Individual provider Active NPI

Dustin Duy Nguyen, D.O.

  • Diagnostic Radiology Physician
  • Camas, WA
National Provider Identifier
1346474582
Registry record updated Jan 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
Q4820 Issued in TX
Practice address
4381 NW Water Lily PL
Camas, WA 98607-8843
Phone
(817) 881-2765
NPI assigned
May 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2023

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 Q4820 TX Primary

Addresses

Primary practice location

4381 NW Water Lily PL
Camas, WA 98607-8843

Mailing address

816 W Cannon St
Fort Worth, TX 76104-3146
Phone (817) 321-0937

Other identifiers 1

IdentifierTypeStateIssuer
BP10034738OtherTEXAS MEDICAL BOARD POSTGRADUATE TRAINING PERMIT

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WA, CA, OR, OH5 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 5

Enrollment IDStateProvider typePAC IDDetails
I20151230002046 TX Practitioner - Diagnostic Radiology 2466696075 Reassigns benefits to 12 organizations
I20240910001803 WA Practitioner - Diagnostic Radiology 2466696075 Reassigns benefits to 5 organizations
I20250114000327 CA Practitioner - Diagnostic Radiology 2466696075 Reassigns benefits to 3 organizations
I20250624003361 OR Practitioner - Diagnostic Radiology 2466696075 Reassigns benefits to 1 organization
I20260608001317 OH Practitioner - Diagnostic Radiology 2466696075 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial MRI and Diagnostic LLCGroup PAC ID 6507859568, 77 clinicians
Sky Lakes Medical Center IncGroup PAC ID 1052204096, 196 clinicians

Practice addresses (Care Compare)

12840 Hillcrest Plaza Dr
Suite E100
Dallas, TX 75230-6569
Phone (214) 341-8770

2900 Daggett Ave
Klamath Falls, OR 97601-7101
Phone (541) 884-1371

Hospital & facility affiliations

  • Sky Lakes Medical Center Hospital, Klamath Falls, OR, CCN 380050
  • Ohsu Hospital and Clinics Hospital, Portland, OR, CCN 380009

Merit-based Incentive Payment System (MIPS)

Final score
48.35 of 100Reported as group
Quality
9.41
Promoting interoperability
100
Improvement activities
0
Cost
65.73

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Illinois Diagnostic and Interventional Radiology PLLC Diagnostic Radiology CurrentSince Jul 12, 2025 Accepting new patients
Memorial MRI and Diagnostic LLC Diagnostic Radiology CurrentSince Nov 5, 2025 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Jun 1, 2016 Accepting new patients
North Star FP, LP CurrentSince Nov 2, 2017 Accepting new patients
Methodist-Cdi Diagnostic Radiology CurrentSince Sep 15, 2016 Accepting new patients
Angelina Diagnostic Radiology Associates Diagnostic Radiology CurrentSince Nov 5, 2018 Accepting new patients
North Star MRI LP CurrentSince Jun 1, 2016 Accepting new patients
County of Santa Clara CurrentSince Dec 1, 2024 Accepting new patients
Methodist-Cdi Diagnostic Radiology CurrentSince Sep 15, 2016 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Jun 16, 2025 Accepting new patients
Radiology Associates of North Texas PA Diagnostic Radiology CurrentSince Jun 1, 2016 Accepting new patients
County of Santa Clara CurrentSince Dec 1, 2024 Accepting new patients
Medford Radiological Group, PC Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
Methodist-Cdi Diagnostic Radiology Current Accepting new patients
Concord Radiology PLLC Diagnostic Radiology CurrentSince Sep 1, 2019 Accepting new patients
County of Santa Clara CurrentSince Dec 1, 2024 Accepting new patients
Sky Lakes Medical Center Inc CurrentSince Jun 16, 2025 Accepting new patients
County of Santa Clara Current Accepting new patients
Radia Oregon Radiology Medical Group LLC Diagnostic Radiology CurrentSince Aug 29, 2024 Accepting new patients
County of Santa Clara Current Accepting new patients
Lufkin Radiology Associates Diagnostic Radiology CurrentSince Feb 1, 2019 Accepting new patients
County of Santa Clara CurrentSince Dec 1, 2024 Accepting new patients
North Star MRI of Frisco LP CurrentSince Jun 1, 2016 Accepting new patients
North Star Plano Parkway, LP CurrentSince Jun 1, 2016 Accepting new patients
Radpod FL PLLC Diagnostic Radiology Past Accepting new patients
Diagnostic Radiologists PC Diagnostic Radiology PastSince Jun 30, 2024 Accepting new patients
Clinical Care in Radiology Past Accepting new patients

Locations (25 of 40)

7475 Camino Arroyo
Gilroy, CA 95020
Phone (408) 852-2400

750 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-2320

1996 Lundy Ave
San Jose, CA 95131
Phone (408) 299-5846

500 Tully Rd
San Jose, CA 95111
Phone (408) 817-1433

2101 Alexian Dr
San Jose, CA 95116
Phone (408) 272-6050

750 S Bascom Ave
#1112
San Jose, CA 95128

751 S Bascom Ave
San Jose, CA 95128
Phone (408) 885-5110

1993 McKee Rd
San Jose, CA 95116
Phone (408) 254-6320

660 S Fair Oaks Ave
Sunnyvale, CA 94086
Phone (408) 885-7366

7435 W Talcott Ave
Chicago, IL 60631
Phone (773) 467-9977

2865 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 833-6221

2900 Daggett Ave
Klamath Falls, OR 97601
Phone (541) 884-1371

842 E Main St
Medford, OR 97504
Phone (541) 773-7273

6491 Southwest Blvd
Benbrook, TX 76132
Phone (214) 341-8770

3502 Spid Dr
Corpus Christi, TX 78415
Phone (361) 854-4400

17980 Dallas Pkwy
Ste 200
Dallas, TX 75287
Phone (972) 248-1303

11970 N Central Expy
Ste 100
Dallas, TX 75243
Phone (469) 248-1000

12840 Hillcrest Rd
Ste E100
Dallas, TX 75230
Phone (214) 341-8770

1750 N Hampton Rd
Desoto, TX 75115
Phone (214) 420-5400

8501 Wade Blvd
#220N
Frisco, TX 75034

816 W Cannon St
Ft Worth, TX 76104
Phone (817) 321-0312

815 Pennsylvania Ave
Ft Worth, TX 76104
Phone (817) 321-0300

1346 Campbell Rd
Houston, TX 77055

215 Chisholm Trl
Jacksboro, TX 76458
Phone (940) 567-5528

2306 W Frank Ave
Ste C
Lufkin, TX 75904
Phone (936) 632-6700

Interoperability endpoints

  • Direct secure messaging: dnguyen354781@direct.ahn.org

Organizations & group practices 33

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.

View all 33

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": "1241222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674777600000",
    "number": "1346474582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043146",
            "telephone_number": "817-321-0937"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4381 NW WATER LILY PL",
            "city": "CAMAS",
            "state": "WA",
            "postal_code": "986078843",
            "telephone_number": "817-881-2765"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DUSTIN",
        "middle_name": "DUY",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-02",
        "last_updated": "2023-01-27",
        "certification_date": "2023-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "Q4820",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS MEDICAL BOARD POSTGRADUATE TRAINING PERMIT",
            "identifier": "BP10034738",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Camas, WA

Sources for this page

Verify at the official NPI Registry.