Individual provider Active NPI

Chuong Nguyen, MD

  • Vascular & Interventional Radiology Physician
  • Honolulu, HI
National Provider Identifier
1396717690
Registry record updated Sep 8, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
10190 Issued in HI
Practice address
1301 Punchbowl St
Honolulu, HI 96813-2402
Phone
(808) 521-9551
Fax
(808) 536-3008
NPI assigned
Feb 2, 2006
Last updated
Sep 8, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 8, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular & Interventional Radiology Physician 2085R0204X 10190 HI Primary

Addresses

Primary practice location

1301 Punchbowl St
Honolulu, HI 96813-2402

Mailing address

500 Ala Moana Blvd
Tower 4, Suite 510
Honolulu, HI 96813-4920
Phone (808) 521-9551

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20100909001118 HI Practitioner - Diagnostic RadiologyPractitioner - Interventional Radiology 0941325328 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic RadiologyAlso: Interventional Radiology
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Queens University Medical GroupGroup PAC ID 2466831557, 614 clinicians

Practice addresses (Care Compare)

1215 Hunakai St
Honolulu, HI 96816-4661
Phone (808) 691-8200

1301 Punchbowl St
Honolulu, HI 96813-2499

1380 Lusitana St
Honolulu, HI 96813-2448

1401 S Beretania St
Suite 750
Honolulu, HI 96814-1881
Phone (808) 691-8526

67-1125 Mamalaho Hwy
Kamuela, HI 96743-8496
Phone (808) 881-4400

91 -2127 Fort Weaver Rd
Ewa Beach, HI 96706-1993
Phone (808) 691-3000

91 -6390 Kapolei Pkwy
Ewa Beach, HI 96706-6380
Phone (808) 735-0007

94 -1144 Ka Uka Blvd
Suite 7
Waipahu, HI 96797-4483
Phone (808) 686-4010

98-199 Kamehameha Hwy
BLDG F
Aiea, HI 96701-4821
Phone (808) 735-0007

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
97.05 of 100Reported as apm
Quality
89.81
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10190HIMDVascular & Interventional Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Radiology Associates, Inc CurrentSince Sep 1, 2011 Accepting new patients
Queens North Hawaii Community Hospital CurrentSince Jul 1, 2023 Accepting new patients
Queens North Hawaii Community Hospital CurrentSince Jul 1, 2023 Accepting new patients
Queens University Medical Group CurrentSince Jul 1, 2023 Accepting new patients
The Radiology Group Inc. Past Accepting new patients
John J Cogan MD Inc Past Accepting new patients

Locations

1301 Punchbowl St
Honolulu, HI 96813
Phone (808) 538-9011

1329 Lusitana St
Ste B7
Honolulu, HI 96813
Phone (808) 521-9551

1380 Lusitana St
Ste 913
Honolulu, HI 96813
Phone (808) 691-8521

500 Ala Moana Blvd
Ste 510
Honolulu, HI 96813
Phone (808) 748-4713

67-1125 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 881-4400

128 Lehua St
Wahiawa, HI 96786
Phone (808) 621-4330

Organizations & group practices 6

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 4

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": "1138838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315440000000",
    "number": "1396717690",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 ALA MOANA BLVD",
            "address_2": "TOWER 4, SUITE 510",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968134920",
            "telephone_number": "808-521-9551",
            "fax_number": "808-536-3008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 PUNCHBOWL ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132402",
            "telephone_number": "808-521-9551",
            "fax_number": "808-536-3008"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CHUONG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-02",
        "last_updated": "2011-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "HI",
            "license": "10190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Honolulu, HI

Sources for this page

Verify at the official NPI Registry.