Individual provider Active NPI

Van Nguyen, MD

  • Diagnostic Radiology Physician
  • Little Rock, AR
National Provider Identifier
1396779831
Registry record updated Nov 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
9785 Issued in NV
Practice address
9601 Baptist Health Dr Ste 1100
Little Rock, AR 72205-6333
Phone
(501) 748-3210
Fax
(501) 227-9151
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 9785 NV Primary

Addresses

Primary practice location

9601 Baptist Health Dr Ste 1100
Little Rock, AR 72205-6333

Mailing address

9601 Baptist Health Dr Ste 1100
Little Rock, AR 72205-6333
Phone (501) 748-3210

Other identifiers 5

IdentifierTypeStateIssuer
1396779831MedicaidCA
316536001MedicaidAR
P01168767OtherNVRR MEDICARE
201890002MedicaidNV
200471040 AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AR2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080204000212 NV Practitioner - Diagnostic Radiology 0244246874 Reassigns benefits to 3 organizations
I20240308003532 AR Practitioner - Diagnostic Radiology 0244246874 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Texas Southwestern Medical School at Dallas, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Arkansas Health GroupGroup PAC ID 7911802079, 645 clinicians

Practice addresses (Care Compare)

11001 Executive Ctr Dr
Suite 200 C
Little Rock, AR 72211-4348
Phone (501) 812-7587

Hospital & facility affiliations

  • Baptist Health Medical Center-Little Rock Hospital, Little Rock, AR, CCN 040114
  • Baptist Health Medical Center North Little Rock Hospital, North Little Rock, AR, CCN 040036
  • Baptist Health Medical Center- Conway Hospital, Conway, AR, CCN 040154
  • Baptist Health Medical Center Heber Springs Hospital, Heber Springs, AR, CCN 041312
  • Baptist Health Medical Center-Arkadelphia Hospital, Arkadelphia, AR, CCN 041321

Merit-based Incentive Payment System (MIPS)

Final score
79.56 of 100Reported as group
Quality
76.8
Improvement activities
40
Cost
74.38

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9785NVMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Shelin Agrawal and Hyer PLLC Diagnostic Radiology CurrentSince Jan 22, 2012 Accepting new patients
Radiology Consultants of Little Rock, PA Diagnostic Radiology CurrentSince Mar 1, 2024 Accepting new patients
Arkansas Health Group Diagnostic Radiology CurrentSince Dec 1, 2024 Accepting new patients
Ellis Bandt Birkin Kollins & Wong PLLC Diagnostic Radiology CurrentSince Jul 1, 2001 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Aug 14, 2019 Accepting new patients
Arkansas Health Group CurrentSince Dec 1, 2024 Accepting new patients
Optum Medical Group Rhodes P C Current Accepting new patients

Locations

11001 Executive Center Dr
Ste 200C
Little Rock, AR 72211
Phone (501) 812-7587

9601 Baptist Health Dr
Ste 1100
Little Rock, AR 72205
Phone (501) 748-3210

11001 Executive Center Dr
Ste 200
Little Rock, AR 72211
Phone (501) 812-7215

2811 W Horizon Ridge Pkwy
Henderson, NV 89052

3175 Saint Rose Pkwy
Ste 130
Henderson, NV 89052
Phone (702) 932-2740

1050 W Galleria Dr
Henderson, NV 89011
Phone (702) 723-4124

420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710

31 N Nellis Blvd
Las Vegas, NV 89110

7200 Cathedral Rock Dr
Las Vegas, NV 89128
Phone (702) 341-5444

2020 Palomino Ln
Las Vegas, NV 89106
Phone (702) 384-5210

3025 S Rainbow Blvd
Las Vegas, NV 89146
Phone (702) 222-2354

4880 Wynn Rd
Ste 100
Las Vegas, NV 89103
Phone (702) 759-4600

6675 S Cimarron Rd
Las Vegas, NV 89113

7200 Cathedral Rock Dr
Ste 230
Las Vegas, NV 89128
Phone (702) 623-7568

2020 Palomino Ln
Ste 100
Las Vegas, NV 89106
Phone (702) 759-8779

620 Shadow Ln
Las Vegas, NV 89106
Phone (702) 388-4506

3920 S Eastern Ave
Ste 100
Las Vegas, NV 89119
Phone (702) 759-8779

3920 S Eastern Ave
Las Vegas, NV 89119

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

1299 Bertha Howe Ave
Mesquite, NV 89027
Phone (702) 345-4270

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

1397 S Loop Rd
Ste 100
Pahrump, NV 89048

Interoperability endpoints

  • Direct secure messaging: vnguyen18948@direct.umcsn.com
  • Direct secure messaging: vnguyen736545@direct.baptist-healthar.org

Organizations & group practices 7

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 5

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": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731888000000",
    "number": "1396779831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR STE 1100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056333",
            "telephone_number": "501-748-3210",
            "fax_number": "501-227-9151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9601 BAPTIST HEALTH DR STE 1100",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056333",
            "telephone_number": "501-748-3210",
            "fax_number": "501-227-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2024-11-18",
        "certification_date": "2024-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "NV",
            "license": "9785",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1396779831",
            "state": "CA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "316536001",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01168767",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201890002",
            "state": "NV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200471040 A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

Verify at the official NPI Registry.