Individual provider Active NPI

Phu DH Nguyen, MD

  • Diagnostic Radiology Physician
  • Dallas, TX
National Provider Identifier
1376078360
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
R8796 Issued in TX
Practice address
3500 Gaston Ave
Dallas, TX 75246-2017
Phone
(214) 820-2361
NPI assigned
Apr 27, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 82128 WI
Diagnostic Radiology Physician 2085R0202X R8796 TX Primary

Addresses

Primary practice location

3500 Gaston Ave
Dallas, TX 75246-2017

Mailing address

408 Elk Run Dr
Fort Worth, TX 76140-5596
Phone (682) 553-5257

Other practice location 1

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

Other identifiers 1

IdentifierTypeStateIssuer
423385001MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address him@marshfieldclinichealthsystem.cernerdirect.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, WI2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20210521000785 TX Practitioner - Diagnostic Radiology 9739457763 Reassigns benefits to 3 organizations
I20230728001973 WI Practitioner - Diagnostic Radiology 9739457763 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCHS Hospitals IncGroup PAC ID 5698071173, shared by 28 NPIs, 1,195 clinicians
Marshfield Clinic IncGroup PAC ID 2264345206, 207 clinicians

Practice addresses (Care Compare)

1000 N Oak Ave
Marshfield, WI 54449-5703
Phone (715) 387-5511

220 24TH St S
Wisconsin Rapids, WI 54494-1908
Phone (715) 751-6200

408 Elk Run Dr
Marshfield Clinic TX Teleradiology P Nguy
Fort Worth, TX 76140-5596
Phone (715) 389-3555

Hospital & facility affiliations

  • Marshfield Medical Center Hospital, Marshfield, WI, CCN 520037
  • Marshfield Medical Center - Minocqua Hospital, Minocqua, WI, CCN 520212
  • Marshfield Medical Center - Eau Claire Hospital, Eau Claire, WI, CCN 520210
  • Marshfield Medical Center - Rice Lake Hospital, Rice Lake, WI, CCN 520011
  • Marshfield Medical Center - Weston Hospital, Weston, WI, CCN 520202

Merit-based Incentive Payment System (MIPS)

Final score
83.6 of 100Reported as group
Quality
62.55
Promoting interoperability
100
Improvement activities
40
Cost
76.03

Merit-based Incentive Payment System (MIPS)

Final score
80.58 of 100Reported as group
Quality
55.5
Promoting interoperability
100
Improvement activities
40
Cost
71.46

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
82128WIMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jul 31, 2023 Accepting new patients
Texas Oncology PA CurrentSince May 1, 2021 Accepting new patients
Memorial Hospital Inc CurrentSince Jul 31, 2023 Accepting new patients
Texas Oncology PA Current Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas Diagnostic Radiology CurrentSince Jul 21, 2022 Accepting new patients
Marshfield Clinic Inc CurrentSince Jul 1, 2023 Accepting new patients
Texas Oncology PA CurrentSince May 1, 2021 Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jul 31, 2023 Accepting new patients
The University of Texas Southwestern Medical Center at Dallas CurrentSince Jul 21, 2022 Accepting new patients
Memorial Hospital Inc CurrentSince Jul 31, 2023 Accepting new patients
MCHS Hospitals Inc Current Accepting new patients
University of Texas Southwestern Medical Center at Dallas Current Accepting new patients
Beaver Dam Community Hospitals Inc CurrentSince Jul 31, 2023 Accepting new patients
Flambeau Hospital Inc Current Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 31, 2023 Accepting new patients
Flambeau Hospital Inc CurrentSince Jul 31, 2023 Accepting new patients
Lakeview Medical Center Inc of Rice Lake CurrentSince Jul 31, 2023 Accepting new patients
MCHS Hospitals Inc CurrentSince Jul 31, 2023 Accepting new patients

Locations

10057 County Road 472
Anna, TX 75409

7777 Forest Ln
Ste C707
Dallas, TX 75230
Phone (972) 566-3000

2350 N Stemmons Fwy
Dallas, TX 75207
Phone (469) 488-7100

3500 Gaston Ave
Dallas, TX 75246

3410 Worth St
Ste 100
Dallas, TX 75246
Phone (214) 370-1000

3000 N Interstate 35
Denton, TX 76201
Phone (469) 303-3591

600 S Main St
Ft Worth, TX 76104
Phone (817) 882-2400

3030 Waterview Pkwy
Richardson, TX 75080
Phone (972) 669-7070

705 S University Ave
Beaver Dam, WI 53916
Phone (920) 885-6090

3501 Golf Rd
Eau Claire, WI 54701
Phone (715) 858-4200

1000 Starr Ave
Eau Claire, WI 54703
Phone (715) 858-4850

1000 N Oak Ave
Fl 2
Marshfield, WI 54449

1000 N Oak Ave
Marshfield, WI 54449
Phone (715) 387-5111

1102 S Center Ave
Merrill, WI 54452
Phone (715) 536-3399

N3708 River Ave
Neillsville, WI 54456
Phone (715) 743-3101

1700 W Stout St
Rice Lake, WI 54868
Phone (715) 236-6133

Interoperability endpoints

  • Direct secure messaging: pnguyen298451@direct.phhs.org
  • Direct secure messaging: him@marshfieldclinichealthsystem.cernerdirect.com

Organizations & group practices 19

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 19

Hospital & facility affiliations 5

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": "1493251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1376078360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 ELK RUN DR",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761405596",
            "telephone_number": "682-553-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 GASTON AVE",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752462017",
            "telephone_number": "214-820-2361"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1000 N Oak Ave",
            "address_purpose": "LOCATION",
            "city": "Marshfield",
            "state": "WI",
            "postal_code": "544495703",
            "country_code": "US",
            "telephone_number": "715-387-5511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHU",
        "middle_name": "DH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-27",
        "last_updated": "2023-06-27",
        "certification_date": "2023-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "WI",
            "license": "82128",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "R8796",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "423385001",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "him@marshfieldclinichealthsystem.cernerdirect.com",
            "affiliation": "N",
            "address_1": "1000 N Oak Ave",
            "city": "Marshfield",
            "state": "WI",
            "country_code": "US",
            "postal_code": "544495703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

Verify at the official NPI Registry.