Active NPI
Jeremy B Nguyen, M.D.
- Diagnostic Radiology Physician
- Marrero, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 200373
- Practice address
- 1111 Medical Center Blvd
Suite N-108
Marrero, LA 70072-3151 - Phone
- (504) 349-1461
- Fax
- (504) 349-1470
- NPI assigned
- Jul 4, 2006
- Last updated
- Aug 6, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 200373 | LA | Primary |
Addresses
Primary practice location
1111 Medical Center Blvd
Suite N-108
Marrero, LA 70072-3151
Mailing address
1101 Medical Center Blvd
Radiology Dept
Marrero, LA 70072-3147
Phone (504) 349-1461
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8W2044 | Other | TX | BCBSTX |
| 1576239 | Medicaid | LA | |
| 182370001 | Medicaid | TX | |
| 586402327 | Other | TRICARE | |
| 009941591 | Medicaid | AL | |
| P00377885 | Other | GA | RAILROAD MEDICARE |
| 01084889 | Medicaid | MS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- University of Texas Medical School at San Antonio, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1415 Tulane Ave
New Orleans, LA 70112-2600
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Jefferson Radiology Associates, Inc | Diagnostic Radiology | Current | Accepting new patients |
| Administrators of the Tulane Educational Fund | Current | Accepting new patients | |
| Northeast Missouri Imaging Associates, Inc. | Diagnostic Radiology | Past | Accepting new patients |
| Ozarks Medical Center | Diagnostic Radiology | Past | Accepting new patients |
| Tulane University Health Sciences Center | Diagnostic Radiology | Past | Accepting new patients |
Locations
95 Judge Tanner Blvd
Covington, LA 70433
Phone (504) 867-3800
1101 Medical Center Blvd
Marrero, LA 70072
Phone (504) 347-5511
1111 Medical Center Blvd
Ste N108
Marrero, LA 70072
Phone (504) 349-1461
4200 Houma Blvd
Metairie, LA 70006
Phone (504) 454-4028
4700 S I 10 Svc Rd W
Metairie, LA 70001
Phone (504) 780-6453
1324 Tulane Ave
Ste 100
New Orleans, LA 70112
1415 Tulane Ave
New Orleans, LA 70112
Phone (504) 588-2300
1415 Tulane Ave
#71
New Orleans, LA 70112
Phone (504) 988-5881
1430 Tulane Ave
#54
New Orleans, LA 70112
Phone (504) 988-2651
Organizations & group practices 6
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
dba Tulane University Medical Group
- Specialist
- New Orleans, LA
- NPI 1528014164
-
- Diagnostic Radiology Physician
- Marrero, LA
- NPI 1366490849
-
- Specialist
- Hattiesburg, MS
- NPI 1033395298
-
- Pediatric Radiology Physician
- New Orleans, LA
- NPI 1881797165
Diagnostic Radiology
-
- Diagnostic Radiology Physician
- Hannibal, MO
- NPI 1356309306
-
dba Ozarks Healthcare
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Diagnostic Radiology
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- New Orleans, LA
- NPI 1033611454
-
dba East Jefferson General Hospital
- General Acute Care Hospital
- Metairie, LA
- NPI 1497792527
-
dba Lakeview Regional Behavioral Health
- Psychiatric Hospital Unit
- Covington, LA
- NPI 1790722825
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1217980800000",
"number": "1508896564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 MEDICAL CENTER BLVD",
"address_2": "RADIOLOGY DEPT",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723147",
"telephone_number": "504-349-1461",
"fax_number": "504-349-1470"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 MEDICAL CENTER BLVD",
"address_2": "SUITE N-108",
"city": "MARRERO",
"state": "LA",
"postal_code": "700723151",
"telephone_number": "504-349-1461",
"fax_number": "504-349-1470"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "JEREMY",
"middle_name": "B",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-04",
"last_updated": "2008-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "LA",
"license": "200373",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBSTX",
"identifier": "8W2044",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1576239",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "182370001",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE",
"identifier": "586402327",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009941591",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00377885",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01084889",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Marrero, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.