Individual provider Active NPI

Thuanhanh Thi Nguyen, M.D.

  • Internal Medicine Physician
  • Charlotte, NC
National Provider Identifier
1285622407
Registry record updated Jul 6, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200101583 Issued in NC
Practice address
1433 Emerywood Dr
Ste D
Charlotte, NC 28210-4105
Phone
(704) 554-8880
Fax
(704) 554-8883
NPI assigned
Oct 11, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 6, 2010

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 200101583 NC Primary
Internal Medicine Physician 207R00000X 47629 GA

Addresses

Primary practice location

1433 Emerywood Dr
Ste D
Charlotte, NC 28210-4105

Mailing address

PO Box 240296
Charlotte, NC 28224-0296
Phone (704) 904-6653

Other identifiers 1

IdentifierTypeStateIssuer
89135M6MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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
I20040117000125 NC Practitioner - Internal Medicine 4183525603 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1433 Emerywood Dr
Suite D
Charlotte, NC 28210-4591
Phone (704) 554-8880

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47629GAMDInternal Medicine Physician
200101583NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thuanhanh T. Nguyen, M.D., P.a. Internal Medicine CurrentSince Jan 1, 2004 Accepting new patients

Locations

1433 Emerywood Dr
Ste D
Charlotte, NC 28210
Phone (704) 554-8880

Organizations & group practices 1

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": "1128988800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278374400000",
    "number": "1285622407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 240296",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282240296",
            "telephone_number": "704-904-6653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1433 EMERYWOOD DR",
            "address_2": "STE D",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282104105",
            "telephone_number": "704-554-8880",
            "fax_number": "704-554-8883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THUANHANH",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-11",
        "last_updated": "2010-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200101583",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "47629",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89135M6",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.