Active NPI
Macklin Hong Phuoc Nguyen, MD
- Radiation Oncology Physician
- Rockford, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- License
- 036-172332
- Practice address
- 3535 N Bell School Rd
Rockford, IL 61114-6624 - Phone
- (779) 696-9400
- Fax
- (779) 696-9365
- NPI assigned
- Mar 18, 2019
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Radiation Oncology Physician | 2085R0001X | 036-172332 | IL | Primary |
Addresses
Primary practice location
3535 N Bell School Rd
Rockford, IL 61114-6624
Mailing address
9260 W Sunset Rd Ste 110
Las Vegas, NV 89148-4903
Phone (702) 916-6904
Other practice location 1
9300 W Sunset Rd
Las Vegas, NV 89148-4844
Phone (702) 916-5000
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Radiation Oncology
- Education
- University of Washington School of Medicine, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3535 N Bell School Rd
Regional Cancer Center
Rockford, IL 61114-6624
Phone (779) 696-9400
Hospital & facility affiliations
- Uw Health
Merit-based Incentive Payment System (MIPS)
- Final score
- 81.51 of 100
- Quality
- 83.2
- Promoting interoperability
- 77
- Improvement activities
- 40
- Cost
- 71.7
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 036-172332 | IL | MD | Radiation Oncology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Swedishamerican Hospital | Current | Accepting new patients | |
| Swedishamerican Hospital | Current | Accepting new patients | |
| Swedishamerican Hospital | Radiation Oncology | Current | Accepting new patients |
Locations
6824 Newburg Rd
Rockford, IL 61108
Phone (779) 696-7610
2550 Charles St
Rockford, IL 61108
Phone (779) 696-7285
3535 N Bell School Rd
Rockford, IL 61114
Phone (779) 696-9400
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.
-
- Family Medicine Physician
- Rockford, IL
- NPI 1962451732
-
- Community/Retail Pharmacy
- Rockford, IL
- NPI 1306635982
-
- Hematology & Oncology Physician
- Rockford, IL
- NPI 1730511379
Radiation Oncology
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Rockford, IL
- NPI 1760542732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1552867200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734652800000",
"number": "1669931713",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9260 W SUNSET RD STE 110",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891484903",
"telephone_number": "702-916-6904"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3535 N BELL SCHOOL RD",
"city": "ROCKFORD",
"state": "IL",
"postal_code": "611146624",
"telephone_number": "779-696-9400",
"fax_number": "779-696-9365"
}
],
"practiceLocations": [
{
"address_1": "9300 W Sunset Rd",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891484844",
"country_code": "US",
"telephone_number": "702-916-5000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "MACKLIN",
"middle_name": "HONG PHUOC",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-03-18",
"last_updated": "2024-12-20",
"certification_date": "2024-12-20",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "2085R0001X",
"taxonomy_group": "",
"desc": "Radiology, Radiation Oncology",
"state": "IL",
"license": "036-172332",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Rockford, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.