Individual provider Active NPI

Hoa N. Nguyen, MD

  • Gynecologic Oncology Physician
  • Hollywood, FL
National Provider Identifier
1669452983
Registry record updated Nov 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecologic Oncology PhysicianTaxonomy code 207VX0201X
License
ME50821 Issued in FL
Practice address
4651 Sheridan St Ste 470
Hollywood, FL 33021-3437
Phone
(954) 986-6667
Fax
(954) 983-6665
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Oncology Physician 2086X0206X ME50821 FL
Urology Physician 208800000X ME50821 FL
Urogynecology and Reconstructive Pelvic Surgery (Urology) Physician 2088F0040X ME50821 FL
Gynecologic Oncology Physician 207VX0201X ME50821 FL Primary

Addresses

Primary practice location

4651 Sheridan St Ste 470
Hollywood, FL 33021-3437

Mailing address

4651 Sheridan St Ste 470
Hollywood, FL 33021-3437
Phone (954) 986-6667

Other identifiers 2

IdentifierTypeStateIssuer
024629400MedicaidFL
03948OtherFLBCBS OF FL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20101115001393 FL Practitioner - Gynecological OncologyPractitioner - Obstetrics/Gynecology 1254526262 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Gynecological OncologyAlso: Obstetrics/Gynecology
Education
Albert Einstein College of Medicine of Yeshiva University, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4651 Sheridan St
Suite 470
Hollywood, FL 33021-3437
Phone (954) 986-6667

Hospital & facility affiliations

  • HCA Florida University Hospital Hospital, Davie, FL, CCN 100360
  • Memorial Regional Hospital Hospital, Hollywood, FL, CCN 100038
  • Memorial Hospital West Hospital, Pembroke Pines, FL, CCN 100281
  • Broward Health Medical Center Hospital, Fort Lauderdale, FL, CCN 100039
  • Memorial Hospital Miramar Hospital, Miramar, FL, CCN 100285

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hernia repair - groin (open)1-10
Melanoma (skin cancer) excision1-10
Removal of the uterus1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME50821FLMDFemale Pelvic Medicine and Reconstructive Surgery (Urology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gynecologic Oncology & Urogynecology Gynecologic Oncology CurrentSince Apr 14, 2018 Accepting new patients
Institute for Women'S Health and Body, LLC PastSince Apr 14, 2018 Accepting new patients

Locations

1150 N 35th Ave
Ste 670
Hollywood, FL 33021
Phone (954) 265-1700

4651 Sheridan St
Ste 470
Hollywood, FL 33021
Phone (954) 986-6667

Interoperability endpoints

  • Direct secure messaging: hoa.nguyen.1@20252.direct.athenahealth.com

Organizations & group practices 2

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 5

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635984000000",
    "number": "1669452983",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4651 SHERIDAN ST STE 470",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213437",
            "telephone_number": "954-986-6667",
            "fax_number": "954-983-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4651 SHERIDAN ST STE 470",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213437",
            "telephone_number": "954-986-6667",
            "fax_number": "954-983-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HOA",
        "middle_name": "N.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2021-11-04",
        "certification_date": "2021-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086X0206X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgical Oncology",
            "state": "FL",
            "license": "ME50821",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME50821",
            "primary": false
        },
        {
            "code": "2088F0040X",
            "taxonomy_group": "",
            "desc": "Urology, Urogynecology and Reconstructive Pelvic Surgery",
            "state": "FL",
            "license": "ME50821",
            "primary": false
        },
        {
            "code": "207VX0201X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecologic Oncology",
            "state": "FL",
            "license": "ME50821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024629400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "03948",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hollywood, FL

Sources for this page

Verify at the official NPI Registry.