Individual provider Active NPI

Ky Vu Nguyen, M.D.

  • Emergency Medicine Physician
  • Marrero, LA
National Provider Identifier
1457675472
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
Q9214 Issued in TX
Practice address
4410 4TH St
Marrero, LA 70072-2136
Phone
(504) 201-2290
NPI assigned
Mar 19, 2010
Last updated
Jun 25, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X MD.205274 LA
Emergency Medicine Physician 207P00000X 0101255577 VA
Emergency Medicine Physician 207P00000X Q9214 TX Primary

Addresses

Primary practice location

4410 4TH St
Marrero, LA 70072-2136

Mailing address

4410 4TH St
Marrero, LA 70072-2136
Phone (504) 201-2290

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA, TX2 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
I20160601002524 LA Practitioner - Emergency Medicine 2062734692 Reassigns benefits to 4 organizations
I20160912001002 TX Practitioner - Emergency Medicine 2062734692 Reassigns benefits to 4 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD.205274LAMDEmergency Medicine Physician
0101255577VAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ochsner Clinic LLC CurrentSince Mar 1, 2018 Accepting new patients
Union Emergency Physicians, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Northeast Texas Emergency Physicians, PLLC Emergency Medicine CurrentSince Aug 1, 2023 Accepting new patients
Hospital Service District No. 1 of Caldwell Parish Emergency Medicine CurrentSince Oct 2, 2020 Accepting new patients
Hospital Service District No. 1 Caldwell Parish CurrentSince Oct 2, 2020 Accepting new patients
Ochsner Clinic LLC Current Accepting new patients
Acute Care Specialists Emergency Medicine CurrentSince Oct 27, 2022 Accepting new patients
Main Street Emergency Group LLC Emergency Medicine CurrentSince Apr 23, 2016 Accepting new patients
Belle Chasse Emergency Group LLC Emergency Medicine CurrentSince Oct 20, 2017 Accepting new patients
Ochsner Clinic LLC CurrentSince Mar 1, 2018 Accepting new patients
Travis County Emergency Physicians PA Emergency Medicine CurrentSince May 7, 2025 Accepting new patients
Texas Emergency Room Services PA Emergency Medicine Past Accepting new patients

Locations

2315 E Main St
New Iberia, LA 70560
Phone (337) 364-0441

1514 Jefferson Hwy
New Orleans, LA 70121

104 Acadia Park Dr
Raceland, LA 70394
Phone (985) 537-3211

2500 Belle Chasse Hwy
Terrytown, LA 70056
Phone (504) 391-5157

1007 S William St
Atlanta, TX 75551
Phone (903) 614-2000

7900 Ranch Road 1826
Austin, TX 78737
Phone (512) 324-5305

5100 Loop 500 E
Center, TX 75935
Phone (936) 568-3450

2615 Southwest Fwy
Ste 140
Houston, TX 77098
Phone (713) 441-2779

6001 Kyle Pkwy
Kyle, TX 78640
Phone (512) 504-5000

1310 E League City Pkwy
League City, TX 77573
Phone (346) 427-5050

323 E Hawkins Pkwy
Longview, TX 75605
Phone (903) 315-2000

700 E Marshall Ave
Longview, TX 75601
Phone (903) 236-2000

811 S Washington Ave
Marshall, TX 75670
Phone (903) 315-1488

4920 NE Stallings Dr
Nacogdoches, TX 75965
Phone (936) 568-3441

11525 Broadway St
Pearland, TX 77584
Phone (713) 363-8020

2600 Saint Michael Dr
Texarkana, TX 75503
Phone (903) 614-1000

Interoperability endpoints

  • Direct secure messaging: knguyen484847@direct.ochsner.org

Organizations & group practices 12

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": "1268956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1457675472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4410 4TH ST",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722136",
            "telephone_number": "504-201-2290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4410 4TH ST",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700722136",
            "telephone_number": "504-201-2290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KY",
        "middle_name": "VU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-19",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "LA",
            "license": "MD.205274",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "VA",
            "license": "0101255577",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q9214",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marrero, LA

Sources for this page

Verify at the official NPI Registry.