Individual provider Active NPI

Khoi A Nguyen, M.D.

  • Internal Medicine Physician
  • Suffolk, VA
National Provider Identifier
1578820841
Registry record updated Oct 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
0101258252 Issued in VA
Practice address
2800 Godwin Blvd FL 1
Suffolk, VA 23434-8038
Phone
(757) 934-4821
Fax
(757) 934-4276
NPI assigned
Apr 11, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 3, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Hospitalist Physician 208M00000X 0101258252 VA
Student in an Organized Health Care Education/Training Program 390200000X 63226 NY
Internal Medicine Physician 207R00000X 0101258252 VA Primary

Addresses

Primary practice location

2800 Godwin Blvd FL 1
Suffolk, VA 23434-8038

Mailing address

2800 Godwin Blvd FL 1
Suffolk, VA 23434-8038
Phone (757) 934-4821

Other practice location 1

47 New Scotland Ave
Department of Internal Medicine
Albany, NY 12208-3412
Phone (571) 230-7564

Other names 1

  • Khoi An Tho Nguyen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, WA, ME3 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
I20150902001664 VA Practitioner - HospitalistPractitioner - Internal Medicine 4587970744 Reassigns benefits to 6 organizations
I20210929001586 WA Practitioner - Internal Medicine 4587970744 Reassigns benefits to 1 organization
I20240411000808 ME Practitioner - Internal Medicine 4587970744 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Centra Medical Group LLCGroup PAC ID 4789606088, 709 clinicians
Sentara Medical GroupGroup PAC ID 8921903923, 1,396 clinicians
Eastern Maine Medical CenterGroup PAC ID 2062315161, 659 clinicians

Practice addresses (Care Compare)

1901 Tate Springs Rd
Lynchburg, VA 24501-1109
Phone (434) 947-3033

2800 Godwin Blvd
Suffolk, VA 23434-8038
Phone (757) 363-6850

489 State St
Bangor, ME 04401-6616
Phone (207) 973-7000

Hospital & facility affiliations

  • Centra Health - Lynchburg Gen Hospital Hospital, Lynchburg, VA, CCN 490021
  • Sentara Norfolk General Hospital Hospital, Norfolk, VA, CCN 490007
  • Northern Light Eastern Maine Medical Center Hospital, Bangor, ME, CCN 200033
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046
  • Southside Community Hospital, Inc Hospital, Farmville, VA, CCN 490090

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
63226NYMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Centra Medical Group, LLC CurrentSince Oct 23, 2017 Accepting new patients
Sentara Medical Group Internal Medicine CurrentSince Jul 1, 2022 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients
Hospitalist Medicine Physicians of Fredericksburg, LLC Internal Medicine CurrentSince Dec 1, 2017 Accepting new patients
Pai Participant 1 LLC CurrentSince Apr 22, 2024 Accepting new patients
Eastern Maine Medical Center CurrentSince May 26, 2024 Accepting new patients
Hospitalist Medicine Physicians of Virginia LLC Internal Medicine CurrentSince May 13, 2017 Accepting new patients
Cogent Healthcare of Washington, PC Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Universal Health Corporation Internal Medicine CurrentSince Jan 24, 2024 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine CurrentSince Aug 1, 2021 Accepting new patients
Eastern Maine Medical Center CurrentSince May 26, 2024 Accepting new patients
South Sound Inpatient Physicians PLLC Internal Medicine Current Accepting new patients
Emergency Medicine Associates P.a., P.C. Internal Medicine CurrentSince Aug 1, 2022 Accepting new patients

Locations

489 State St
Ste A
Bangor, ME 04401

489 State St
Bangor, ME 04401
Phone (207) 973-8837

43 Whiting Hill Rd
Ste 250
Brewer, ME 04412

5410 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 377-1674

1613 Oakwood St
Bedford, VA 24523
Phone (540) 425-7800

1475 Virginia Ave
Harrisonburg, VA 22802
Phone (540) 564-3400

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

101 Harris Rd
Kilmarnock, VA 22482
Phone (804) 435-0997

1901 Tate Springs Rd
Lynchburg, VA 24501
Phone (434) 200-3101

8260 Atlee Rd
Mechanicsvlle, VA 23116
Phone (804) 264-6000

850 Kempsville Rd
Norfolk, VA 23502
Phone (757) 261-0162

5801 Bremo Rd
Richmond, VA 23226
Phone (804) 281-8220

1945 Roanoke Blvd
Salem, VA 24153
Phone (540) 345-3094

2800 Godwin Blvd
Fl 1
Suffolk, VA 23434
Phone (757) 934-4821

2800 Godwin Blvd
Suffolk, VA 23434
Phone (757) 363-6850

456 E Main St
Waverly, VA 23890
Phone (804) 834-3975

759 S Main St
Woodstock, VA 22664
Phone (540) 459-1100

202 N Division St
Auburn, WA 98001
Phone (253) 333-2562

16251 Sylvester Rd SW
Burien, WA 98166
Phone (206) 244-9970

407 14th Ave SE
Puyallup, WA 98372
Phone (253) 697-4000

2000 Hospital Dr
Sedro Woolley, WA 98284
Phone (360) 856-6021

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 12

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": "1334102400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664755200000",
    "number": "1578820841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2800 GODWIN BLVD FL 1",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348038",
            "telephone_number": "757-934-4821",
            "fax_number": "757-934-4276"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2800 GODWIN BLVD FL 1",
            "city": "SUFFOLK",
            "state": "VA",
            "postal_code": "234348038",
            "telephone_number": "757-934-4821",
            "fax_number": "757-934-4276"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "47 New Scotland Ave",
            "address_2": "Department of Internal Medicine",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122083412",
            "country_code": "US",
            "telephone_number": "571-230-7564",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KHOI",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-11",
        "last_updated": "2022-10-03",
        "certification_date": "2022-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "VA",
            "license": "0101258252",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NY",
            "license": "63226",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101258252",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KHOI",
            "last_name": "NGUYEN",
            "middle_name": "AN THO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Suffolk, VA

Sources for this page

Verify at the official NPI Registry.