Individual provider Active NPI

Adrian Son Gomez-Nguyen, MD, PHD

  • Student in an Organized Health Care Education/Training Program
  • Columbus, OH
National Provider Identifier
1679375620
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Student in an Organized Health Care Education/Training ProgramTaxonomy code 390200000X
Practice address
The Ohio State University Wexner Medical Center
395 W 12TH Avenue, Third Floor
Columbus, OH 43210
Phone
(614) 293-3989
Fax
(614) 293-9789
NPI assigned
Mar 27, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X Primary

Addresses

Primary practice location

The Ohio State University Wexner Medical Center
395 W 12TH Avenue, Third Floor
Columbus, OH 43210

Mailing address

The Ohio State University Wexner Medical Center
395 W 12TH Avenue, Third Floor
Columbus, OH 43210
Phone (614) 293-3989

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20250519003083 OH Order and Referring Only - Internal MedicinePractitioner - Internal Medicine 2567980915

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
The Ohio State University Wexner Medical Center Student in an Organized Health Care Education/Training Program CurrentSince Jun 3, 2025 Accepting new patients

Locations

395 W 12th Ave
Fl Third
Columbus, OH 43210

Organizations & group practices 1

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": "1743033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743379200000",
    "number": "1679375620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER",
            "address_2": "395 W 12TH AVENUE, THIRD FLOOR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43210",
            "telephone_number": "614-293-3989",
            "fax_number": "614-293-9789"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "THE OHIO STATE UNIVERSITY WEXNER MEDICAL CENTER",
            "address_2": "395 W 12TH AVENUE, THIRD FLOOR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "43210",
            "telephone_number": "614-293-3989",
            "fax_number": "614-293-9789"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GOMEZ-NGUYEN",
        "first_name": "ADRIAN",
        "middle_name": "SON",
        "name_prefix": "Dr.",
        "credential": "MD, PHD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-03-27",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.