Individual provider Active NPI

Tam T. Nguyen, MD

  • Radiation Oncology Physician
  • Mesa, AZ
National Provider Identifier
1437128113
Registry record updated Nov 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
26276 Issued in AZ
Practice address
6111 E Arbor Ave
Mesa, AZ 85206-6059
Phone
(480) 981-1326
Fax
(480) 981-1445
NPI assigned
Mar 16, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 26276 AZ Primary

Addresses

Primary practice location

6111 E Arbor Ave
Mesa, AZ 85206-6059

Mailing address

PO Box 6423
Chandler, AZ 85246-6423
Phone (480) 245-6286

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ
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
I20180125001283 AZ Practitioner - Radiation Oncology 8628103785 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ironwood Physicians PCGroup PAC ID 3577454842, 115 clinicians
Select Physical Therapy of West Denver Limited PartnershipGroup PAC ID 6709771157, shared by 5 NPIs, 530 clinicians

Practice addresses (Care Compare)

6111 E Arbor Ave
Mesa, AZ 85206-6059
Phone (480) 981-1326

8601 Turnpike Dr
Westminster, CO 80031-7043
Phone (303) 222-4312

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
26276AZMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cobre Valley Regional Medical Center Current Accepting new patients
Ironwood Physicians, PC CurrentSince Jul 1, 2021 Accepting new patients
Cobre Valley Regional Medical Center CurrentSince Jan 24, 2020 Accepting new patients
Ironwood Physicians, PC Radiation Oncology CurrentSince Jul 1, 2021 Accepting new patients
Cobre Valley Regional Medical Center CurrentSince Jan 24, 2020 Accepting new patients
Livi Medical Services LLC PastSince Aug 26, 2024 Accepting new patients

Locations

695 S Dobson Rd
Chandler, AZ 85224
Phone (480) 821-2823

3686 S Rome St
Gilbert, AZ 85297
Phone (480) 792-6006

5880 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-1217

5996 S Hospital Dr
Globe, AZ 85501
Phone (928) 402-2881

6111 E Arbor Ave
Mesa, AZ 85206
Phone (480) 981-1326

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.

NPI Registry JSON

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

{
    "created_epoch": "1142467200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668643200000",
    "number": "1437128113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6423",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852466423",
            "telephone_number": "480-245-6286"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 E ARBOR AVE",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852066059",
            "telephone_number": "480-981-1326",
            "fax_number": "480-981-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TAM",
        "middle_name": "T.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-16",
        "last_updated": "2022-11-17",
        "certification_date": "2022-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AZ",
            "license": "26276",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

Verify at the official NPI Registry.