Individual provider Active NPI

Cuong T Nguyen, MD

  • Interventional Cardiology Physician
  • Las Vegas, NV
National Provider Identifier
1508813585
Registry record updated Apr 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Interventional Cardiology PhysicianTaxonomy code 207RI0011X
License
10117 Issued in NV
Practice address
10040 Alta Dr Ste 350
Las Vegas, NV 89145-8658
Phone
(702) 360-7600
Fax
(702) 363-3814
NPI assigned
May 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 10117 NV
Interventional Cardiology Physician 207RI0011X 10117 NV Primary

Addresses

Primary practice location

10040 Alta Dr Ste 350
Las Vegas, NV 89145-8658

Mailing address

6355 S Buffalo Dr FL 3
Las Vegas, NV 89113-2133
Phone (702) 216-3346

Other practice location 1

10105 Banburry Cross Dr
Suite 250
Las Vegas, NV 89144-6646
Phone (702) 360-7600

Other identifiers 1

IdentifierTypeStateIssuer
1508813585MedicaidNV

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20100920000023 NV Practitioner - Cardiovascular Disease (Cardiology) 7618058553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Cardiovascular Disease (Cardiology)
Education
Pennsylvania State University College of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

10105 Banburry Cross Dr
Suite 460
Las Vegas, NV 89144-6645
Phone (702) 691-9160

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
0 of 100Reported as individual
Quality
0
Promoting interoperability
0
Improvement activities
0
Cost
0

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10117NVMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Intermountain Medical Holdings Nevada Inc Cardiovascular Disease CurrentSince Jan 1, 2022 Accepting new patients
Healthcare Partners Medical Group Coats LTD Cardiovascular Disease Current Accepting new patients
Intermountain Medical Holdings Nevada Inc Interventional Cardiology CurrentSince Jan 1, 2022 Accepting new patients

Locations

595 W Lake Mead Pkwy
Henderson, NV 89015
Phone (702) 566-5500

10105 Banbury Cross Dr
Ste 250
Las Vegas, NV 89144
Phone (702) 360-7600

4880 Wynn Rd
Las Vegas, NV 89103
Phone (702) 382-4554

10040 Alta Dr
Ste 350
Las Vegas, NV 89145
Phone (702) 360-7600

6355 S Buffalo Dr
Fl 3
Las Vegas, NV 89113
Phone (702) 479-4881

10105 Banburry Cross Dr
Ste 460
Las Vegas, NV 89144
Phone (702) 691-9160

1397 S Loop Rd
Pahrump, NV 89048
Phone (775) 727-5500

Interoperability endpoints

  • Direct secure messaging: cuongnguyen@hcpnv.allscriptsdirect.net

Organizations & group practices 3

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 3

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": "1148688000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713916800000",
    "number": "1508813585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6355 S BUFFALO DR FL 3",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891132133",
            "telephone_number": "702-216-3346",
            "fax_number": "702-671-6883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10040 ALTA DR STE 350",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891458658",
            "telephone_number": "702-360-7600",
            "fax_number": "702-363-3814"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "10105 Banburry Cross Dr",
            "address_2": "Suite 250",
            "address_purpose": "LOCATION",
            "city": "Las Vegas",
            "state": "NV",
            "postal_code": "891446646",
            "country_code": "US",
            "telephone_number": "702-360-7600",
            "fax_number": "702-363-3814",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CUONG",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-27",
        "last_updated": "2024-04-24",
        "certification_date": "2024-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NV",
            "license": "10117",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "NV",
            "license": "10117",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1508813585",
            "state": "NV"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.