Active NPI
Tri Minh Nguyen, M.D.
- Specialist
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 30646
- Practice address
- 20414 N 27TH Ave
Suite 300
Phoenix, AZ 85027-3250 - Phone
- (623) 879-6000
- Fax
- (623) 516-2000
- NPI assigned
- Jun 2, 2006
- Last updated
- Oct 25, 2023
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 30646 | AZ | Primary |
Addresses
Primary practice location
20414 N 27TH Ave
Suite 300
Phoenix, AZ 85027-3250
Mailing address
20414 N 27TH Ave
Suite 300
Phoenix, AZ 85027-3250
Phone (623) 879-6000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 935752 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
20414 N 27TH Ave
Suite 300
Phoenix, AZ 85027-3254
Phone (623) 879-6000
Hospital & facility affiliations
- Honorhealth Deer Valley Medical Center
- Honorhealth Sonoran Crossing Medical Center
- Honor Health John C. Lincoln Medical Center
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary angioplasty and stenting | 41 |
| Pacemaker insertion or repair | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30646 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southwest Desert Cardiology PC | Specialist | Current | Accepting new patients |
| Apex Heart and Vascular Center, LLC | Past | Accepting new patients |
Locations
21360 N 75th Ave
Glendale, AZ 85308
Phone (623) 663-0006
20414 N 27th Ave
Ste 300
Phoenix, AZ 85027
Phone (623) 879-6000
Interoperability endpoints
- tri.nguyen.1@9032.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Specialist
- Phoenix, AZ
- NPI 1154375343
-
- Ambulatory Surgical Clinic/Center
- Glendale, AZ
- NPI 1134980311
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba HonorHealth Sonoran Crossing Medical Center
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1265063010
-
dba HonorHealth Deer Valley Medical Center
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1528169125
-
dba HonorHealth John C. Lincoln Medical Center
- General Acute Care Hospital
- Phoenix, AZ
- NPI 1770690695
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149206400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698192000000",
"number": "1255379442",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20414 N 27TH AVE",
"address_2": "SUITE 300",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850273250",
"telephone_number": "623-879-6000",
"fax_number": "623-516-2000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20414 N 27TH AVE",
"address_2": "SUITE 300",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850273250",
"telephone_number": "623-879-6000",
"fax_number": "623-516-2000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "TRI",
"middle_name": "MINH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-02",
"last_updated": "2023-10-25",
"certification_date": "2023-10-25",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AZ",
"license": "30646",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "935752",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Phoenix, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2023; 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.