Individual provider Active NPI

Jason Tan Nguyen, MD

  • Internal Medicine Physician
  • Denver, CO
National Provider Identifier
1306056536
Registry record updated May 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
47469 Issued in CO
Practice address
777 Bannock St
Denver, CO 80204-4597
Phone
(303) 602-5011
Fax
(303) 602-5055
NPI assigned
May 23, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 25, 2024

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 47469 CO Primary

Addresses

Primary practice location

777 Bannock St
Denver, CO 80204-4597

Mailing address

1707 Cole Blvd
Ste 100
Golden, CO 80401-3220
Phone (303) 716-8013

Other practice location 1

1707 Cole Blvd
Ste 100
Golden, CO 80401-3220
Phone (303) 716-8013

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
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
I20090723000757 CO Practitioner - Internal Medicine 6406908383 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Tennessee, HSC, College of Medicine, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

777 Bannock St
Denver, CO 80204-4507
Phone (303) 436-6000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.65 of 100Reported as group
Quality
92.15
Promoting interoperability
100
Improvement activities
40
Cost
80.02

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47469COMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Denver Health and Hospital Authority CurrentSince Nov 1, 2022 Accepting new patients
Denver Health and Hospital Authority CurrentSince Nov 1, 2022 Accepting new patients
New West Physicians Inc Internal Medicine CurrentSince Aug 10, 2022 Accepting new patients
Denver Health and Hospital Authority Past Accepting new patients
Kenneth H Weisiger MD PC Internal Medicine Past Accepting new patients

Locations

7950 Kipling St
Ste 101
Arvada, CO 80005
Phone (303) 425-4680

777 Bannock St
Denver, CO 80204

1707 Cole Blvd
Ste 150
Lakewood, CO 80401
Phone (303) 233-8295

1707 Cole Blvd
Ste 100
Lakewood, CO 80401
Phone (303) 716-8013

Interoperability endpoints

  • Direct secure messaging: jnguyen272665@direct.dhha.org

Organizations & group practices 5

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 3

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": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716595200000",
    "number": "1306056536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 COLE BLVD",
            "address_2": "STE 100",
            "city": "GOLDEN",
            "state": "CO",
            "postal_code": "804013220",
            "telephone_number": "303-716-8013",
            "fax_number": "303-763-5495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BANNOCK ST",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802044597",
            "telephone_number": "303-602-5011",
            "fax_number": "303-602-5055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1707 Cole Blvd",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Golden",
            "state": "CO",
            "postal_code": "804013220",
            "country_code": "US",
            "telephone_number": "303-716-8013",
            "fax_number": "303-763-5495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "JASON",
        "middle_name": "TAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-23",
        "last_updated": "2024-05-25",
        "certification_date": "2024-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CO",
            "license": "47469",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Denver, CO

Sources for this page

Verify at the official NPI Registry.