Individual provider Active NPI

Thai-Hao Nguyen, MD

  • Family Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1609296557
Registry record updated Jun 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
30790 Issued in OK
Practice address
629 W Main St # 1034
Oklahoma City, OK 73102-2221
Phone
(405) 926-1407
NPI assigned
Apr 18, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 30790 OK Primary

Addresses

Primary practice location

629 W Main St # 1034
Oklahoma City, OK 73102-2221

Mailing address

3325 NW 173Rd St
Edmond, OK 73012-7102
Phone (405) 926-1407

Other practice location 1

4677 Kahiliholo Rd
Kilauea, HI 96754-5127
Phone (405) 926-1407

Other practice location 2

200 N Vineyard Blvd Ste A325
Honolulu, HI 96817-3950
Phone (405) 926-1407

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK, GA, MO, CA4 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 4

Enrollment IDStateProvider typePAC IDDetails
I20151014000970 OK Practitioner - Family Practice 7618286634 Reassigns benefits to 5 organizations
I20240119000481 GA Practitioner - Family Practice 7618286634 Reassigns benefits to 2 organizations
I20240222001002 MO Practitioner - Family Practice 7618286634 Reassigns benefits to 1 organization
I20241227002138 CA Practitioner - Family Practice 7618286634 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Oklahoma College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Community Outreach Preventative Care Inc (Copc)Group PAC ID 1557852753, 2 clinicians
Warren Clinic IncGroup PAC ID 8820900293, 787 clinicians

Practice addresses (Care Compare)

11680 Great Oaks Way
Alpharetta, GA 30022-2483
Phone (866) 243-3421

1920 Monroe Dr NE
Suite 100
Atlanta, GA 30324-4880
Phone (866) 669-6247

536 N Taylor Ave
Saint Louis, MO 63108-1888
Phone (618) 979-5091

6600 S Yale Ave
Suite 1400
Tulsa, OK 74136-3331
Phone (918) 488-6000

Merit-based Incentive Payment System (MIPS)

Final score
23.81 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
79.36

Merit-based Incentive Payment System (MIPS)

Final score
91.06 of 100Reported as apm
Quality
75.25
Promoting interoperability
99
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
30790OKMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC CurrentSince Sep 1, 2022 Accepting new patients
Concord Medical Group PLLC CurrentSince Sep 1, 2022 Accepting new patients
Community Outreach Preventative Care Inc (Copc) CurrentSince Nov 4, 2025 Accepting new patients
St. John Physicians, Inc CurrentSince Aug 22, 2015 Accepting new patients
St. John Physicians, Inc. Family Medicine CurrentSince Aug 22, 2015 Accepting new patients
DRH Medical Group CurrentSince Oct 20, 2024 Accepting new patients
Our Community Healthcare System Inc CurrentSince Nov 6, 2023 Accepting new patients
Michael C Hoaglin, MD, Inc CurrentSince Oct 20, 2024 Accepting new patients
Hjme Medical Vuc LLC CurrentSince Jun 29, 2025 Accepting new patients
Warren Clinic Inc CurrentSince Nov 1, 2024 Accepting new patients
St John Urgent Care Clinics Inc CurrentSince Aug 7, 2017 Accepting new patients

Locations

400 30th St
Ste 407
Oakland, CA 94609
Phone (415) 735-6453

2261 Market St
San Francisco, CA 94114
Phone (213) 337-4615

11680 Great Oaks Way
Ste 170
Alpharetta, GA 30022
Phone (404) 296-1130

1920 Monroe Dr NE
Ste 100
Atlanta, GA 30324
Phone (618) 979-5091

1920 Monroe Dr NE
Atlanta, GA 30324

10945 State Bridge Rd
Johns Creek, GA 30022
Phone (770) 619-2066

2323 Shallowford Rd
Ste 107
Marietta, GA 30066

1449 S Michigan Ave
Chicago, IL 60605
Phone (312) 292-9818

536 N Taylor Ave
Saint Louis, MO 63108
Phone (314) 449-1143

501 N 14th St
Perry, OK 73077
Phone (580) 336-3541

1717 S Utica Ave
Ste A
Tulsa, OK 74104
Phone (918) 748-1300

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

6600 S Yale Ave
Ste 1400
Tulsa, OK 74136
Phone (888) 247-0125

735 N Foreman St
Vinita, OK 74301
Phone (918) 256-7551

Interoperability endpoints

  • Direct secure messaging: thai-hao.nguyen.1@32960.direct.athenahealth.com
  • Direct secure messaging: thai-hao.nguyen.1@30093.direct.athenahealth.com

Organizations & group practices 11

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1397779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748908800000",
    "number": "1609296557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3325 NW 173RD ST",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730127102",
            "telephone_number": "405-926-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "629 W MAIN ST # 1034",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731022221",
            "telephone_number": "405-926-1407"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4677 Kahiliholo Rd",
            "address_purpose": "LOCATION",
            "city": "Kilauea",
            "state": "HI",
            "postal_code": "967545127",
            "country_code": "US",
            "telephone_number": "405-926-1407",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 N Vineyard Blvd Ste A325",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968173950",
            "country_code": "US",
            "telephone_number": "405-926-1407",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THAI-HAO",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-04-18",
        "last_updated": "2025-06-03",
        "certification_date": "2025-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "30790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.