Individual provider Active NPI

Tony Nguyen, M.D.

  • Internal Medicine Physician
  • Troy, MI
National Provider Identifier
1396741567
Registry record updated Oct 17, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301078642 Issued in MI
Practice address
4967 Crooks Rd
Ste 130
Troy, MI 48098-5801
Phone
(248) 952-1601
Fax
(248) 952-0912
NPI assigned
Jun 22, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 4301078642 MI Primary
Hospitalist Physician 208M00000X 4301078642 MI

Addresses

Primary practice location

4967 Crooks Rd
Ste 130
Troy, MI 48098-5801

Mailing address

4967 Crooks Rd
Ste 130
Troy, MI 48098-5801
Phone (248) 952-1601

Other identifiers 2

IdentifierTypeStateIssuer
TN078642OtherMIBCBSM
4846431MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20041016000096 MI Practitioner - Internal Medicine 0042270795 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Inpatient Consultants of Michigan PCGroup PAC ID 6709891286, 13 clinicians
Ghassan a Atto MD PLLCGroup PAC ID 3870744311, 8 clinicians
Downriver Internists,P.C.Group PAC ID 5597719468, 4 clinicians

Practice addresses (Care Compare)

1 Wiliam Carls Dr
Commerce Township, MI 48382-2201
Phone (248) 937-3300

14825 Southfield Rd
Allen Park, MI 48101-2642
Phone (313) 383-7071

21801 Goddard Rd
Taylor, MI 48180-4213
Phone (734) 287-3830

2333 Biddle Ave
Wyandotte, MI 48192-4668
Phone (734) 246-6000

Hospital & facility affiliations

  • Henry Ford Hospice Hospice, Detroit, MI, CCN 231517
  • Wyandotte Hospital and Medical Center Hospital, Wyandotte, MI, CCN 230146
  • Beaumont Hospital Royal Oak Hospital, Royal Oak, MI, CCN 230130
  • Henry Ford Health Hospital Hospital, Detroit, MI, CCN 230053
  • Corewell Health Trenton Hospital Hospital, Trenton, MI, CCN 230176
  • Beaumont Hospital - Taylor Hospital, Taylor, MI, CCN 230270
  • Henry Ford Wyandotte Hospital Inpatient rehabilitation facility, Wyandotte, MI, CCN 23T146
  • Select Specialty Hospital-Wyandotte, LLC Long-term care hospital, Wyandotte, MI, CCN 232031

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Downriver Internists,P.C. Internal Medicine CurrentSince Jan 4, 2022 Accepting new patients
Inpatient Consultants of Michigan PC Internal Medicine CurrentSince Nov 16, 2005 Accepting new patients
Ghassan a Atto MD PLLC CurrentSince Jun 13, 2025 Accepting new patients
My Home MD, PLCC Past Accepting new patients
Henry Ford Wyandotte Hospital Past Accepting new patients
Michigan Neuroscience Clinic PLLC Past Accepting new patients

Locations

14825 Southfield Rd
Allen Park, MI 48101
Phone (313) 383-7071

1014 E Grand River Ave
Brighton, MI 48116
Phone (810) 220-5222

15855 19 Mile Rd
Clinton Twp, MI 48038
Phone (586) 263-2300

1 William Carls Dr
Commerce Twp, MI 48382
Phone (248) 227-5500

6245 Inkster Rd
Garden City, MI 48135
Phone (734) 421-3300

21801 Goddard Rd
Taylor, MI 48180
Phone (734) 287-3830

4967 Crooks Rd
Ste 120
Troy, MI 48098
Phone (313) 493-6800

4967 Crooks Rd
Ste 130
Troy, MI 48098
Phone (248) 952-1601

2333 Biddle Ave
Wyandotte, MI 48192
Phone (734) 246-6000

2333 Biddle Ave
Ste 8
Wyandotte, MI 48192
Phone (734) 324-3571

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HIAICA
  • Direct secure messaging: tnguyen61695@direct.hfhs.org

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 and National Provider Directory roles.

Hospital & facility affiliations 11

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": "1119398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192579200000",
    "number": "1396741567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4967 CROOKS RD",
            "address_2": "STE 130",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480985801",
            "telephone_number": "248-952-1601",
            "fax_number": "248-952-0912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4967 CROOKS RD",
            "address_2": "STE 130",
            "city": "TROY",
            "state": "MI",
            "postal_code": "480985801",
            "telephone_number": "248-952-1601",
            "fax_number": "248-952-0912"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TONY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-22",
        "last_updated": "2007-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301078642",
            "primary": true
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "MI",
            "license": "4301078642",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSM",
            "identifier": "TN078642",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4846431",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Troy, MI

Sources for this page

Verify at the official NPI Registry.