Individual provider Active NPI

Tri Minh Nguyen, M.D.

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1255379442
Registry record updated Oct 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
30646 Issued in AZ
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, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
935752MedicaidAZ

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050524000110 AZ Practitioner - Cardiovascular Disease (Cardiology) 2365484078 Reassigns benefits to 1 organization

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
Southwest Desert Cardiology PCGroup PAC ID 4385627785, 8 clinicians

Practice addresses (Care Compare)

20414 N 27TH Ave
Suite 300
Phoenix, AZ 85027-3254
Phone (623) 879-6000

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting41
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30646AZMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Southwest Desert Cardiology PC Specialist CurrentSince Apr 15, 2006 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

  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.