Individual provider Active NPI

Camtu Thi Nguyen, M.D.

  • Family Medicine Physician
  • Youngsville, LA
National Provider Identifier
1376074500
Registry record updated Dec 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
324584 Issued in LA
Practice address
103 Centre Sarcelle Blvd Ste 506
Youngsville, LA 70592-6391
Phone
(337) 451-4890
NPI assigned
Mar 21, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 324584 LA Primary

Addresses

Primary practice location

103 Centre Sarcelle Blvd Ste 506
Youngsville, LA 70592-6391

Mailing address

103 Centre Sarcelle Blvd Ste 506
Youngsville, LA 70592-6391
Phone (337) 451-4890

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20201022004145 LA Practitioner - Family Practice 9739509159 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Lafayette Health Ventures IncGroup PAC ID 9335043074, 299 clinicians

Practice addresses (Care Compare)

1216 Camellia Blvd
Lafayette, LA 70508-6667
Phone (337) 769-0069

Hospital & facility affiliations

  • Acadian Homecare, LLC Home health agency, Lafayette, LA, CCN 197060
  • Ochsner Lafayette General Medical Center Hospital, Lafayette, LA, CCN 190002

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Lafayette Health Ventures Inc CurrentSince Oct 18, 2020 Accepting new patients
Lafayette Health Ventures Inc Family Medicine CurrentSince Oct 18, 2020 Accepting new patients
Lafayette Health Ventures, Inc Past Accepting new patients
Lafayette Health Ventures, Inc PastSince Dec 27, 2020 Accepting new patients

Locations

1216 Camellia Blvd
Lafayette, LA 70508
Phone (337) 769-0069

4212 W Congress St
Ste 3100
Lafayette, LA 70506
Phone (337) 703-3201

103 Centre Sarcelle Blvd
Ste 506
Youngsville, LA 70592
Phone (337) 289-8978

2810 Bonin Rd
Youngsville, LA 70592
Phone (337) 857-5765

Interoperability endpoints

  • Direct secure messaging: cnguyen1281546@direct.ochsner.org

Organizations & group practices 4

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": "1490054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608595200000",
    "number": "1376074500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 CENTRE SARCELLE BLVD STE 506",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705926391",
            "telephone_number": "337-451-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 CENTRE SARCELLE BLVD STE 506",
            "city": "YOUNGSVILLE",
            "state": "LA",
            "postal_code": "705926391",
            "telephone_number": "337-451-4890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CAMTU",
        "middle_name": "THI",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-03-21",
        "last_updated": "2020-12-22",
        "certification_date": "2020-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "LA",
            "license": "324584",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Youngsville, LA

Sources for this page

Verify at the official NPI Registry.