NPIMap

Individual provider Active NPI

Phong Quang Nguyen, MD

  • Rheumatology Physician
  • Reston, VA
National Provider Identifier
1699836726
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
0101036868 Issued in VA
Practice address
1860 Town Center Dr Ste 130
Reston, VA 20190-5898
Phone
(703) 709-9174
Fax
(703) 709-9183
NPI assigned
Dec 13, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X 0101036868 VA Primary

Addresses

Primary practice location

1860 Town Center Dr Ste 130
Reston, VA 20190-5898

Mailing address

1860 Town Center Dr Ste 130
Reston, VA 20190-5898
Phone (703) 709-9174

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC, VA2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20050608001013 DC Practitioner - RheumatologyPractitioner - Internal Medicine 6709864234 Reassigns benefits to 2 organizations
I20190220001578 VA Practitioner - Rheumatology 6709864234 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
RheumatologyAlso: Internal Medicine
Education
University of Florida College of Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
American Arthritis and Rheumatology Associates DC PCGroup PAC ID 3678810686, 8 clinicians
American Arthritis and Rheumatology Associates VA LLCGroup PAC ID 4183978133, 12 clinicians

Practice addresses (Care Compare)

1860 Town Ctr Dr
Suite 130
Reston, VA 20190-5898
Phone (703) 689-2050

19450 Deerfield Ave
Suite 275
Leesburg, VA 20176-8424
Phone (703) 689-2050

Hospital & facility affiliations

  • Inova Loudoun Hospital Hospital, Leesburg, VA, CCN 490043
  • Inova Fairfax Hospital Hospital, Falls Church, VA, CCN 490063
  • Inova Fair Oaks Hospital Hospital, Fairfax, VA, CCN 490101
  • Reston Hospital Center Hospital, Reston, VA, CCN 490107
  • Winchester Medical Center Hospital, Winchester, VA, CCN 490005

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
American Arthritis & Rheumatology Associates VA LLC Rheumatology CurrentSince Jan 15, 2019 Accepting new patients
Northern Virginia Center for Arthritis, PC Rheumatology CurrentSince May 1, 1990 Accepting new patients
American Arthritis & Rheumatology Associates DC PC Rheumatology CurrentSince Jan 1, 2019 Accepting new patients
American Arthritis & Rheumatology Associates LLC Rheumatology Past Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

3301 Woodburn Rd
Ste 304
Annandale, VA 22003
Phone (703) 204-0355

110 Dunlop Vlg
Colonial Hgts, VA 23834
Phone (804) 526-6062

8316 Arlington Blvd
Ste 222
Fairfax, VA 22031
Phone (703) 573-0130

19450 Deerfield Ave
Ste 275
Leesburg, VA 20176
Phone (703) 723-6774

19450 Deerfield Ave
Ste 445
Leesburg, VA 20176
Phone (703) 726-9680

1860 Town Center Dr
Ste 130
Reston, VA 20190
Phone (703) 689-2050

Interoperability endpoints

  • Direct secure messaging: phong.nguyen.p91@direct.aara1.nextgenshare.com

Organizations & group practices 5

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 8

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": "1165968000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1699836726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR STE 130",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905898",
            "telephone_number": "703-709-9174",
            "fax_number": "703-709-9183"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1860 TOWN CENTER DR STE 130",
            "city": "RESTON",
            "state": "VA",
            "postal_code": "201905898",
            "telephone_number": "703-709-9174",
            "fax_number": "703-709-9183"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHONG",
        "middle_name": "QUANG",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "VA",
            "license": "0101036868",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reston, VA

Sources for this page

Verify at the official NPI Registry.