ste 100
Davenport, IA 52807
Phone (563) 383-2667
396 Remington Blvd
Ste 231
Bolingbrook, IL 60440
Phone (630) 312-4301
8175 Reliable Pkwy
Chicago, IL 60686
5101 Willow Springs Rd
Lagrange Hlds, IL 60525
Phone (708) 245-4073
530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553
1704 Lafayette Rd
Ste 4
Crawfordsvlle, IN 47933
Phone (765) 364-3120
8111 S Emerson Ave
Indianapolis, IN 46237
Phone (317) 528-5261
150 W Washington St
Shelbyville, IN 46176
Phone (317) 392-3211
1210 W Saginaw St
Fl 2
Lansing, MI 48915
Phone (517) 364-7575
1414 W Fair Ave
Ste 36
Marquette, MI 49855
Phone (906) 225-3864
1400 W Washington St
Marquette, MI 49855
Phone (906) 449-1460
580 W College Ave
Marquette, MI 49855
Phone (906) 225-3131
712 S Cascade St
Fergus Falls, MN 56537
717 Delaware St SE
Ste 340
Minneapolis, MN 55414
Phone (612) 625-3617
2450 Riverside Ave
Minneapolis, MN 55454
Phone (612) 273-7838
911 Northland Dr
Princeton, MN 55371
Phone (763) 389-1313
1700 University Ave W
Fl 6
Saint Paul, MN 55104
Phone (651) 232-2273
Interoperability endpoints
- khoa.nguyendo.p1@direct.cfg.nextgenshare.com
- khoa.nguyen@hca7.eclinicaldirectplus.com
- knguyen20679@direct.ahsys.org
- https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/
- knguyen708739@direct.shands.ufl.edu
- knguyen595880@direct.froedtert.com
Organizations & group practices 77
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.
-
- Family Medicine Physician
- Oklahoma City, OK
- NPI 1750333936
OK, TX
Hospital & facility affiliations 1
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": "1366588800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1782950400000",
"number": "1245674159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7808 CLODUS FIELDS DR",
"city": "DALLAS",
"state": "TX",
"postal_code": "752512206",
"telephone_number": "972-991-9504"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "915 HIGHLAND BLVD",
"city": "BOZEMAN",
"state": "MT",
"postal_code": "597156902",
"telephone_number": "406-414-5000"
}
],
"practiceLocations": [
{
"address_1": "2450 Riverside Ave",
"address_purpose": "LOCATION",
"city": "Minneapolis",
"state": "MN",
"postal_code": "554541450",
"country_code": "US",
"telephone_number": "612-672-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "5101 Willow Springs Rd",
"address_purpose": "LOCATION",
"city": "LA Grange",
"state": "IL",
"postal_code": "605252600",
"country_code": "US",
"telephone_number": "708-245-9000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "211 NE 54th St Ste 201",
"address_purpose": "LOCATION",
"city": "Kansas City",
"state": "MO",
"postal_code": "641184330",
"country_code": "US",
"telephone_number": "816-453-6777",
"fax_number": "816-454-3601",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6565 Fannin St Ste 300",
"address_purpose": "LOCATION",
"city": "Houston",
"state": "TX",
"postal_code": "770302703",
"country_code": "US",
"telephone_number": "832-667-5301",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "750 Brunswick Ave",
"address_purpose": "LOCATION",
"city": "Trenton",
"state": "NJ",
"postal_code": "086384143",
"country_code": "US",
"telephone_number": "609-394-6000",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1500 S Main St",
"address_purpose": "LOCATION",
"city": "Fort Worth",
"state": "TX",
"postal_code": "76104",
"country_code": "US",
"telephone_number": "817-702-3431",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2100 NW 35th Avenue Rd",
"address_purpose": "LOCATION",
"city": "Ocala",
"state": "FL",
"postal_code": "344754630",
"country_code": "US",
"telephone_number": "352-392-0140",
"fax_number": "352-392-8217",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1800 E Interstate Ave",
"address_purpose": "LOCATION",
"city": "Bismarck",
"state": "ND",
"postal_code": "585031399",
"country_code": "US",
"telephone_number": "701-323-8800",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "8111 S Emerson Ave",
"address_purpose": "LOCATION",
"city": "Indianapolis",
"state": "IN",
"postal_code": "462378601",
"country_code": "US",
"telephone_number": "317-528-5261",
"fax_number": "317-528-5026",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1600 SW Archer Rd",
"address_purpose": "LOCATION",
"city": "Gainesville",
"state": "FL",
"postal_code": "326103003",
"country_code": "US",
"telephone_number": "352-392-0140",
"fax_number": "352-392-8217",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "KHOA",
"middle_name": "DANG",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2013-04-22",
"last_updated": "2026-07-02",
"certification_date": "2026-07-02",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MO",
"license": "2022019697",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2026-02909",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "ND",
"license": "20223",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "OS19750",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IN",
"license": "02007643A",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NJ",
"license": "25MB11136400",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MN",
"license": "72466",
"primary": false
},
{
"code": "2084P0805X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Geriatric Psychiatry",
"state": "MI",
"license": "EMC0002521",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "IL",
"license": "036162523",
"primary": false
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "MT",
"license": "116195",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "TX",
"license": "Q9213",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bozeman, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 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.