Individual provider Active NPI

Paul An Nguyen, M.D.

  • Addiction Medicine (Psychiatry & Neurology) Physician
  • N Las Vegas, NV
National Provider Identifier
1740497346
Registry record updated Nov 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Psychiatry & Neurology) PhysicianTaxonomy code 2084A0401X
License
12178 Issued in NV
Practice address
2031 McDaniel St Ste 230
N Las Vegas, NV 89030-6309
Phone
(702) 405-9080
Fax
(702) 405-9240
NPI assigned
May 16, 2007
Last updated
Nov 27, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Psychiatry & Neurology) Physician 2084A0401X 12178 NV Primary
Psychiatry Physician 2084P0800X 12178 NV

Addresses

Primary practice location

2031 McDaniel St Ste 230
N Las Vegas, NV 89030-6309

Mailing address

PO Box 36830
Las Vegas, NV 89133-6830
Phone (702) 405-9080

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV, AZ2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20130327000230 NV Practitioner - Psychiatry 8325283104 Reassigns benefits to 1 organization
Practice locations: Las Vegas, NV
I20200526002421 AZ Practitioner - Psychiatry 8325283104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

2341 Renaissance Dr
Las Vegas, NV 89119-6191
Phone (702) 405-9080

505 S Madison Dr
Tempe, AZ 85281-7213
Phone (702) 245-9640

Merit-based Incentive Payment System (MIPS)

Final score
14.18 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
47.26

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Paul Nguyen MD LTD Psychiatry CurrentSince Apr 1, 2015 Accepting new patients
Behavioral Health Institute Inc (Singh) PC Psychiatry PastSince Jul 1, 2007 Accepting new patients
Paul Nguyen MD LTD Past Accepting new patients

Locations

505 S Madison Dr
Tempe, AZ 85281
Phone (480) 597-4423

2900 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 307-5522

2341 Renaissance Dr
Las Vegas, NV 89119
Phone (702) 245-9640

2341 Renaissance Dr
Ste A
Las Vegas, NV 89119

4425 S Jones Blvd
Ste D3
Las Vegas, NV 89103
Phone (702) 750-2837

2031 McDaniel St
Ste 230
North Las Vegas, NV 89030
Phone (702) 405-9080

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511740800000",
    "number": "1740497346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 36830",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891336830",
            "telephone_number": "702-405-9080",
            "fax_number": "702-405-9240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2031 MCDANIEL ST STE 230",
            "city": "N LAS VEGAS",
            "state": "NV",
            "postal_code": "890306309",
            "telephone_number": "702-405-9080",
            "fax_number": "702-405-9240"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PAUL",
        "middle_name": "AN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2017-11-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084A0401X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Addiction Medicine",
            "state": "NV",
            "license": "12178",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NV",
            "license": "12178",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in N Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.