Individual provider Active NPI

Matthew Nguyen, M.D.

  • Internal Medicine Physician
  • Pittsburgh, PA
National Provider Identifier
1669039079
Registry record updated Jun 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD477292 Issued in PA
Practice address
5150 Centre Avenue
Upmc Hillman Cancer Center-4TH Floor,Suite 463
Pittsburgh, PA 15232
Phone
(412) 648-6413
Fax
(412) 623-3350
NPI assigned
May 21, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Internal Medicine Physician 207R00000X MD477292 PA Primary

Addresses

Primary practice location

5150 Centre Avenue
Upmc Hillman Cancer Center-4TH Floor,Suite 463
Pittsburgh, PA 15232

Mailing address

3600 Forbes Avenue
Forbes Tower-Plaza Level Suite 140
Pittsburgh, PA 15213

Other practice location 1

200 Lothrop Street
Office of Education N715 Department of Medicine
Pittsburgh, PA 15213
Phone (412) 692-4888

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20220721000012 PA Practitioner - Internal Medicine 6406180686 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD477292PAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Clair Professional Services Inc Internal Medicine Current Accepting new patients
St Clair Professional Services Inc CurrentSince Jul 1, 2022 Accepting new patients
St Clair Professional Services Inc CurrentSince Jul 1, 2022 Accepting new patients

Locations

1000 Bower Hill Rd
Pittsburgh, PA 15243
Phone (412) 344-6600

Interoperability endpoints

  • Direct secure messaging: matthew.n.nguyen@upmcdirect.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1558396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686182400000",
    "number": "1669039079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3600 FORBES AVENUE",
            "address_2": "FORBES TOWER-PLAZA LEVEL SUITE 140",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5150 CENTRE AVENUE",
            "address_2": "UPMC HILLMAN CANCER CENTER-4TH FLOOR,SUITE 463",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "15232",
            "telephone_number": "412-648-6413",
            "fax_number": "412-623-3350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Lothrop Street",
            "address_2": "Office of Education N715 Department of Medicine",
            "address_purpose": "LOCATION",
            "city": "Pittsburgh",
            "state": "PA",
            "postal_code": "15213",
            "country_code": "US",
            "telephone_number": "412-692-4888",
            "fax_number": "412-692-4499",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MATTHEW",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-05-21",
        "last_updated": "2023-06-08",
        "certification_date": "2023-06-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD477292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pittsburgh, PA

Sources for this page

Verify at the official NPI Registry.