Vincent Viet Ngo, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2023026724 Issued in MO

Practice address

175 N Oaks PLZ
Saint Louis, MO 63121-2925

Phone

(314) 391-9777

Fax

(314) 390-5404

NPI assigned

Jun 2, 2020

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• Dedicated Missouri Holding, LLC

  • Internal Medicine Physician
  • Miami Gardens, FL
  • NPI 1053958082

  MO

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1591056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689206400000",
    "number": "1730703117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 N OAKS PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631212925",
            "telephone_number": "314-391-9777",
            "fax_number": "314-390-5404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 N OAKS PLZ",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631212925",
            "telephone_number": "314-391-9777",
            "fax_number": "314-390-5404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "VINCENT",
        "middle_name": "VIET",
        "name_prefix": "Mr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-02",
        "last_updated": "2023-07-13",
        "certification_date": "2023-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2023026724",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smith Ngeve, MD
• Nghia Peter Nguyen DDS PC
• Amy Ngo, FNP
• Gin Sou Ngo, PT
• Maria Ngo, PHARMD
• Kevin Boniface Ngowi
• Talis Nguyen-Brics, PHARM D.
• An Nguyen
• An Thuy Hong Nguyen, PA-C
• Brandon Tuan Nguyen, DO

• Family Medicine Physician in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.