Individual provider Active NPI

Diem-Quynh Phuong Nguyen, MD

  • Family Medicine Physician
  • Fort Smith, AR
National Provider Identifier
1689171019
Registry record updated Aug 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
E-14544 Issued in AR
Practice address
4620 Towson Ave
Fort Smith, AR 72901-7961
Phone
(479) 573-3082
Fax
(479) 573-3100
NPI assigned
Apr 11, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X E-14544 AR Primary

Addresses

Primary practice location

4620 Towson Ave
Fort Smith, AR 72901-7961

Mailing address

PO Box 776084
Chicago, IL 60677-6084
Phone (479) 573-3082

Other practice location 1

400 N Pepper Ave
Colton, CA 92324-1819
Phone (407) 968-9706

Other practice location 2

612 S 12th St
Fort Smith, AR 72901-4702
Phone (479) 785-2431

Other names 1

  • Dr. Diem Quynh Phuong Nguyen Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20210901003916 AR Practitioner - Family Practice 9234535014 Reassigns benefits to 17 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Sebastian Physician Services, PLLCGroup PAC ID 5294178448, 41 clinicians
Mercy Clinic Fort Smith CommunitiesGroup PAC ID 3870668510, 361 clinicians
Springdale Bentonville HBP Services LLCGroup PAC ID 1052759263, 88 clinicians

Practice addresses (Care Compare)

1001 Towson Ave
Fort Smith, AR 72901-4921
Phone (479) 441-4000

1341 W 6TH St
Waldon, AR 72959
Phone (479) 452-1188

3000 Medical Ctr Pkwy
Bentonville, AR 72712-3217
Phone (479) 553-1000

Hospital & facility affiliations

  • Baptist Health - Fort Smith Hospital, Fort Smith, AR, CCN 040055
  • Mercy Hospital Fort Smith Hospital, Fort Smith, AR, CCN 040062

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-14544ARMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Waldron CurrentSince Mar 1, 2023 Accepting new patients
Ies HSP Arkansas PLLC CurrentSince Jan 24, 2023 Accepting new patients
Mercy Hospital Paris CurrentSince Jan 10, 2022 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jan 10, 2022 Accepting new patients
Mercy Hospital Waldron CurrentSince Mar 1, 2023 Accepting new patients
Mercy Hospital Waldron Current Accepting new patients
Springdale- Bentonville HBP Services, LLC CurrentSince May 3, 2024 Accepting new patients
Mercy Hospital Ozark CurrentSince Jan 10, 2022 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine CurrentSince Aug 26, 2021 Accepting new patients
University of Arkansas for Medical Sciences Family Medicine CurrentSince Aug 26, 2021 Accepting new patients
Arkansas Emergency Staffing Solutions, Inc CurrentSince Jan 1, 2022 Accepting new patients
Sebastian Physician Services, PLLC CurrentSince Jun 10, 2024 Accepting new patients
Crawford Physician Services, PLLC CurrentSince Aug 26, 2024 Accepting new patients
Mercy Hospital Booneville CurrentSince Jan 10, 2022 Accepting new patients
Mercy Clinic Fort Smith Communities CurrentSince Jan 10, 2022 Accepting new patients
Prime Physicians LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Hospital Paris CurrentSince Jan 10, 2022 Accepting new patients
Mercy Hospital Waldron Current Accepting new patients
Mercy Hospital Booneville CurrentSince Jan 10, 2022 Accepting new patients
Mercy Hospital Booneville Current Accepting new patients
Arkansas Post Discharge Services, PLLC CurrentSince Jun 10, 2024 Accepting new patients
Mercy Hospital Ozark CurrentSince Jan 10, 2022 Accepting new patients
Baptist Health Regional Hospitals Past Accepting new patients

Locations

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

128 Daniel Dr
Booneville, AR 72927
Phone (479) 675-2455

880 W Main St
Booneville, AR 72927
Phone (479) 675-2800

1100 E Poplar St
Clarksville, AR 72830
Phone (479) 754-5393

1015 Unity Rd
Crossett, AR 71635
Phone (870) 364-0590

3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050

7001 Rogers Ave
Ste 200
Fort Smith, AR 72903
Phone (479) 314-4620

612 S 12th St
Fort Smith, AR 72901
Phone (479) 785-2431

1001 Towson Ave
Fort Smith, AR 72901
Phone (479) 441-3980

4620 Towson Ave
Fort Smith, AR 72901
Phone (479) 573-3082

1301 S E St
Fort Smith, AR 72901
Phone (479) 785-2431

4301 W Markham St
#783
Little Rock, AR 72205
Phone (501) 603-1278

801 W River St
Ozark, AR 72949
Phone (479) 667-4138

500 E Academy St
Paris, AR 72855
Phone (479) 963-6101

603 N Progress Ave
Siloam Springs, AR 72761
Phone (479) 215-3000

609 W Maple Ave
Springdale, AR 72764
Phone (479) 751-5711

211 Crawford Memorial Dr
Van Buren, AR 72956
Phone (479) 471-4300

1341 W 6th St
Waldron, AR 72958
Phone (479) 637-2136

Organizations & group practices 25

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.

View all 25

Hospital & facility affiliations 2

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": "1523404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754524800000",
    "number": "1689171019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776084",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776084",
            "telephone_number": "479-573-3082",
            "fax_number": "479-573-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4620 TOWSON AVE",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729017961",
            "telephone_number": "479-573-3082",
            "fax_number": "479-573-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 N Pepper Ave",
            "address_purpose": "LOCATION",
            "city": "Colton",
            "state": "CA",
            "postal_code": "923241819",
            "country_code": "US",
            "telephone_number": "407-968-9706",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "612 S 12th St",
            "address_purpose": "LOCATION",
            "city": "Fort Smith",
            "state": "AR",
            "postal_code": "729014702",
            "country_code": "US",
            "telephone_number": "479-785-2431",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DIEM-QUYNH",
        "middle_name": "PHUONG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-11",
        "last_updated": "2025-08-07",
        "certification_date": "2025-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AR",
            "license": "E-14544",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DIEM QUYNH",
            "last_name": "NGUYEN",
            "middle_name": "PHUONG",
            "prefix": "DR.",
            "credential": "MD",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fort Smith, AR

Sources for this page

Verify at the official NPI Registry.