Individual provider Active NPI

Son Thanh Nguyen, D.O.

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1780064022
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
94-08700 Issued in KS
Practice address
5920 E Central Ave Ste 101
Wichita, KS 67208-4241
Phone
(316) 542-2382
NPI assigned
Jun 2, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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 94-08700 KS Primary

Addresses

Primary practice location

5920 E Central Ave Ste 101
Wichita, KS 67208-4241

Mailing address

5920 E Central Ave Ste 101
Wichita, KS 67208-4241
Phone (316) 542-2382

Other identifiers 1

IdentifierTypeStateIssuer
94-08700OtherKSBOHA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS
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
I20180924000537 KS Practitioner - Family Practice 9537472659 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hunter Health Clinic IncGroup PAC ID 5193632941, 15 clinicians

Practice addresses (Care Compare)

527 N Grove St
Wichita, KS 67214-4520
Phone (316) 262-2415

Hospital & facility affiliations

  • Wesley Medical Center Hospital, Wichita, KS, CCN 170123

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Hunter Health Clinic Inc Current Accepting new patients
Hunter Health Clinic, Inc CurrentSince Feb 9, 2024 Accepting new patients

Locations

935 N Market St
Wichita, KS 67214
Phone (316) 858-1151

2318 E Central Ave
Wichita, KS 67214
Phone (316) 262-2415

2750 S Roosevelt St
Wichita, KS 67210
Phone (316) 262-2415

527 N Grove St
Wichita, KS 67214
Phone (316) 262-2415

402 E 2nd St N
Wichita, KS 67202
Phone (316) 262-2414

Interoperability endpoints

  • Direct secure messaging: son.nguyen@directsbamh.org

Organizations & group practices 2

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 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": "1433203200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788134400000",
    "number": "1780064022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5920 E CENTRAL AVE STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084241",
            "telephone_number": "316-542-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5920 E CENTRAL AVE STE 101",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672084241",
            "telephone_number": "316-542-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "SON",
        "middle_name": "THANH",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-02",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "94-08700",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BOHA",
            "identifier": "94-08700",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.