Active NPI
Minhxuyen Nguyen, PA-C
- Physician Assistant
- Lombard, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 085-003124
- Practice address
- 130 S Main St Ste 201
Lombard, IL 60148-2670 - Phone
- (331) 221-9001
- Fax
- (331) 221-3957
- NPI assigned
- Nov 12, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 085-003124 | IL | Primary |
Addresses
Primary practice location
130 S Main St Ste 201
Lombard, IL 60148-2670
Mailing address
4201 Winfield Rd FL 4
Warrenville, IL 60555-4025
Phone (331) 221-6377
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | mnguyen181184@direct.edward.org | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081204000754 | IL | Practitioner - Physician Assistant | 6103987482 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Endeavor Health Medical Group
Practice addresses (Care Compare)
130 S Main St
Lombard, IL 60148-2670
2650 Ridge Ave
Evanston, IL 60201-1700
Hospital & facility affiliations
- Elmhurst Memorial Hospital
- Edward Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.9 of 100
- Quality
- 75.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 74.6
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 085-003124 | IL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elmhurst Memorial Healthcare | Current | Accepting new patients | |
| Elmhurst Memorial Healthcare | Current | Accepting new patients | |
| Endeavor Health Medical Group | Current | Accepting new patients | |
| Central Dupage Physician Group | Past | Accepting new patients | |
| Home Care Physicians, Inc. | Physician Assistant | Past | Accepting new patients |
| Bartlett Home Solutions, Inc | Past | Accepting new patients |
Locations
303 W Lake St
Ste 200
Addison, IL 60101
9532 Eagle Way
Chicago, IL 60678
172 E Schiller St
Elmhurst, IL 60126
Phone (331) 221-6377
2650 Ridge Ave
Evanston, IL 60201
Phone (847) 570-1206
2650 Ridge Ave
Ste 1223
Evanston, IL 60201
Phone (847) 982-3175
2650 Ridge Ave
Ste 2218A
Evanston, IL 60201
Phone (847) 503-4222
130 S Main St
Lombard, IL 60148
Phone (331) 221-5800
130 S Main St
Ste 201
Lombard, IL 60148
Phone (331) 221-9199
4201 Winfield Rd
Fl 4
Warrenville, IL 60555
Interoperability endpoints
- mnguyen181184@direct.edward.org
Organizations & group practices 7
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.
-
- Internal Medicine Physician
- Elmhurst, IL
- NPI 1497076392
-
- Anesthesiology Physician
- Evanston, IL
- NPI 1265695944
-
- Home Health Agency
- Bartlett, IL
- NPI 1477825271
-
- Orthopaedic Surgery Physician
- Geneva, IL
- NPI 1780012344
-
- Physician Assistant
- Bloomingdale, IL
- NPI 1184951469
Hospital & facility affiliations 2
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": "1226448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620086400000",
"number": "1265686604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4201 WINFIELD RD FL 4",
"city": "WARRENVILLE",
"state": "IL",
"postal_code": "605554025",
"telephone_number": "331-221-6377",
"fax_number": "331-221-2357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "130 S MAIN ST STE 201",
"city": "LOMBARD",
"state": "IL",
"postal_code": "601482670",
"telephone_number": "331-221-9001",
"fax_number": "331-221-3957"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "MINHXUYEN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-12",
"last_updated": "2021-05-04",
"certification_date": "2021-05-04",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "IL",
"license": "085-003124",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "mnguyen181184@direct.edward.org",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"address_1": "130 S Main St Ste 201",
"city": "Lombard",
"state": "IL",
"country_code": "US",
"postal_code": "601482670",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Lombard, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2021; 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.