Individual provider Active NPI

Thach N Nguyen, MD

  • Cardiovascular Disease Physician
  • Merrillville, IN
National Provider Identifier
1700872769
Registry record updated Nov 20, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
01033686 Issued in IN
Practice address
200 E 86TH PL
Merrillville, IN 46410-6258
Phone
(219) 756-1400
Fax
(219) 746-0876
NPI assigned
Sep 26, 2005
Last updated
Nov 20, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X 01033686 IN Primary

Addresses

Primary practice location

200 E 86TH PL
Merrillville, IN 46410-6258

Mailing address

200 East 86TH Place
Merrillville, IN 46410-6258
Phone (219) 756-1400

Other identifiers 1

IdentifierTypeStateIssuer
100350720MedicaidIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20041116000114 IN Practitioner - Interventional CardiologyPractitioner - Cardiovascular Disease (Cardiology)Practitioner - Internal Medicine 7012816119 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Internal Medicine
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Methodist Hospitals Cardiographics, LLCGroup PAC ID 0749244499, 9 clinicians

Practice addresses (Care Compare)

8701 Broadway
Merrillville, IN 46410-7035
Phone (219) 738-5510

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
78.64 of 100Reported as group
Quality
56.64
Promoting interoperability
73
Improvement activities
40
Cost
76.72

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting1-10
Pacemaker insertion or repair1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Methodist Hospitals Cardiographics, LLC Cardiovascular Disease CurrentSince Jul 1, 2004 Accepting new patients
The Methodist Hospitals, Inc Current Accepting new patients
The Methodist Hospitals, Inc CurrentSince Apr 30, 2016 Accepting new patients
The Methodist Hospitals, Inc Cardiovascular Disease CurrentSince Apr 30, 2016 Accepting new patients
The Methodist Hospitals, Inc. Past Accepting new patients

Locations

27350 Network Pl
Chicago, IL 60673

2269 W 25th Ave
Gary, IN 46404
Phone (219) 738-2081

502 E Culver Rd
Knox, IN 46534
Phone (219) 772-3780

200 E 86th Pl
Merrillville, IN 46410
Phone (219) 649-2750

200 E 89th Ave
Merrillville, IN 46410
Phone (219) 738-4926

55 E 86th Ave
Merrillville, IN 46410
Phone 2197691670207

751 E 81st Ave
Merrillville, IN 46410
Phone (219) 738-6600

8701 Broadway
Merrillville, IN 46410
Phone (219) 738-4926

8895 Broadway
Merrillville, IN 46410
Phone (219) 738-2081

1781 Morthland Dr
Valparaiso, IN 46385
Phone (219) 299-2736

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732060800000",
    "number": "1700872769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 EAST 86TH PLACE",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106258",
            "telephone_number": "219-756-1400",
            "fax_number": "219-746-0876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 E 86TH PL",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106258",
            "telephone_number": "219-756-1400",
            "fax_number": "219-746-0876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THACH",
        "middle_name": "N",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2024-11-20",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IN",
            "license": "01033686",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100350720",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrillville, IN

Sources for this page

Verify at the official NPI Registry.