Individual provider Active NPI

Linh Ngoc Nguyen, MD

  • Therapeutic Radiology Physician
  • Santa Fe, NM
National Provider Identifier
1528083615
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Therapeutic Radiology PhysicianTaxonomy code 2085R0203X
License
MD2004-0204 Issued in NM
Practice address
490A W Zia Rd
Santa Fe, NM 87505-6996
Phone
(505) 913-8900
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Therapeutic Radiology Physician 2085R0203X MD2004-0204 NM Primary

Addresses

Primary practice location

490A W Zia Rd
Santa Fe, NM 87505-6996

Mailing address

490A W Zia Rd
Santa Fe, NM 87505-6996
Phone (505) 913-8900

Other identifiers 1

IdentifierTypeStateIssuer
75883767MedicaidNM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM
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
I20040716000323 NM Practitioner - Radiation Oncology 3476531773 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
University of Texas Medical School at Houston, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
St Vincent HospitalGroup PAC ID 6608775135, 335 clinicians

Practice addresses (Care Compare)

2990 Rodeo Park Dr E
Santa Fe, NM 87505-6302
Phone (505) 913-8900

433 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 988-1232

445 Saint Michaels Dr
Santa Fe, NM 87505-7601
Phone (505) 913-8900

455 Saint Michaels Dr
Santa Fe, NM 87505-7601

Hospital & facility affiliations

  • Christus St Vincent Regional Medical Center Hospital, Santa Fe, NM, CCN 320002
  • Holy Cross Hospital a Div of Taos Health Systems Hospital, Taos, NM, CCN 321310

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD2004-0204NMMDTherapeutic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Vincent Hospital CurrentSince Jun 12, 2023 Accepting new patients
St. Vincent Hospital CurrentSince Jun 12, 2023 Accepting new patients
St Vincent Hospital Current Accepting new patients
Taos Health Systems, Inc., Holy Cross Hospital Past Accepting new patients
Radiation Oncologists PC Past Accepting new patients

Locations

445 Saint Michaels Dr
Santa Fe, NM 87505
Phone (505) 913-8900

490A W Zia Rd
Santa Fe, NM 87505
Phone (505) 913-8900

455 Saint Michaels Dr
#A
Santa Fe, NM 87505

2990 Rodeo Park Dr E
Santa Fe, NM 87505
Phone (505) 428-5400

Interoperability endpoints

  • Direct secure messaging: lnguyen317386@christushealth.direct-ci.net

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 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": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1528083615",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "490A W ZIA RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056996",
            "telephone_number": "505-913-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "490A W ZIA RD",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875056996",
            "telephone_number": "505-913-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LINH",
        "middle_name": "NGOC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0203X",
            "taxonomy_group": "",
            "desc": "Radiology, Therapeutic Radiology",
            "state": "NM",
            "license": "MD2004-0204",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "75883767",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Santa Fe, NM

Sources for this page

Verify at the official NPI Registry.