Individual provider Active NPI

Khoa Dang Nguyen, DO

  • Psychiatry Physician
  • Bozeman, MT
National Provider Identifier
1245674159
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
116195 Issued in MT
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

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 11

Specialty (taxonomy)CodeLicenseStatePrimary
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, NC18 enrollments
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 18

Enrollment IDStateProvider typePAC IDDetails
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 IncGroup PAC ID 4486568037, 247 clinicians
Sanford BismarckGroup PAC ID 9739098575, 562 clinicians
Integris Ambulatory Care CorporationGroup PAC ID 2365408465, 687 clinicians
Houston Methodist Specialty PhysiciansGroup PAC ID 5193239796, 1,498 clinicians
Osf Multi-Specialty GroupGroup PAC ID 3678889789, 2,123 clinicians
Capital Health Multispecialty GroupGroup PAC ID 1850689894, 342 clinicians
Franciscan Physician NetworkGroup PAC ID 3072790682, 1,152 clinicians

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 Hospital, Trenton, NJ, CCN 310092

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
72466MNMDPsychiatry Physician
2022019697MOMDPsychiatry Physician
116195MTMDPsychiatry Physician
25MB11136400NJMDPsychiatry Physician
Q9213TXMDPsychiatry Physician

Practice roles (60 of 63)

OrganizationSpecialtyStatusNew patients
Albany Medical College Psychiatry CurrentSince Dec 6, 2022 Accepting new patients
Bozeman Health Deaconess Hospital Current Accepting new patients
Florida Clinical Practice Association Inc CurrentSince May 15, 2024 Accepting new patients
Edward W. Sparrow Hospital Association Psychiatry CurrentSince Jan 1, 2023 Accepting new patients
Franciscan Physician Network CurrentSince Oct 1, 2024 Accepting new patients
Fairview Express Care CurrentSince Dec 24, 2023 Accepting new patients
Fairview Health Services CurrentSince Dec 24, 2023 Accepting new patients
Genesis Health System CurrentSince Jan 9, 2023 Accepting new patients
Edward W. Sparrow Hospital Association Current Accepting new patients
Fairview Health Services CurrentSince Dec 24, 2023 Accepting new patients
John Fitzgibbon Memorial Hospital Inc. CurrentSince Apr 1, 2022 Accepting new patients
Healtheast Medical Research Institute CurrentSince Dec 24, 2023 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince Jun 12, 2024 Accepting new patients
Fairview Express Care Current Accepting new patients
Franciscan Physician Network CurrentSince Oct 1, 2024 Accepting new patients
Mindcare Solutions of Texas PA Psychiatry CurrentSince Feb 11, 2021 Accepting new patients
Fairview Health Services Current Accepting new patients
Acclaim Physician Group, Inc CurrentSince Mar 23, 2020 Accepting new patients
Capital Health Multispecialty Group Psychiatry CurrentSince Nov 1, 2022 Accepting new patients
Osf Multi-Specialty Group CurrentSince Jan 1, 2025 Accepting new patients
Billings Clinic CurrentSince Nov 15, 2022 Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Feb 1, 2024 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince May 1, 2024 Accepting new patients
John Fitzgibbon Memorial Hospital, Inc. Current Accepting new patients
John Fitzgibbon Memorial Hospital Inc Current Accepting new patients
Sabine Valley Regional MHMR Center CurrentSince Feb 1, 2021 Accepting new patients
Healtheast Medical Research Institute Current Accepting new patients
Meritas Health Corporation Current Accepting new patients
Albany Medical College CurrentSince Dec 6, 2022 Accepting new patients
Florida Clinical Practice Association Inc CurrentSince May 15, 2024 Accepting new patients
Billings Clinic CurrentSince Nov 15, 2022 Accepting new patients
Healtheast Medical Research Institute CurrentSince Dec 24, 2023 Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Feb 23, 2023 Accepting new patients
Adventist Health Partners, Inc. Current Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Sep 1, 2022 Accepting new patients
Froedtert Manitowoc Medical Group, LLC CurrentSince Aug 10, 2024 Accepting new patients
Bozeman Health Deaconess Hospital CurrentSince Feb 1, 2024 Accepting new patients
St Vincent Hospital-Hospital Sisters-Third Order of St Francis CurrentSince Sep 1, 2022 Accepting new patients
Adventist Health System Georgia Inc CurrentSince Dec 8, 2022 Accepting new patients
Meritas Health Corporation CurrentSince Jan 1, 2023 Accepting new patients
Sanford Bismarck CurrentSince Oct 31, 2023 Accepting new patients
Villages Regional Hospital Physician Services LLC CurrentSince Jul 1, 2024 Accepting new patients
Albany Medical College CurrentSince Dec 6, 2022 Accepting new patients
Adventist Health Partners, Inc CurrentSince Oct 29, 2023 Accepting new patients
St Nicholas Hospital-Sisters of the Third Order of St Francis CurrentSince Sep 1, 2022 Accepting new patients
Fairview Express Care CurrentSince Dec 24, 2023 Accepting new patients
St Mary'S Hospital Medical Center of Green Bay Inc.-Hospital Sisters CurrentSince Sep 1, 2022 Accepting new patients
John Fitzgibbon Memorial Hospital Inc Psychiatry CurrentSince Apr 1, 2022 Accepting new patients
Sabine Valley Regional MHMR Center Psychiatry CurrentSince Feb 1, 2021 Accepting new patients
St Johns Hospital of the Hospital Sisters of the Third Order of St F CurrentSince Feb 23, 2023 Accepting new patients
Lake Region Healthcare Corporation Current Accepting new patients
Behavioral Health of North Texas LLP CurrentSince Feb 1, 2021 Accepting new patients
Bozeman Health Big Sky Medical Center, LLC CurrentSince Feb 1, 2024 Accepting new patients
Integris Ambulatory Care Corporation CurrentSince Feb 21, 2024 Accepting new patients
Meritas Health Psychiatry CurrentSince Jan 1, 2023 Accepting new patients
Bozeman Health Big Sky Medical Center, LLC CurrentSince Feb 1, 2024 Accepting new patients
Edward W Sparrow Hospital Association CurrentSince Jan 1, 2023 Accepting new patients
Lake Region Healthcare Corporation CurrentSince Jan 7, 2024 Accepting new patients
DLP Marquette Physician Practices Inc CurrentSince May 1, 2024 Accepting new patients
Genesis Health System CurrentSince Jan 9, 2023 Accepting new patients

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

  • Direct secure messaging: khoa.nguyendo.p1@direct.cfg.nextgenshare.com
  • Direct secure messaging: khoa.nguyen@hca7.eclinicaldirectplus.com
  • Direct secure messaging: knguyen20679@direct.ahsys.org
  • FHIR API: https://fhir-myrecord.cerner.com/r4/e35355ac-dfca-48b9-9dd9-0b7c408c2a66/
  • Direct secure messaging: knguyen708739@direct.shands.ufl.edu
  • Direct secure messaging: 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.

View all 77

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

Verify at the official NPI Registry.