NPIMap

Individual provider Active NPI

Lan T. Nguyen, MD

  • Internal Medicine Physician
  • Honolulu, HI
National Provider Identifier
1265753040
Registry record updated Jul 23, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD18631 Issued in HI
Practice address
1301 Punchbowl St
Honolulu, HI 96813-2402
Phone
(808) 366-8167
Fax
(855) 437-1594
NPI assigned
Jun 16, 2010
Last updated
Jul 23, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 23, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X A118694 CA
Internal Medicine Physician 207R00000X MD18631 HI Primary

Addresses

Primary practice location

1301 Punchbowl St
Honolulu, HI 96813-2402

Mailing address

46-006 Nana PL
Kaneohe, HI 96744-3644
Phone (619) 957-4907

Other practice location 1

91-2141 Fort Weaver Rd
Ewa Beach, HI 96706-1993
Phone (808) 366-8167

Other practice location 2

46-006 Nana Pl
Kaneohe, HI 96744-3644
Phone (619) 957-4907

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, HI2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20130509000102 CA Practitioner - Internal Medicine 0345487435 Reassigns benefits to 1 organization
I20160908000296 HI Practitioner - Internal MedicinePractitioner - HospitalistPractitioner - Other (Physician) 0345487435 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Straub Clinic and HospitalGroup PAC ID 6305759754, 420 clinicians

Practice addresses (Care Compare)

1301 Punchbowl St
Honolulu, HI 96813-2402
Phone (808) 523-9363

1319 Punahou St
Honolulu, HI 96826-1001
Phone (808) 983-6000

888 S King St
Honolulu, HI 96813-3097
Phone (808) 522-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
83.72 of 100Reported as group
Quality
67.55
Promoting interoperability
100
Improvement activities
40
Cost
78.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
118694CAMDMarriage & Family Therapist
MD18631HIMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Straub Clinic & Hospital CurrentSince Aug 9, 2021 Accepting new patients
Work Well Live Well LLC Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Straub Clinic & Hospital CurrentSince Aug 9, 2021 Accepting new patients
Quantum Healthcare Medical Associates Inc. Internal Medicine CurrentSince Jul 2, 2014 Accepting new patients
Kapiolani Medical Center for Women & Children Past Accepting new patients
The Queens Medical Center Past Accepting new patients
Straub Clinic & Hospital Past Accepting new patients

Locations

300 Hospital Dr
Vallejo, CA 94589
Phone (707) 554-4107

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

347 N Kuakini St
Honolulu, HI 96817
Phone (808) 536-2236

820 Mililani St
Ste 702A
Honolulu, HI 96813
Phone (808) 523-6393

888 S King St
Honolulu, HI 96813
Phone (808) 522-4000

Organizations & group practices 8

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": "1276646400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626998400000",
    "number": "1265753040",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46-006 NANA PL",
            "city": "KANEOHE",
            "state": "HI",
            "postal_code": "967443644",
            "telephone_number": "619-957-4907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PUNCHBOWL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132402",
            "telephone_number": "808-366-8167",
            "fax_number": "855-437-1594"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "91-2141 Fort Weaver Rd",
            "address_purpose": "LOCATION",
            "city": "Ewa Beach",
            "state": "HI",
            "postal_code": "967061993",
            "country_code": "US",
            "telephone_number": "808-366-8167",
            "fax_number": "855-437-1594",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "46-006 Nana Pl",
            "address_purpose": "LOCATION",
            "city": "Kaneohe",
            "state": "HI",
            "postal_code": "967443644",
            "country_code": "US",
            "telephone_number": "619-957-4907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LAN",
        "middle_name": "T.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-16",
        "last_updated": "2021-07-23",
        "certification_date": "2021-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "A118694",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "HI",
            "license": "MD18631",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.