Individual provider Active NPI

Tuan Nguyen, MD

  • Pediatric Cardiology Physician
  • Wichita, KS
National Provider Identifier
1639339344
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Cardiology PhysicianTaxonomy code 2080P0202X
License
04-34689 Issued in KS
Practice address
10100 E Shannon Woods St Ste 108
Wichita, KS 67226-4104
Phone
(316) 282-3443
Fax
(866) 550-5783
NPI assigned
Jun 16, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 04-34689 KS
Hospitalist Physician 208M00000X 04-34689 KS
Pediatric Cardiology Physician 2080P0202X 04-34689 KS Primary

Addresses

Primary practice location

10100 E Shannon Woods St Ste 108
Wichita, KS 67226-4104

Mailing address

10100 E Shannon Woods St Ste 108
Wichita, KS 67226-4104
Phone (316) 282-3443

Other names 1

  • Dr. Tuan Nguyen Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tnguyen@kidzcardiology.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20111111000160 KS Practitioner - Cardiovascular Disease (Cardiology)Practitioner - Pediatric Medicine 9638343593 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-34689KSMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kidz Cardiology, Inc Pediatric Cardiology CurrentSince Jul 1, 2020 Accepting new patients
Wesley Pathology Consultants PA Current Accepting new patients
Associates in Womens Health PA Current Accepting new patients

Locations

6401 Patterson Pkwy
Arkansas City, KS 67005
Phone (620) 441-5798

629 S Plummer Ave
Chanute, KS 66720
Phone (316) 431-4000

108 W Ross Blvd
Dodge City, KS 67801
Phone (620) 225-8730

2101 N Waldron St
Hutchinson, KS 67502
Phone (620) 669-2500

315 W 15th St
Ste 105
Liberal, KS 67901

3011 N Michigan St
Pittsburg, KS 66762
Phone (620) 231-1960

400 S Santa Fe Ave
Salina, KS 67401
Phone (785) 452-6019

4723 E Douglas Ave
Wichita, KS 67218
Phone (316) 670-3800

550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239

10100 E Shannon Woods Cir
Ste 108
Wichita, KS 67226

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1213574400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1639339344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10100 E SHANNON WOODS ST STE 108",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264104",
            "telephone_number": "316-282-3443",
            "fax_number": "866-550-5783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10100 E SHANNON WOODS ST STE 108",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672264104",
            "telephone_number": "316-282-3443",
            "fax_number": "866-550-5783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TUAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-16",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "KS",
            "license": "04-34689",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "KS",
            "license": "04-34689",
            "primary": false
        },
        {
            "code": "2080P0202X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Cardiology",
            "state": "KS",
            "license": "04-34689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tnguyen@kidzcardiology.com",
            "affiliation": "N",
            "endpointDescription": "secure email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "10100 E Shannon Woods St Ste 108",
            "city": "Wichita",
            "state": "KS",
            "country_code": "US",
            "postal_code": "672264104",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "TUAN",
            "last_name": "NGUYEN",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.