Individual provider Active NPI

Christina Rae Nguyen, M.D.

  • Pediatric Nephrology Physician
  • Cleveland, OH
National Provider Identifier
1336359678
Registry record updated Jun 4, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Nephrology PhysicianTaxonomy code 2080P0210X
License
35-135579 Issued in OH
Practice address
11100 Euclid Ave Dept of
Cleveland, OH 44106-1716
Phone
(216) 844-1389
NPI assigned
May 23, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 4, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 57011901 OH
Pediatric Nephrology Physician 2080P0210X MT196036 PA
Pediatric Nephrology Physician 2080P0210X 35-135579 OH Primary

Addresses

Primary practice location

11100 Euclid Ave Dept of
Cleveland, OH 44106-1716

Mailing address

11100 Euclid Ave Dept of
Cleveland, OH 44106-1716
Phone (216) 844-1389

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20190502003149 OH Practitioner - Pediatric MedicinePractitioner - Nephrology 9830354844 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pediatric MedicineAlso: Nephrology
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University Hospitals Medical Group IncGroup PAC ID 4789682493, 2,248 clinicians

Practice addresses (Care Compare)

11100 Euclid Ave
Cleveland, OH 44106-1716
Phone (216) 844-1000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
81.19 of 100Reported as group
Quality
63.13
Promoting interoperability
100
Improvement activities
40
Cost
74.18

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57011901OHMDPediatrics Physician
35-135579OHMDPediatric Nephrology Physician
MT196036PAMDPediatric Nephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Metrohealth System Pediatrics CurrentSince Jul 1, 2019 Accepting new patients
The Metrohealth System CurrentSince Jul 1, 2019 Accepting new patients
University of Pittsburgh Physicians Current Accepting new patients
University Hospitals Medical Group Inc Pediatrics CurrentSince Jun 1, 2019 Accepting new patients
The Metrohealth System Current Accepting new patients
University Hospitals Cleveland Medical Center Past Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Multicare Health System Past Accepting new patients

Locations

8055 Mayfield Rd
Ste 105
Chesterland, OH 44026
Phone (440) 214-8024

2500 Metrohealth Dr
Cleveland, OH 44109
Phone (216) 778-2348

11100 Euclid Ave
Ste 1200
Cleveland, OH 44106
Phone (216) 844-3080

11100 Euclid Ave
Cleveland Heights, OH 44106

5850 Landerbrook Dr
Ste 220
Mayfield Hts, OH 44124
Phone (216) 844-1765

4001 Carrick Dr
Ste 220
Medina, OH 44256
Phone (330) 721-8522

960 Clague Rd
Ste 1600
Westlake, OH 44145
Phone (216) 844-1765

2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864

Interoperability endpoints

  • Direct secure messaging: cnguyen5481@direct.metrohealth.org
  • Direct secure messaging: cnguyen36139@ehrdirect.uhhospitals.org

Organizations & group practices 8

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 2

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": "1591228800000",
    "number": "1336359678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE DEPT OF",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-1389"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 EUCLID AVE DEPT OF",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441061716",
            "telephone_number": "216-844-1389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CHRISTINA",
        "middle_name": "RAE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-06-04",
        "certification_date": "2020-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "OH",
            "license": "57011901",
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "PA",
            "license": "MT196036",
            "primary": false
        },
        {
            "code": "2080P0210X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Nephrology",
            "state": "OH",
            "license": "35-135579",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleveland, OH

Sources for this page

Verify at the official NPI Registry.