Active NPI
Thai T Nguyen, M.D.
- Urology Physician
- Joliet, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- 036112211
- Practice address
- 1541 Riverboat Center Dr
Joliet, IL 60431-9341 - Phone
- (815) 409-4930
- Fax
- (815) 741-3263
- NPI assigned
- Jan 18, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urology Physician | 208800000X | 036112211 | IL | Primary |
Addresses
Primary practice location
1541 Riverboat Center Dr
Joliet, IL 60431-9341
Mailing address
1541 Riverboat Center Dr
Joliet, IL 60431-9341
Phone (815) 409-4930
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036112211 | Medicaid | IL |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | thainguyen@uropart.allscriptsdirect.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Urology
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1401 Lakewood Dr
Unit 3
Morris, IL 60450-3352
Phone (815) 409-4930
Hospital & facility affiliations
- Silver Cross Hospital and Medical Centers
- Saint Joseph Medical Center
- Morris Hospital & Healthcare Centers
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Prostate resection | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| United Shockwave Services, LTD. | Current | Accepting new patients | |
| United Shockwave Services, LTD. | Urology | Current | Accepting new patients |
| Uropartners LLC | Urology | Current | Accepting new patients |
| Uropartners, LLC | Urology | Current | Accepting new patients |
| United Shockwave Services, LTD. | Urology | Current | Accepting new patients |
| Uropartners, LLC | Urology | Current | Accepting new patients |
| Associated Urological Specialists | Urology | Past | Accepting new patients |
| Gibson Community Hospital Association | Past | Accepting new patients | |
| Uropartners, LLC | Urology | Past | Accepting new patients |
Locations
1541 Riverboat Center Dr
Joliet, IL 60431
Phone (815) 409-4700
801 S Milwaukee Ave
Libertyville, IL 60048
Phone (847) 362-2900
1401 Lakewood Dr
Unit 3
Morris, IL 60450
Phone (815) 409-4700
1851 Silver Cross Blvd
Ste 250
New Lenox, IL 60451
Phone (708) 349-6350
450 W State Route 22
South Barrington, IL 60010
Phone (847) 381-0123
6701 159th St
Tinley Park, IL 60477
Phone (708) 429-0222
200 E Fairman Ave
Watseka, IL 60970
Phone (815) 432-5201
2225 Enterprise Dr
Ste 2511
Westchester, IL 60154
Phone (708) 486-0076
25 N Winfield Rd
Winfield, IL 60190
Phone (630) 682-1600
Interoperability endpoints
- thainguyen@aua.allscriptsdirect.net
- thainguyen@uropart.allscriptsdirect.net
Organizations & group practices 9
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.
-
- Urology Physician
- Glenview, IL
- NPI 1073567905
-
- Ambulatory Surgical Clinic/Center
- La Grange, IL
- NPI 1336526219
-
- Urology Physician
- Park Ridge, IL
- NPI 1497132377
-
- Urology Physician
- Wheaton, IL
- NPI 1396790168
-
- Urology Physician
- Morris, IL
- NPI 1407998834
-
- Critical Access Hospital
- Gibson City, IL
- NPI 1114935681
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Morris, IL
- NPI 1649370057
-
- General Acute Care Hospital
- Joliet, IL
- NPI 1760220198
-
- Rehabilitation Hospital Unit
- New Lenox, IL
- NPI 1003933797
-
- General Acute Care Hospital
- New Lenox, IL
- NPI 1568553519
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137542400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1701302400000",
"number": "1386624286",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1541 RIVERBOAT CENTER DR",
"city": "JOLIET",
"state": "IL",
"postal_code": "604319341",
"telephone_number": "815-409-4930",
"fax_number": "815-741-3263"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1541 RIVERBOAT CENTER DR",
"city": "JOLIET",
"state": "IL",
"postal_code": "604319341",
"telephone_number": "815-409-4930",
"fax_number": "815-741-3263"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THAI",
"middle_name": "T",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-18",
"last_updated": "2023-11-30",
"certification_date": "2023-11-30",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "IL",
"license": "036112211",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "036112211",
"state": "IL"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "thainguyen@uropart.allscriptsdirect.net",
"affiliation": "N",
"address_1": "1541 Riverboat Center Dr",
"city": "Joliet",
"state": "IL",
"country_code": "US",
"postal_code": "604319341",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Joliet, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.