Individual provider Active NPI

Thanhmy Nguyen, M.D.

  • Internal Medicine Physician
  • Tampa, FL
National Provider Identifier
1285624759
Registry record updated Nov 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
ME90386 Issued in FL
Practice address
8408 N Grady Ave
Tampa, FL 33614-1907
Phone
(813) 885-9091
Fax
(813) 324-1133
NPI assigned
Oct 26, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 11, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X ME90386 FL Primary

Addresses

Primary practice location

8408 N Grady Ave
Tampa, FL 33614-1907

Mailing address

425 W Colonial Dr Ste 303
Orlando, FL 32804-6863
Phone (321) 332-6947

Other practice location 1

4040 W Waters Ave
Suite 900
Tampa, FL 33614-1958
Phone (813) 885-9091

Other practice location 2

5051 66th St N
Saint Petersburg, FL 33709-3119
Phone (813) 885-9091

Other identifiers 1

IdentifierTypeStateIssuer
002995700MedicaidFL

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
I20050620000225 FL Practitioner - Internal Medicine 6406846179 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Orlando Family Physicians LLCGroup PAC ID 0749226439, 86 clinicians

Practice addresses (Care Compare)

8408 N Grady Ave
Tampa, FL 33614-1907
Phone (813) 885-9091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME90386FLMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Orlando Family Physicians, LLC CurrentSince Jan 4, 2022 Accepting new patients
Idelis Fedeslinda Arias de la Torre PastSince Jun 1, 2021 Accepting new patients
Orlando Family Physicians, LLC PastSince Jan 5, 2025 Accepting new patients

Locations

425 W Colonial Dr
Ste 303
Orlando, FL 32804
Phone (321) 332-6947

811 N Nowell St
Orlando, FL 32808
Phone (407) 259-2383

1130 S Semoran Blvd
Orlando, FL 32807
Phone (407) 382-1376

5051 66th St N
St Petersburg, FL 33709
Phone (727) 800-6708

5051 66th St N
Ste B
St Petersburg, FL 33709
Phone (727) 800-6708

8408 N Grady Ave
Tampa, FL 33614
Phone (813) 885-9091

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: thanhmy.nguyen.1@27472.direct.athenahealth.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762819200000",
    "number": "1285624759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 W COLONIAL DR STE 303",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328046863",
            "telephone_number": "321-332-6947",
            "fax_number": "407-286-4515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8408 N GRADY AVE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336141907",
            "telephone_number": "813-885-9091",
            "fax_number": "813-324-1133"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4040 W Waters Ave",
            "address_2": "Suite 900",
            "address_purpose": "LOCATION",
            "city": "Tampa",
            "state": "FL",
            "postal_code": "336141958",
            "country_code": "US",
            "telephone_number": "813-885-9091",
            "fax_number": "813-885-3527",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5051 66th St N",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337093119",
            "country_code": "US",
            "telephone_number": "813-885-9091",
            "fax_number": "813-324-1133",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THANHMY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2025-11-11",
        "certification_date": "2025-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME90386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002995700",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.