Active NPI
Khanh Thi Hoang Nguyen, DO
- Diagnostic Radiology Physician
- Worcester, MA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 0102208589
- Practice address
- 55 Lake Ave N
Worcester, MA 01655-0002 - Phone
- (508) 334-1000
- NPI assigned
- Apr 5, 2018
- Sex
- Female
- 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 | 0102208589 | VA | Primary |
Addresses
Primary practice location
55 Lake Ave N
Worcester, MA 01655-0002
Mailing address
55 Lake Ave N
Worcester, MA 01655-0002
Phone (508) 334-1000
Other practice location 1
300 Mt Clement Park Ste A2
Tappahannock, VA 22560-5098
Phone (804) 828-6600
Other practice location 2
1001 E Leigh St
Richmond, VA 23298-5004
Phone (804) 628-7245
Other practice location 3
1213 E Clay St
Richmond, VA 23298-5071
Phone (804) 828-6600
Other practice location 4
9000 Stony Point Pkwy
Richmond, VA 23235-1900
Phone (804) 560-8906
Other practice location 5
1250 E Marshall St
Richmond, VA 23298-5023
Phone (804) 828-6600
Other practice location 6
618 Hospital Rd
Tappahannock, VA 22560-5000
Phone (804) 828-6600
Other practice location 7
11958 W Broad St
Henrico, VA 23233-1007
Phone (804) 360-4669
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in VA
- 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 New England, College of Osteo Medicine, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1250 E Marshall St
Richmond, VA 23219-5051
Phone (804) 828-9000
Hospital & facility affiliations
- Medical College of Virginia Hospitals
- Vcu Health Tappahannock Hospital
- Bon Secours St Francis Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 83.95 of 100
- Quality
- 69.91
- Promoting interoperability
- 99
- Improvement activities
- 40
- Cost
- 77.42
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0102208589 | VA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| MCV Associated Physicians | Diagnostic Radiology | Current | Accepting new patients |
Locations
9000 Stony Point Pkwy
Richmond, VA 23235
Phone (804) 560-8906
1250 E Marshall St
Richmond, VA 23298
Phone (804) 628-6990
1001 E Leigh St
Richmond, VA 23298
Phone (804) 628-7497
401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409
1213 E Clay St
Richmond, VA 23298
Phone (804) 827-1207
11958 W Broad St
Richmond, VA 23233
Phone (804) 360-4669
618 Hospital Rd
Tappahannock, VA 22560
Phone (804) 443-3311
300 Mt Clement Park
Ste A2
Tappahannock, VA 22560
Phone (804) 443-3311
Organizations & group practices 1
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 14
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
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- Midlothian, VA
- NPI 1003849381
Hospital
-
- General Acute Care Hospital
- Midlothian, VA
- NPI 1447212592
-
- Endocrinology, Diabetes & Metabolism Physician
- Colonial Heights, VA
- NPI 1518244854
Hospital
-
- Internal Medicine Physician
- Midlothian, VA
- NPI 1053698399
Hospital
-
- Family Medicine Physician
- Midlothian, VA
- NPI 1497788806
Hospital
-
- Family Medicine Physician
- Chester, VA
- NPI 1801173141
Hospital
-
- Family Medicine Physician
- Powhatan, VA
- NPI 1891071965
Hospital
-
- Family Medicine Physician
- Richmond, VA
- NPI 1225265630
Hospital
-
- Hematology & Oncology Physician
- Midlothian, VA
- NPI 1649536764
Hospital
-
- General Acute Care Hospital
- Tappahannock, VA
- NPI 1760580757
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1522886400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1548766645",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 LAKE AVE N",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016550002",
"telephone_number": "508-334-1000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 LAKE AVE N",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016550002",
"telephone_number": "508-334-1000"
}
],
"practiceLocations": [
{
"address_1": "300 Mt Clement Park Ste A2",
"address_purpose": "LOCATION",
"city": "Tappahannock",
"state": "VA",
"postal_code": "225605098",
"country_code": "US",
"telephone_number": "804-828-6600",
"fax_number": "804-828-6129",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1001 E Leigh St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985004",
"country_code": "US",
"telephone_number": "804-628-7245",
"fax_number": "804-828-6129",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1213 E Clay St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985071",
"country_code": "US",
"telephone_number": "804-828-6600",
"fax_number": "804-828-6129",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "9000 Stony Point Pkwy",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232351900",
"country_code": "US",
"telephone_number": "804-560-8906",
"fax_number": "804-237-6618",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1250 E Marshall St",
"address_purpose": "LOCATION",
"city": "Richmond",
"state": "VA",
"postal_code": "232985023",
"country_code": "US",
"telephone_number": "804-828-6600",
"fax_number": "804-828-6129",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "618 Hospital Rd",
"address_purpose": "LOCATION",
"city": "Tappahannock",
"state": "VA",
"postal_code": "225605000",
"country_code": "US",
"telephone_number": "804-828-6600",
"fax_number": "804-828-6129",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "11958 W Broad St",
"address_purpose": "LOCATION",
"city": "Henrico",
"state": "VA",
"postal_code": "232331007",
"country_code": "US",
"telephone_number": "804-360-4669",
"fax_number": "804-828-6129",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "KHANH",
"middle_name": "THI HOANG",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-04-05",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "VA",
"license": "0102208589",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2024; 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.