Individual provider Active NPI

Thuy T. T. Nguyen, M.D.

  • Internal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1528137304
Registry record updated Jan 29, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20095 Issued in OK
Practice address
3109 N Penn Ave
Oklahoma City, OK 73112-7915
Phone
(405) 524-8262
Fax
(405) 605-6396
NPI assigned
Nov 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 29, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 20094 OK
Internal Medicine Physician 207R00000X 20095 OK Primary

Addresses

Primary practice location

3109 N Penn Ave
Oklahoma City, OK 73112-7915

Mailing address

3109 N Penn Ave
Oklahoma City, OK 73112-7915
Phone (405) 524-8262

Other identifiers 1

IdentifierTypeStateIssuer
100138040BMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20070501000225 OK Practitioner - Family PracticePractitioner - Internal Medicine 9638275191 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3109 N Pennsylvania
Oklahoma City, OK 73112-7915
Phone (405) 524-8262

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20094OKMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Thuy T T Nguyen MD PC Internal Medicine CurrentSince May 1, 2007 Accepting new patients
Summit Medical Center Past Accepting new patients

Locations

1044 SW 44th St
Ste 410
Oklahoma City, OK 73109
Phone (405) 634-6417

3109 N Pennsylvania Ave
Oklahoma City, OK 73112
Phone (405) 524-8262

Interoperability endpoints

  • Direct secure messaging: thuyttnguyen@128048.advancedmd-direct.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 4

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": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1359417600000",
    "number": "1528137304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3109 N PENN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127915",
            "telephone_number": "405-524-8262",
            "fax_number": "405-605-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3109 N PENN AVE",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731127915",
            "telephone_number": "405-524-8262",
            "fax_number": "405-605-6396"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THUY",
        "middle_name": "T. T.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2013-01-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "20094",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "20095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100138040B",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.