Individual provider Active NPI

Tammy Nguyen, MD

  • Obstetrics & Gynecology Physician
  • St Petersburg, FL
National Provider Identifier
1285014514
Registry record updated May 9, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
ME137903 Issued in FL
Practice address
5959 Central Ave Ste 103
St Petersburg, FL 33710-8502
Phone
(727) 767-6060
Fax
(727) 767-1285
NPI assigned
Jun 2, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 9, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207V00000X ME137903 FL Primary

Addresses

Primary practice location

5959 Central Ave Ste 103
St Petersburg, FL 33710-8502

Mailing address

5959 Central Ave Ste 103
St Petersburg, FL 33710-8502
Phone (727) 767-6060

Other identifiers 1

IdentifierTypeStateIssuer
102682400MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220518000047 FL Practitioner - Obstetrics/Gynecology 4981998135 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Texas a & M University System, HSC, College of Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
West Coast Neonatology, IncGroup PAC ID 0446387641, 17 clinicians

Practice addresses (Care Compare)

601 5TH St S
Suite 5
St Petersburg, FL 33701-4804
Phone (727) 767-3051

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
West Coast Neonatology, Inc. Multi-Specialty CurrentSince Feb 3, 2022 Accepting new patients
Orlando Health, Inc. Current Accepting new patients
All Children'S OB/GYN Specialists Multi-Specialty CurrentSince Feb 3, 2022 Accepting new patients

Locations

601 5th St S
Ste 5
St Petersburg, FL 33701
Phone (727) 727-4429

5959 Central Ave
Ste 103
St Petersburg, FL 33710
Phone (727) 767-6060

501 6th Ave S
St Petersburg, FL 33701
Phone (727) 344-6060

Interoperability endpoints

  • Direct secure messaging: tnguyen189244@orlandohealth.medalliesdirect.net
  • Direct secure messaging: tnguyen733418@direct.hopkinsmedicine.org

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557360000000",
    "number": "1285014514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5959 CENTRAL AVE STE 103",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108502",
            "telephone_number": "727-767-6060",
            "fax_number": "727-767-1285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5959 CENTRAL AVE STE 103",
            "city": "ST PETERSBURG",
            "state": "FL",
            "postal_code": "337108502",
            "telephone_number": "727-767-6060",
            "fax_number": "727-767-1285"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TAMMY",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-02",
        "last_updated": "2019-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "ME137903",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102682400",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in St Petersburg, FL

Sources for this page

Verify at the official NPI Registry.