Individual provider Active NPI

Trinh Kien Phan Nguyen, DPM

  • Podiatrist
  • Miami, FL
National Provider Identifier
1346801628
Registry record updated Nov 3, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PR590 Issued in FL
Practice address
2500 SW 75TH Ave
Miami, FL 33155-2805
Phone
(305) 264-5252
NPI assigned
Jun 26, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PR590 FL Primary

Addresses

Primary practice location

2500 SW 75TH Ave
Miami, FL 33155-2805

Mailing address

2500 SW 75TH Ave
Miami, FL 33155-2805
Phone (305) 264-5252

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL westchesterhospital.com

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221205000579 FL Practitioner - Podiatry 2466821020 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cortez Foot and Ankle Specialists, PAGroup PAC ID 6901931187, 11 clinicians
Bruce J Levine DPM PAGroup PAC ID 8224066923, 13 clinicians

Practice addresses (Care Compare)

1800 Cortez Rd W
Bradenton, FL 34207-1335
Phone (941) 758-8818

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Tampa, FL, CCN 103145

Merit-based Incentive Payment System (MIPS)

Final score
79.76 of 100Reported as group
Quality
57.2
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of nail tissue1612
Removal or shaving of skin growth1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR590FLMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Bruce J Levine DPM PA CurrentSince Aug 29, 2024 Accepting new patients

Locations

1800 Cortez Rd W
Bradenton, FL 34207
Phone (941) 758-8818

2521 Countryside Blvd
Clearwater, FL 33763
Phone (727) 797-5008

7915 US Highway 301 N
Ste 104
Ellenton, FL 34222
Phone (941) 776-5199

8430 Cooper Creek Blvd
Ste 101
University Park, FL 34201
Phone (941) 360-9300

8430 Cooper Creek Blvd
University Park, FL 34201

Interoperability endpoints

  • Direct secure messaging: trinh.nguyen.1@23036.direct.athenahealth.com
  • Direct secure messaging: tnguyen@usfas.emadirect.md
  • FHIR API: https://api.platform.athenahealth.com/23036/brand/1/csg/21/fhir/r4

Organizations & group practices 2

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 1

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": "1561507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1604361600000",
    "number": "1346801628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 SW 75TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552805",
            "telephone_number": "305-264-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 SW 75TH AVE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331552805",
            "telephone_number": "305-264-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRINH",
        "middle_name": "KIEN PHAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-06-26",
        "last_updated": "2020-11-03",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PR590",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "westchesterhospital.com",
            "affiliation": "N",
            "address_1": "2500 SW 75th Ave",
            "city": "Miami",
            "state": "FL",
            "country_code": "US",
            "postal_code": "331552805",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.