Individual provider Active NPI

David Cong Nguyen, M.D.

  • Pediatric Infectious Diseases Physician
  • Chicago, IL
National Provider Identifier
1275948788
Registry record updated Jan 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
036166193 Issued in IL
Practice address
1725 W Harrison St Ste 710
Chicago, IL 60612-3863
Phone
(312) 942-3034
NPI assigned
Jun 23, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X 036166193 IL Primary
Infectious Disease Physician 207RI0200X 036-166193 IL

Addresses

Primary practice location

1725 W Harrison St Ste 710
Chicago, IL 60612-3863

Mailing address

1725 W Harrison St Ste 710
Chicago, IL 60612-3863
Phone (312) 942-3034

Other practice location 1

1645 W Jackson Blvd
Chicago, IL 60612-3276
Phone (312) 942-8000

Other practice location 2

11100 Euclid Ave
Cleveland, OH 44106
Phone (216) 844-1000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, IL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190820003647 OH Practitioner - Infectious DiseasePractitioner - Internal Medicine 9133410186 Reassigns benefits to 1 organization
I20230829002668 IL Practitioner - Pediatric MedicinePractitioner - Infectious Disease 9133410186 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Infectious Disease
Education
Northeastern Ohio University College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians

Practice addresses (Care Compare)

1725 W Harrison St
Suite 710
Chicago, IL 60612-3863
Phone (312) 942-3034

Hospital & facility affiliations

  • Rush University Medical Center Hospital, Chicago, IL, CCN 140119

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-166193ILMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County CurrentSince Dec 21, 2023 Accepting new patients
The Metrohealth System Current Accepting new patients
Cook County Internal Medicine CurrentSince Dec 21, 2023 Accepting new patients
University Hospitals Medical Group Inc Pediatrics CurrentSince Jul 1, 2019 Accepting new patients
Rush University Medical Center Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients
Cook County Current Accepting new patients
Rush University Medical Group Internal Medicine CurrentSince Aug 1, 2023 Accepting new patients

Locations

2040 Ogden Ave
Ste 303
Aurora, IL 60504
Phone (312) 563-2030

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1725 W Harrison St
Ste 710
Chicago, IL 60612
Phone (312) 942-5983

1645 W Jackson Blvd
Chicago, IL 60612
Phone (312) 942-2200

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1725 W Harrison St
Ste 339
Chicago, IL 60612

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

75 Remittance Dr
Dept 1611
Chicago, IL 60675

11100 Euclid Ave
Cleveland Heights, OH 44106

Interoperability endpoints

  • Direct secure messaging: dnguyen143603@direct.metrohealth.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.

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": "1403481600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704153600000",
    "number": "1275948788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 710",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123863",
            "telephone_number": "312-942-3034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1725 W HARRISON ST STE 710",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606123863",
            "telephone_number": "312-942-3034"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1645 W Jackson Blvd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123276",
            "country_code": "US",
            "telephone_number": "312-942-8000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11100 Euclid Ave",
            "address_purpose": "LOCATION",
            "city": "Cleveland",
            "state": "OH",
            "postal_code": "44106",
            "country_code": "US",
            "telephone_number": "216-844-1000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DAVID",
        "middle_name": "CONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-23",
        "last_updated": "2024-01-02",
        "certification_date": "2024-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "IL",
            "license": "036166193",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036-166193",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.