Individual provider Active NPI

Bichchau Thi Nguyen, M.D.

  • MOHS-Micrographic Surgery Physician
  • Boston, MA
National Provider Identifier
1366699381
Registry record updated Dec 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
MOHS-Micrographic Surgery PhysicianTaxonomy code 207ND0101X
License
250258 Issued in MA
Practice address
260 Tremont St
Boston, MA 02116
Phone
(617) 636-6052
NPI assigned
Aug 20, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 3, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 250258 MA
Procedural Dermatology Physician 207NS0135X 250258 MA
Student in an Organized Health Care Education/Training Program 390200000X
MOHS-Micrographic Surgery Physician 207ND0101X 250258 MA Primary

Addresses

Primary practice location

260 Tremont St
Boston, MA 02116

Mailing address

800 Washington St
#114
Boston, MA 02111
Phone (617) 636-6052

Other identifiers 1

IdentifierTypeStateIssuer
00A869820MedicaidCA

Other names 1

  • Michelle Nguyen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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
I20120815000732 MA Practitioner - Dermatology 4981850427 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Stanford University School of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pratt Med/Surg Dermatology Associates IncGroup PAC ID 6305737511, 20 clinicians

Practice addresses (Care Compare)

800 Washington St
Boston, MA 02111-1552
Phone (617) 636-5000

Hospital & facility affiliations

  • Tufts Medical Center Hospital, Boston, MA, CCN 220116
  • Melrosewakefield Healthcare Hospital, Melrose, MA, CCN 220070

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision101
Removal of skin lesions162
Removal of skin cancer320
Removal of nail tissue1-10
Removal or shaving of skin growth1-10
Skin biopsy189

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Pratt Med/Surg Dermatology Associates Inc Dermatology CurrentSince Aug 1, 2014 Accepting new patients
Child Health Foundation of Boston, Inc. CurrentSince Jul 17, 2017 Accepting new patients
Howard S Goldberg MD Inc Dermatology CurrentSince May 1, 2021 Accepting new patients
Pratt OB/GYN Associates, Inc PastSince Dec 8, 2024 Accepting new patients
Evans Medical Foundation, Inc. Past Accepting new patients

Locations

800 Washington St
#1013
Boston, MA 02111
Phone (617) 636-0491

260 Tremont St
Boston, MA 02116
Phone (617) 636-4600

800 Washington St
Boston, MA 02111
Phone (617) 636-4800

720 Harrison Ave
Ste 915
Boston, MA 02118
Phone (617) 638-7420

800 Washington St
#114
Boston, MA 02111
Phone (617) 636-0154

725 Albany St
#8
Boston, MA 02118
Phone (617) 414-4841

990 Paradise Rd
Swampscott, MA 01907
Phone (781) 592-2830

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 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": "1219190400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733184000000",
    "number": "1366699381",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 WASHINGTON ST",
            "address_2": "#114",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02111",
            "telephone_number": "617-636-6052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 TREMONT ST",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "02116",
            "telephone_number": "617-636-6052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BICHCHAU",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-20",
        "last_updated": "2024-12-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "250258",
            "primary": false
        },
        {
            "code": "207NS0135X",
            "taxonomy_group": "",
            "desc": "Dermatology, Procedural Dermatology",
            "state": "MA",
            "license": "250258",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207ND0101X",
            "taxonomy_group": "",
            "desc": "Dermatology, MOHS-Micrographic Surgery",
            "state": "MA",
            "license": "250258",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A869820",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "NGUYEN",
            "credential": "M.D.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.