Individual provider Active NPI

Thanh Binh Vu Nguyen, DPM

  • Foot Surgery Podiatrist
  • Tampa, FL
National Provider Identifier
1457791865
Registry record updated Sep 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot Surgery PodiatristTaxonomy code 213ES0131X
License
PO3771 Issued in FL
Practice address
13801 Bruce B Downs Blvd Ste 205
Tampa, FL 33613-3937
Phone
(813) 971-4678
NPI assigned
Jun 29, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X PR327 FL
Foot Surgery Podiatrist 213ES0131X PO3771 FL Primary

Addresses

Primary practice location

13801 Bruce B Downs Blvd Ste 205
Tampa, FL 33613-3937

Mailing address

15001 Naples PL
None
Tampa, FL 33624-2070
Phone (813) 340-2211

Other identifiers 5

IdentifierTypeStateIssuer
M2498OtherFLMEDICARE PTAN
M2475OtherFLMEDICARE GROUP PTAN
M2469OtherFLMEDICARE GROUP PTAN
019477500MedicaidFL
M2497OtherFLMEDICARE PTAN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160718002444 FL Practitioner - Podiatry 2062705783 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Barry University School of Podiatric Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Podiatry PAGroup PAC ID 2668497058, 7 clinicians

Practice addresses (Care Compare)

10865 Boyette Rd
Riverview, FL 33569-8012
Phone (813) 971-4671

2919 W Swann Ave
Suite 203
Tampa, FL 33609-4050
Phone (813) 875-0555

Hospital & facility affiliations

  • HCA Florida South Tampa Hospital Hospital, Tampa, FL, CCN 100206

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of tissue50
Removal of skin lesions20
Removal of nail tissue453
Removal or shaving of skin growth408
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PR327FLMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Podiatry, PA Foot Surgery CurrentSince Sep 20, 2020 Accepting new patients

Locations

17222 Hospital Blvd
Ste 218
Brooksville, FL 34601
Phone (352) 786-7800

13801 Bruce B Downs Blvd
Ste 205
Tampa, FL 33613
Phone (813) 971-4678

Organizations & group practices 2

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": "1372464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601424000000",
    "number": "1457791865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15001 NAPLES PL",
            "address_2": "NONE",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336242070",
            "telephone_number": "813-340-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13801 BRUCE B DOWNS BLVD STE 205",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336133937",
            "telephone_number": "813-971-4678"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THANH BINH",
        "middle_name": "VU",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-29",
        "last_updated": "2020-09-30",
        "certification_date": "2020-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "PR327",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "FL",
            "license": "PO3771",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "M2498",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "M2475",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP PTAN",
            "identifier": "M2469",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "019477500",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "M2497",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.