Individual provider Active NPI

Nam Thai Nguyen, MD

  • Pediatrics Physician
  • Las Vegas, NV
National Provider Identifier
1407163066
Registry record updated Jun 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
23434 Issued in NV
Practice address
8350 W Badura Ave FL 2 Ste F
Las Vegas, NV 89113-2383
Phone
(702) 435-5437
Fax
(702) 851-9640
NPI assigned
Sep 2, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X ME120237 FL
Pediatrics Physician 208000000X 23434 NV Primary

Addresses

Primary practice location

8350 W Badura Ave FL 2 Ste F
Las Vegas, NV 89113-2383

Mailing address

6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346

Other practice location 1

1400 College Dr Ste 204
Texarkana, TX 75503-3575
Phone (903) 791-1110

Other identifiers 2

IdentifierTypeStateIssuer
1407163066MedicaidNV
23434OtherNVLICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20230317001484 NV Practitioner - Pediatric Medicine 9133345572 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pediatric Medicine
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2650 N Tenaya Way
Suite 308
Las Vegas, NV 89128-1102
Phone (702) 870-2099

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Holdings Nevada Inc Pediatrics CurrentSince Apr 3, 2023 Accepting new patients
Intermountain Medical Holdings Nevada Inc CurrentSince Apr 3, 2023 Accepting new patients
Sacred Heart Health System, Inc. Current Accepting new patients
Sunrise Mountainview Hospital, Inc. Past Accepting new patients
Talbert Medical Group Past Accepting new patients
Centennial Hills Hospital Medical Center Past Accepting new patients
Summerlin Hospital Medical Center L L C Past Accepting new patients
Southern Hills Medical Center, LLC Past Accepting new patients

Locations

5045 Carpenter Creek Dr
Pensacola, FL 32503
Phone (850) 416-2400

2650 N Tenaya Way
Ste 308
Las Vegas, NV 89128
Phone (702) 870-2099

6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881

6170 N Durango Dr
Ste 130
Las Vegas, NV 89149
Phone (702) 940-1550

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

5575 S Durango Dr
Ste 103
Las Vegas, NV 89113
Phone (702) 435-5437

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

Interoperability endpoints

  • Direct secure messaging: namnguyen@hcpnv.allscriptsdirect.net

Organizations & group practices 8

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.

NPI Registry JSON

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

{
    "created_epoch": "1283385600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782259200000",
    "number": "1407163066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 S BUFFALO DR FL 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132133",
            "telephone_number": "702-216-3346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8350 W BADURA AVE FL 2 STE F",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132383",
            "telephone_number": "702-435-5437",
            "fax_number": "702-851-9640"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1400 College Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Texarkana",
            "state": "TX",
            "postal_code": "755033575",
            "country_code": "US",
            "telephone_number": "903-791-1110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "NAM",
        "middle_name": "THAI",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-09-02",
        "last_updated": "2026-06-24",
        "certification_date": "2026-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "FL",
            "license": "ME120237",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NV",
            "license": "23434",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1407163066",
            "state": "NV"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "23434",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.