Individual provider Active NPI

Thanh Hang Khac Nguyen, MD

  • Surgery Physician
  • Tampa, FL
National Provider Identifier
1487727376
Registry record updated Apr 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
ME99639 Issued in FL
Practice address
2829 W. Deleon Street
Tampa, FL 33609
Phone
(813) 342-1445
Fax
(813) 342-1449
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 14, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Transplant Surgery Physician 204F00000X 47549 MN
Surgery Physician 208600000X 47549 MN
Surgery Physician 208600000X ME99639 FL Primary

Addresses

Primary practice location

2829 W. Deleon Street
Tampa, FL 33609

Mailing address

1520 Lockmeade PL
Oldsmar, FL 34677-5121
Phone (813) 440-0363

Other identifiers 3

IdentifierTypeStateIssuer
805T5NGOtherBLUE CROSS BLUE SHIELD
278977900MedicaidFL
02710OtherFLFLORIDA BLUE

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: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070919000532 FL Practitioner - General Surgery 1658465877 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Healnexxt Woundcare LLCGroup PAC ID 3779003983, 12 clinicians
Advanced Wound Care, LLCGroup PAC ID 7214394972, 21 clinicians
Tampa Bay Surgical Group LLPGroup PAC ID 8224113527, 16 clinicians

Practice addresses (Care Compare)

211 E Main St
Lakeland, FL 33801-4628
Phone (863) 860-8093

2203 N Lois Ave
Suite 814
Tampa, FL 33607-2388
Phone (813) 608-5633

2901 W Busch Blvd
Suite 707
Tampa, FL 33618-4569

3000 Medical Park Dr
Suite 400
Tampa, FL 33613-4698
Phone (813) 933-9666

Hospital & facility affiliations

  • Trilogy Home Healthcare Home health agency, Tampa, FL, CCN 103145
  • HCA Florida South Tampa Hospital Hospital, Tampa, FL, CCN 100206
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075
  • Tampa General Rehabilitation Hospital Inpatient rehabilitation facility, Tampa, FL, CCN 103051

Merit-based Incentive Payment System (MIPS)

Final score
82.43 of 100Reported as group
Quality
66.74
Promoting interoperability
87
Improvement activities
40
Cost
68.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue485
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
47549MNMDTransplant Surgery Physician
ME99639FLMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tampa Bay Surgical Group, LLP Surgery CurrentSince Jun 1, 2023 Accepting new patients
Advanced Wound Care, LLC CurrentSince Jul 1, 2023 Accepting new patients
Healnexxt Woundcare LLC CurrentSince Mar 1, 2025 Accepting new patients
Lifelink Healthcare Institute Inc Transplant Surgery Past Accepting new patients

Locations

211 E Main St
Lakeland, FL 33801
Phone (863) 216-8567

2039 Indian Rocks Rd S
Largo, FL 33774
Phone (727) 584-7666

2901 W Busch Blvd
Ste 707
Tampa, FL 33618
Phone (813) 254-3016

2203 N Lois Ave
Ste 814
Tampa, FL 33607
Phone (813) 505-5060

2835 W De Leon St
Ste 104C
Tampa, FL 33609

Networks

  • Freedom Health HMO Network
  • Optimum HealthCare HMO Network

Interoperability endpoints

  • Direct secure messaging: thanhhangnguyen@tbsg.allscriptsdirect.net

Organizations & group practices 4

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 5

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": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681430400000",
    "number": "1487727376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1520 LOCKMEADE PL",
            "city": "OLDSMAR",
            "state": "FL",
            "postal_code": "346775121",
            "telephone_number": "813-440-0363",
            "fax_number": "813-925-6955"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2829 W. DELEON STREET",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "33609",
            "telephone_number": "813-342-1445",
            "fax_number": "813-342-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THANH HANG",
        "middle_name": "KHAC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2023-04-14",
        "certification_date": "2023-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204F00000X",
            "taxonomy_group": "",
            "desc": "Transplant Surgery",
            "state": "MN",
            "license": "47549",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MN",
            "license": "47549",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "FL",
            "license": "ME99639",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "805T5NG",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "278977900",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FLORIDA BLUE",
            "identifier": "02710",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.