Individual provider Active NPI

Pho M. Nguyen, M.D.

  • Vascular & Interventional Radiology Physician
  • Ashland, KY
National Provider Identifier
1447217328
Registry record updated Jan 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular & Interventional Radiology PhysicianTaxonomy code 2085R0204X
License
41780 Issued in KY
Practice address
613 23Rd St Ste 520
Ashland, KY 41101-2878
Phone
(606) 393-0190
Fax
(606) 393-5169
NPI assigned
Apr 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X 35083806 OH
Vascular & Interventional Radiology Physician 2085R0204X 41780 KY Primary

Addresses

Primary practice location

613 23Rd St Ste 520
Ashland, KY 41101-2878

Mailing address

PO Box 1595
Ashland, KY 41105-1595
Phone (606) 408-6200

Other practice location 1

2001 Scioto Trl Ste 100
Portsmouth, OH 45662-2845
Phone (740) 353-8100

Other practice location 2

2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-4000

Other identifiers 3

IdentifierTypeStateIssuer
3810012582MedicaidWV
2658815MedicaidOH
7100031820MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, KY2 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
I20060809000094 OH Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 2062415201 Reassigns benefits to 2 organizations
I20080927000282 KY Practitioner - Interventional RadiologyPractitioner - Diagnostic Radiology 2062415201 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional RadiologyAlso: Diagnostic Radiology
Education
University of Cincinnati College of Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ashland Hospital CorporationGroup PAC ID 7719882521, shared by 6 NPIs, 169 clinicians

Practice addresses (Care Compare)

12100 Princeland Dr
Ashland, KY 41102-7885
Phone (606) 928-2963

1901 Argonne Rd
Portsmouth, OH 45662-2827
Phone (740) 353-1978

2201 Lexington Ave
Ashland, KY 41101-2843
Phone (606) 408-4000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.16 of 100Reported as group
Quality
77.42
Promoting interoperability
100
Improvement activities
40
Cost
77.62

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ashland Hospital Corporation CurrentSince Oct 1, 2022 Accepting new patients
Ashland Hospital Corporation CurrentSince Oct 1, 2022 Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Aug 1, 2012 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Ashland Hospital Corporation Current Accepting new patients
Kings Daughters Medical Specialties Inc. Diagnostic Radiology CurrentSince Sep 30, 2016 Accepting new patients
Kings Daughters Medical Specialties Inc Current Accepting new patients
Kings Daughters Medical Specialties Inc CurrentSince Aug 1, 2012 Accepting new patients
Tri-State Radiology, PSC Diagnostic Radiology Past Accepting new patients
Medical Imaging Physicians Inc Diagnostic Radiology Past Accepting new patients

Locations

617 23rd St
Ste 105
Ashland, KY 41101
Phone (606) 408-7500

613 23rd St
Ste 230
Ashland, KY 41101
Phone (606) 324-4745

613 23rd St
Ste 140
Ashland, KY 41101
Phone (606) 324-2451

613 23rd St
Ste 520
Ashland, KY 41101
Phone (606) 326-1675

12100 Princeland Spur
Ashland, KY 41102
Phone (606) 928-2963

2201 Lexington Ave
Ashland, KY 41101
Phone (606) 268-2560

10650 US Route 60
Ashland, KY 41102
Phone (606) 408-6301

1061 Kenwood Dr
Russell, KY 41169
Phone (606) 326-1675

2001 Scioto Trl
Portsmouth, OH 45662
Phone (740) 353-1978

2001 Scioto Trl
Ste 100
Portsmouth, OH 45662
Phone (740) 353-6390

1901 Argonne Rd
Portsmouth, OH 45662
Phone (740) 991-0911

384 County Road 120 S
South Point, OH 45680
Phone (740) 894-2080

1242 Crescent Dr
Wheelersburg, OH 45694
Phone (740) 574-8441

Interoperability endpoints

  • Direct secure messaging: pnguyen97111@direct.kdhealth.us

Organizations & group practices 10

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 1

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": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1447217328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1595",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411051595",
            "telephone_number": "606-408-6200",
            "fax_number": "606-408-6612"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "613 23RD ST STE 520",
            "city": "ASHLAND",
            "state": "KY",
            "postal_code": "411012878",
            "telephone_number": "606-393-0190",
            "fax_number": "606-393-5169"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 Scioto Trl Ste 100",
            "address_purpose": "LOCATION",
            "city": "Portsmouth",
            "state": "OH",
            "postal_code": "456622845",
            "country_code": "US",
            "telephone_number": "740-353-8100",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2201 Lexington Ave",
            "address_purpose": "LOCATION",
            "city": "Ashland",
            "state": "KY",
            "postal_code": "411012843",
            "country_code": "US",
            "telephone_number": "606-408-4000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHO",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-26",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35083806",
            "primary": false
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": "KY",
            "license": "41780",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3810012582",
            "state": "WV"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2658815",
            "state": "OH"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100031820",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ashland, KY

Sources for this page

Verify at the official NPI Registry.