Individual provider Active NPI

Karl P Nguyen, M.D.

  • Diagnostic Radiology Physician
  • Eden Prairie, MN
National Provider Identifier
1477564094
Registry record updated Apr 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
J8332 Issued in TX
Practice address
11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone
(952) 595-1301
Fax
(612) 294-4903
NPI assigned
Aug 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X A53253 CA
Diagnostic Radiology Physician 2085R0202X 47346 AZ
Diagnostic Radiology Physician 2085R0202X J8332 TX Primary

Addresses

Primary practice location

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349

Mailing address

11995 Singletree LN Ste 500
Eden Prairie, MN 55344-5349
Phone (952) 595-1301

Other practice location 1

2001 N Jefferson Ave
Mount Pleasant, TX 75455-2338
Phone (903) 577-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, IL2 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
I20101020000066 CA Practitioner - Diagnostic Radiology 4688867930 Reassigns benefits to 1 organization
I20151105000873 IL Practitioner - Diagnostic Radiology 4688867930 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
A53253CAMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
San Joaquin Faculty Medical Group CurrentSince Oct 31, 2023 Accepting new patients
Ton Sells Hospital CurrentSince Jun 1, 2020 Accepting new patients
Ton San Xavier Health Center CurrentSince Jun 1, 2020 Accepting new patients
Central Illinois Radiological Associates, LTD. Diagnostic Radiology CurrentSince Dec 1, 2015 Accepting new patients
Ton San Simon Health Center CurrentSince Jun 1, 2020 Accepting new patients
Virtual Radiologic Professionals, LLC Diagnostic Radiology CurrentSince May 1, 2020 Accepting new patients
Sonoran Radiology LTD Diagnostic Radiology CurrentSince May 23, 2020 Accepting new patients
Rockford Health Physicians CurrentSince Apr 1, 2016 Accepting new patients
Specialists in Medical Imaging SC Diagnostic Radiology CurrentSince Nov 1, 2020 Accepting new patients
Quantum Medical Radiology PC Diagnostic Radiology Past Accepting new patients
Ton San Xavier Health Center Past Accepting new patients
Cira Michigan PC Diagnostic Radiology Past Accepting new patients
Rockford Memorial Hospital Past Accepting new patients
Ton Sells Hospital Past Accepting new patients

Locations

2050 W Southern Ave
Apache Junction, AZ 85120
Phone (480) 237-3200

101 Cole Ave
Bisbee, AZ 85603
Phone (520) 432-5383

6750 E Baywood Ave
Mesa, AZ 85206
Phone (480) 854-5000

19829 N 27th Ave
Phoenix, AZ 85027
Phone (602) 879-5720

16641 N 40th St
Ste 1
Phoenix, AZ 85032
Phone (623) 931-7999

9220 E Mountain View Rd
Ste 100
Scottsdale, AZ 85258

3501 N Scottsdale Rd
Ste 130
Scottsdale, AZ 85251

7900 S J Stock Rd
Tucson, AZ 85746
Phone (520) 295-2550

1625 N Campbell Ave
Tucson, AZ 85719

500 W Hospital Rd
French Camp, CA 95231
Phone (209) 468-6000

29624 Network Pl
Chicago, IL 60673
Phone (608) 741-7652

5200 Reliable Pkwy
Chicago, IL 60686
Phone (309) 671-8748

600 S 13th St
Pekin, IL 61554
Phone (309) 347-1151

530 NE Glen Oak Ave
Peoria, IL 61637
Phone (309) 655-2553

640 W Washington St
Pittsfield, IL 62363
Phone (217) 285-2113

927 Broadway St
Ste 132
Quincy, IL 62301

1005 Broadway St
Quincy, IL 62301

2300 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-5510

2400 N Rockton Ave
Rockford, IL 61103
Phone (815) 971-6310

11995 Singletree Ln
Ste 500
Eden Prairie, MN 55344
Phone (952) 595-1143

100 Medical Dr
Hannibal, MO 63401

Organizations & group practices 14

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.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1155168000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713744000000",
    "number": "1477564094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11995 SINGLETREE LN STE 500",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553445349",
            "telephone_number": "952-595-1301",
            "fax_number": "612-294-4903"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2001 N Jefferson Ave",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "TX",
            "postal_code": "754552338",
            "country_code": "US",
            "telephone_number": "903-577-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KARL",
        "middle_name": "P",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-10",
        "last_updated": "2024-04-22",
        "certification_date": "2024-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "A53253",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "AZ",
            "license": "47346",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "TX",
            "license": "J8332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Eden Prairie, MN

Sources for this page

Verify at the official NPI Registry.