Mai Hoang Nguyen, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

0101244058 Issued in VA

Practice address

410 Maple Ave W Ste 3
Vienna, VA 22180-4224

Phone

(703) 281-3626

Fax

(703) 281-3615

NPI assigned

Nov 2, 2006

Last updated

Dec 4, 2018By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

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

Specialty

Family Practice

Education

Other, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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.

• Barcroft Dermatology, LLC

  dba Mai H. Nguyen, MD

  • Clinic/Center
  • Arlington, VA
  • NPI 1215444377

  DC

  Medicare reassignment Authorized official
• Vienna Dermatology, LLC

  • Clinic/Center
  • Vienna, VA
  • NPI 1689076747

  DC

  Medicare reassignment Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162425600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1543881600000",
    "number": "1275612319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 MAPLE AVE W STE 3",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804224",
            "telephone_number": "703-281-3626",
            "fax_number": "703-281-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 MAPLE AVE W STE 3",
            "city": "VIENNA",
            "state": "VA",
            "postal_code": "221804224",
            "telephone_number": "703-281-3626",
            "fax_number": "703-281-3615"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "939 S Wakefield St Ste 201",
            "address_purpose": "LOCATION",
            "city": "Arlington",
            "state": "VA",
            "postal_code": "222043050",
            "country_code": "US",
            "telephone_number": "703-892-3636",
            "fax_number": "703-892-3626",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2185 W Grant Line Rd",
            "address_purpose": "LOCATION",
            "city": "Tracy",
            "state": "CA",
            "postal_code": "953777309",
            "country_code": "US",
            "telephone_number": "209-839-3200",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MAI",
        "middle_name": "HOANG",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-02",
        "last_updated": "2018-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CA",
            "license": "A94851",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "VA",
            "license": "0101244058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "948510",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Trung Nguyen
• Denise Nguyen, DDS
• Doan-Thu Nguyen, MD
• Kalvin Nguyen
• Kathy Nguyen, PSY.D.
• Nicole Nguyen
• Tuc Thi Nguyen, MD
• Faranaz Niaz
• Mariam Khan Niazi
• Monique Nibbs

• Dermatology Physician in Vienna, VA
• Providers in Vienna, VA by specialty
• Dermatology Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2018; 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.

Verify at the official NPI Registry.