Individual provider Active NPI

Khanh Thi Nha Vu, M.D.

  • Radiation Oncology Physician
  • Jamestown, NY
National Provider Identifier
1538425947
Registry record updated Jun 30, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
036129634 Issued in IL
Practice address
51 Glasgow Ave
Jamestown, NY 14701-6440
Phone
(716) 664-8670
Fax
(716) 664-8672
NPI assigned
Apr 10, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 036129634 IL Primary
Radiation Oncology Physician 2085R0001X 8761 ND

Addresses

Primary practice location

51 Glasgow Ave
Jamestown, NY 14701-6440

Mailing address

17 Christamon S
Irvine, CA 92620-1831
Phone (321) 704-5837

Other practice location 1

14642 Newport Ave Ste 470
Tustin, CA 92780-6063
Phone (714) 573-9500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, MI, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20140609002179 CA Practitioner - Radiation OncologyPractitioner - General Practice 3678797875 Reassigns benefits to 2 organizations
I20220329000788 MI Practitioner - Radiation Oncology 3678797875 Reassigns benefits to 2 organizations
I20250818001208 PA Practitioner - Radiation Oncology 3678797875 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Warren General HospitalGroup PAC ID 4880501402, 100 clinicians

Practice addresses (Care Compare)

2 W Crescent Park
Warren, PA 16365-2111
Phone (814) 726-1786

Hospital & facility affiliations

  • Warren General Hospital Hospital, Warren, PA, CCN 390146
  • Warren General Hospital Hospital, Warren, PA, CCN 391319
  • Olean General Hospital Hospital, Olean, NY, CCN 330103

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036129634ILMDRadiation Oncology Physician
8761NDMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Norton Hospitals Inc CurrentSince Aug 1, 2021 Accepting new patients
Norton Hospitals, Inc CurrentSince Aug 1, 2021 Accepting new patients
Somc Medical Care Foundation, Inc. Radiation Oncology CurrentSince Mar 20, 2022 Accepting new patients
Somc Medical Care Foundation, Inc. CurrentSince Mar 20, 2022 Accepting new patients
Promedica Central Physicians CurrentSince Feb 1, 2022 Accepting new patients
Dickinson County Healthcare System CurrentSince Dec 26, 2023 Accepting new patients
Minarets Medical Group, Inc. CurrentSince Jun 16, 2018 Accepting new patients
Stephen William Doggett, M.D. PA Radiation Oncology CurrentSince Jan 6, 2016 Accepting new patients
Warren General Hospital CurrentSince May 8, 2025 Accepting new patients
Promedica Central Physicians CurrentSince Feb 1, 2022 Accepting new patients
Warren General Hospital CurrentSince May 8, 2025 Accepting new patients
Warren Medical Group Inc Past Accepting new patients
Warren General Hospital Past Accepting new patients
Grossmont Dermatology Medical Clinic PastSince Jul 1, 2010 Accepting new patients

Locations

774 East Ave
Chico, CA 95926
Phone (530) 774-2650

260 E Ontario Ave
Ste 101
Corona, CA 92879
Phone (951) 268-7746

1745 Creekside Dr
Folsom, CA 95630
Phone (916) 983-2302

1340 W Herndon Ave
Ste 101
Fresno, CA 93711
Phone (559) 438-6577

8860 Center Dr
Ste 300
La Mesa, CA 91942
Phone (619) 462-1670

5900 W Olympic Blvd
Los Angeles, CA 90036
Phone (310) 267-2680

25405 Hancock Ave
Ste 102
Murrieta, CA 92562
Phone (909) 696-7632

5333 Hollister Ave
Ste 105
Santa Barbara, CA 93111
Phone (805) 439-6871

5757 Pacific Ave
Ste 228
Stockton, CA 95207
Phone (209) 490-5050

1542 N Tracy Blvd
Tracy, CA 95376
Phone (209) 835-1011

14642 Newport Ave
Ste 470
Tustin, CA 92780
Phone (714) 573-9500

1626 S Court St
Visalia, CA 93277
Phone (559) 583-7546

245 Atwood St
Corydon, IN 47112
Phone (812) 734-0912

315 E Broadway
Fl 4
Louisville, KY 40202
Phone (502) 272-5165

777 Kimole Ln
Ste 250
Adrian, MI 49221
Phone (517) 265-3411

1721 S Stephenson Ave
Iron Mountain, MI 49801
Phone (906) 776-5415

718 N Macomb St
Monroe, MI 48162
Phone (734) 212-3097

1805 27th St
Portsmouth, OH 45662
Phone (740) 356-5000

1735 27th St
Ste B06
Portsmouth, OH 45662
Phone (740) 356-7942

1121 Kinneys Ln
Portsmouth, OH 45662
Phone (740) 356-7490

5300 Harroun Rd
Ste 118
Sylvania, OH 43560
Phone (419) 479-5386

2109 Hughes Dr
Ste 450
Toledo, OH 43606
Phone (419) 251-3112

2 W Crescent Park
Warren, PA 16365
Phone (814) 452-5337

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 5

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": "1334016000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656547200000",
    "number": "1538425947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 CHRISTAMON S",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926201831",
            "telephone_number": "321-704-5837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "51 GLASGOW AVE",
            "city": "JAMESTOWN",
            "state": "NY",
            "postal_code": "147016440",
            "telephone_number": "716-664-8670",
            "fax_number": "716-664-8672"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14642 Newport Ave Ste 470",
            "address_purpose": "LOCATION",
            "city": "Tustin",
            "state": "CA",
            "postal_code": "927806063",
            "country_code": "US",
            "telephone_number": "714-573-9500",
            "fax_number": "714-573-9505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VU",
        "first_name": "KHANH THI NHA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-10",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "IL",
            "license": "036129634",
            "primary": true
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "ND",
            "license": "8761",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jamestown, NY

Sources for this page

Verify at the official NPI Registry.