Individual provider Active NPI

Raphael Tuan Nguyen, DPM

  • Podiatrist
  • Prairie Village, KS
National Provider Identifier
1386796845
Registry record updated Aug 2, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
1200309 Issued in KS
Practice address
7301 Mission Rd
Ste 152
Prairie Village, KS 66208-3014
Phone
(913) 432-2000
Fax
(913) 432-2001
NPI assigned
Jan 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 1200309 KS Primary

Addresses

Primary practice location

7301 Mission Rd
Ste 152
Prairie Village, KS 66208-3014

Mailing address

7301 Mission Rd
Ste 152
Prairie Village, KS 66208-3014
Phone (913) 432-2000

Other identifiers 1

IdentifierTypeStateIssuer
26580022OtherKYBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20050303000395 KS Practitioner - Podiatry 9931152170 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
College of Podiatric Med and Surgery, Des Moines University, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

7301 Mission Rd
Suite 152
Prairie Village, KS 66208-3014
Phone (913) 432-2000

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue705
Removal or shaving of skin growth332

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
KC Podiatry Care, PA Podiatrist CurrentSince Jan 12, 2009 Accepting new patients
KC Podiatry Care PA Podiatrist PastSince Feb 28, 2002 Accepting new patients

Locations

202 S Rogers Rd
Louisburg, KS 66053
Phone (913) 254-9273

13800 Metcalf Ave
Overland Park, KS 66223
Phone (800) 989-0525

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312243200000",
    "number": "1386796845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7301 MISSION RD",
            "address_2": "STE 152",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083014",
            "telephone_number": "913-432-2000",
            "fax_number": "913-432-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7301 MISSION RD",
            "address_2": "STE 152",
            "city": "PRAIRIE VILLAGE",
            "state": "KS",
            "postal_code": "662083014",
            "telephone_number": "913-432-2000",
            "fax_number": "913-432-2001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "RAPHAEL",
        "middle_name": "TUAN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-17",
        "last_updated": "2011-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "KS",
            "license": "1200309",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "26580022",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Prairie Village, KS

Sources for this page

Verify at the official NPI Registry.