NPIMap

Individual provider Active NPI

Catherine Tuong Khanh Nguyen, MD

  • Internal Medicine Physician
  • Albany, NY
National Provider Identifier
1780862037
Registry record updated May 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
257218 Issued in NY
Practice address
4 Palisades Dr Ste 150
Albany, NY 12205-1523
Phone
(518) 458-1245
NPI assigned
Feb 7, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 257218 NY Primary

Addresses

Primary practice location

4 Palisades Dr Ste 150
Albany, NY 12205-1523

Mailing address

PO Box 14890
Albany, NY 12212-4890
Phone (518) 525-5634

Other practice location 1

4 Palisades Dr
Suite 100
Albany, NY 12205-1443
Phone (518) 446-9545

Other practice location 2

1375 Washington Ave Ste 202
Albany, NY 12206-1056
Phone (518) 482-0007

Other identifiers 1

IdentifierTypeStateIssuer
03226208MedicaidNY

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address payer.credentialing@sphp.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101007000792 NY Practitioner - Internal Medicine 5698967784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Albany Medical College of Union University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1375 Washington Ave
Suite 202
Albany, NY 12206-1056
Phone (518) 482-0007

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
257218NYMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St. Peter's Health Partners Medical Associates, P.C. Internal Medicine CurrentSince Jan 1, 2013 Accepting new patients
St. Peter's Health Partners Medical Associates, P.C. Internal Medicine Past Accepting new patients

Locations

4 Palisades Dr
Ste 100
Albany, NY 12205
Phone (518) 446-9545

1375 Washington Ave
Ste 202
Albany, NY 12206
Phone (518) 482-0007

4 Palisades Dr
Ste 150
Albany, NY 12205
Phone (518) 458-1245

2 New Hampshire Ave
Troy, NY 12180
Phone (518) 272-0331

Interoperability endpoints

  • Direct secure messaging: cnguyen834917@direct.trinity-health.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 10

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": "1202342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621382400000",
    "number": "1780862037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14890",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122124890",
            "telephone_number": "518-525-5634",
            "fax_number": "518-649-4094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PALISADES DR STE 150",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "122051523",
            "telephone_number": "518-458-1245"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4 Palisades Dr",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122051443",
            "country_code": "US",
            "telephone_number": "518-446-9545",
            "fax_number": "518-446-9551",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1375 Washington Ave Ste 202",
            "address_purpose": "LOCATION",
            "city": "Albany",
            "state": "NY",
            "postal_code": "122061056",
            "country_code": "US",
            "telephone_number": "518-482-0007",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CATHERINE",
        "middle_name": "TUONG KHANH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-07",
        "last_updated": "2021-05-19",
        "certification_date": "2021-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "257218",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "03226208",
            "state": "NY"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "payer.credentialing@sphp.com",
            "affiliation": "N",
            "endpointDescription": "SPHP Payer Credentialing",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "1375 Washington Ave Ste 202",
            "city": "Albany",
            "state": "NY",
            "country_code": "US",
            "postal_code": "122061056",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

Verify at the official NPI Registry.