Individual provider Active NPI

Hoang-Hai Ngoc Nguyen, MD

  • Nephrology Physician
  • Hampton, VA
National Provider Identifier
1487862082
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
0101240197 Issued in VA
Practice address
501 Butler Farm Rd
Suite I
Hampton, VA 23666-1777
Phone
(757) 251-7469
NPI assigned
May 18, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 0101240197 VA Primary

Addresses

Primary practice location

501 Butler Farm Rd
Suite I
Hampton, VA 23666-1777

Mailing address

120 Manhoac Run
Yorktown, VA 23693-2792
Phone (757) 865-0974

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20090518000470 VA Practitioner - NephrologyPractitioner - Internal Medicine 9537218714 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of Pittsburgh School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Kidney Associates PCGroup PAC ID 1456348077, 8 clinicians

Practice addresses (Care Compare)

21 Manhattan SQ
Suite a
Hampton, VA 23666-6265
Phone (757) 251-7469

Hospital & facility affiliations

  • DaVita Port Warwick Dialysis Dialysis facility, Newport News, VA, CCN 492706
  • DaVita Hampton Roads Home Training Dialysis facility, Newport News, VA, CCN 492678
  • DaVita Two Rivers Dialysis Dialysis facility, West Point, VA, CCN 492686
  • Sentara Careplex Hospital Hospital, Hampton, VA, CCN 490093
  • Sentara Williamsburg Regional Medical Center Hospital, Williamsburg, VA, CCN 490066
  • Mary Immaculate Hospital Hospital, Newport News, VA, CCN 490041
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Riverside Regional Medical Center Hospital, Newport News, VA, CCN 490052

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Kidney Associates PC Nephrology CurrentSince Jun 1, 2009 Accepting new patients
Peninsula Vascular Center, P.C. Nephrology Past Accepting new patients

Locations

501 Butler Farm Rd
Ste 1
Hampton, VA 23666
Phone (757) 766-6080

501 Butler Farm Rd
Ste I
Hampton, VA 23666
Phone (757) 251-7469

21 Manhattan Sq
Ste A
Hampton, VA 23666
Phone (757) 251-7469

Interoperability endpoints

  • Direct secure messaging: hoang-hai.nguyen@direct.davitaphysiciansolutions.com

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 9

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": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1487862082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 MANHOAC RUN",
            "city": "YORKTOWN",
            "state": "VA",
            "postal_code": "236932792",
            "telephone_number": "757-865-0974"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BUTLER FARM RD",
            "address_2": "SUITE I",
            "city": "HAMPTON",
            "state": "VA",
            "postal_code": "236661777",
            "telephone_number": "757-251-7469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HOANG-HAI",
        "middle_name": "NGOC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-18",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "VA",
            "license": "0101240197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hampton, VA

Sources for this page

Verify at the official NPI Registry.