Individual provider Active NPI

Khiet T Nguyen, MD

  • Diagnostic Radiology Physician
  • Bethesda, MD
National Provider Identifier
1306979729
Registry record updated Dec 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
D64347 Issued in MD
Practice address
10215 Fernwood Rd
Suite 620
Bethesda, MD 20817-1106
Phone
(301) 530-6646
Fax
(301) 530-0773
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D64347 MD Primary

Addresses

Primary practice location

10215 Fernwood Rd
Suite 620
Bethesda, MD 20817-1106

Mailing address

4110 Aspen Hill Rd
Suie 200
Rockville, MD 20853-2853
Phone (301) 438-5150

Other identifiers 5

IdentifierTypeStateIssuer
NPIMedicaidVA
NPIOtherMEDICARE
P00644589OtherRAILROAD MEDICARE
NPIOtherMEDICARE - FREDERICK, MD REGION
415144500MedicaidMD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20080806000469 MD Practitioner - Diagnostic Radiology 1153495346 Reassigns benefits to 1 organization
I20081014000256 DC Practitioner - Diagnostic Radiology 1153495346 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Medical College of Wisconsin, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Radiology Associates IncGroup PAC ID 5991692444, 64 clinicians

Practice addresses (Care Compare)

14999 Health Ctr Dr
Suite 102
Bowie, MD 20716-1075
Phone (888) 601-0943

1562 Opossumtown Pike
Frederick, MD 21702-4920
Phone (888) 601-0943

3280 Urbana Pike
Suite 105
Ijamsville, MD 21754-9411
Phone (888) 601-0943

504 E Ridgeville Blvd
Suite 130
Mount Airy, MD 21771-5942
Phone (888) 601-0943

7140 Contee Rd
Suite 2000
Laurel, MD 20707-9527
Phone (443) 436-1666

7211 Bank CT
Suite 100
Frederick, MD 21703-2807
Phone (888) 601-0943

86 Thomas Johnson CT
Frederick, MD 21702-4348
Phone (888) 601-0943

Merit-based Incentive Payment System (MIPS)

Final score
86.25 of 100Reported as group
Quality
75
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D64347MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Community Radiology Associates Inc Diagnostic Radiology CurrentSince May 23, 1980 Accepting new patients
Montgomery-Community Magnetic Imaging CNTR LTD Partnership Diagnostic Radiology Past Accepting new patients
Community Radiology Associates Inc Diagnostic Radiology PastSince Oct 27, 2024 Accepting new patients

Locations

27424 Network Pl
Chicago, IL 60673

10215 Fernwood Rd
Ste 620
Bethesda, MD 20817
Phone (301) 530-6646

14999 Health Center Dr
Ste 102
Bowie, MD 20716
Phone (301) 438-5150

86 Thomas Johnson Ct
Frederick, MD 21702
Phone (301) 607-0444

20528 Boland Farm Rd
Ste 110
Germantown, MD 20876
Phone (301) 428-2884

4110 Aspen Hill Rd
Ste 200
Rockville, MD 20853
Phone (301) 438-5150

2121 Medical Park Dr
Ste 1
Silver Spring, MD 20902
Phone (301) 681-0733

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1387497600000",
    "number": "1306979729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4110 ASPEN HILL RD",
            "address_2": "SUIE 200",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208532853",
            "telephone_number": "301-438-5150",
            "fax_number": "301-460-0199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10215 FERNWOOD RD",
            "address_2": "SUITE 620",
            "city": "BETHESDA",
            "state": "MD",
            "postal_code": "208171106",
            "telephone_number": "301-530-6646",
            "fax_number": "301-530-0773"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KHIET",
        "middle_name": "T",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2013-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D64347",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NPI",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NPI",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00644589",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE - FREDERICK, MD REGION",
            "identifier": "NPI",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "415144500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bethesda, MD

Sources for this page

Verify at the official NPI Registry.