Individual provider Active NPI

Khoa D Nguyen, D.P.M

  • Foot & Ankle Surgery Podiatrist
  • Morristown, NJ
National Provider Identifier
1396163309
Registry record updated Jun 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
Practice address
100 Madison Ave
Morristown, NJ 07960-6136
Phone
(973) 971-5000
NPI assigned
Apr 7, 2014
Last updated
Jun 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 0 PA Primary

Addresses

Primary practice location

100 Madison Ave
Morristown, NJ 07960-6136

Mailing address

661 Goodlette Rd N
Ste 103
Naples, FL 34102-5609
Phone (239) 430-3668

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20190827001136 CT Practitioner - Podiatry 6608146030 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Temple University School of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

350 Ctr Rock GRN
Suite 3
Oxford, CT 06478-3170
Phone (203) 941-6999

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
96.01 of 100Reported as individual
Quality
88.57
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue37
Removal of skin lesions11
Removal of nail tissue428
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1041CTMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Vale Foot and Ankle Surgery, PLLC Foot & Ankle Surgery CurrentSince Mar 1, 2020 Accepting new patients
Vale Foot and Ankle Surgery, PLLC Foot & Ankle Surgery CurrentSince Mar 1, 2020 Accepting new patients

Locations

300 Hebron Ave
Ste 104
Glastonbury, CT 06033
Phone (203) 941-6999

153 S Main St
Unit A
Newtown, CT 06470
Phone (203) 941-6999

350 Center Rock Grn
Ste 3
Oxford, CT 06478
Phone (203) 870-1796

84 Oxford Rd
Unit C
Oxford, CT 06478
Phone (203) 941-6999

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/21145/brand/1/csg/1/fhir/r4
  • Direct secure messaging: khoa.nguyen.1@21145.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1396828800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622592000000",
    "number": "1396163309",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "661 GOODLETTE RD N",
            "address_2": "STE 103",
            "city": "NAPLES",
            "state": "FL",
            "postal_code": "341025609",
            "telephone_number": "239-430-3668",
            "fax_number": "866-650-3324"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 MADISON AVE",
            "city": "MORRISTOWN",
            "state": "NJ",
            "postal_code": "079606136",
            "telephone_number": "973-971-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KHOA",
        "middle_name": "D",
        "credential": "D.P.M",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-07",
        "last_updated": "2021-06-02",
        "certification_date": "2021-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "PA",
            "license": "0",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morristown, NJ

Sources for this page

Verify at the official NPI Registry.