Individual provider Active NPI

Haidong Nguyen, MD

  • Family Medicine Physician
  • Tampa, FL
National Provider Identifier
1790719094
Registry record updated Sep 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME105504 Issued in FL
Practice address
6224 Harney Rd
Tampa, FL 33610-5500
Phone
(813) 238-9111
Fax
(813) 239-9111
NPI assigned
Jul 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 15, 2021

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 ME105504 FL Primary

Addresses

Primary practice location

6224 Harney Rd
Tampa, FL 33610-5500

Mailing address

6224 Harney Rd
Tampa, FL 33610-5500
Phone (813) 238-9111

Other identifiers 1

IdentifierTypeStateIssuer
002058300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20100326000737 FL Practitioner - Family Practice 7719957927 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wellmed Medical Management of Florida IncGroup PAC ID 3971678558, 158 clinicians
Optumcare Florida, LLCGroup PAC ID 3072403476, 266 clinicians

Practice addresses (Care Compare)

10616 Main St
Thonotosassa, FL 33592-2828
Phone (813) 986-1346

2940 S US Hwy 1
Suite C11 Wellmed at Fort Pierce
Fort Pierce, FL 34982-8143
Phone (772) 466-6855

415 Apollo Beach Blvd
Apollo Beach, FL 33572-2281
Phone (813) 645-8494

507 W Alexander St
Wellmed at Plant City
Plant City, FL 33563-7136
Phone (813) 754-3504

5130 Sunforest Dr
Suite 300
Tampa, FL 33634-6327
Phone (727) 824-0780

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Urgent Care, LLC Family Medicine CurrentSince Dec 14, 2014 Accepting new patients
Wellmed Medical Management of Florida Inc Family Medicine CurrentSince Nov 1, 2025 Accepting new patients
Baycare Urgent Care, LLC Family Medicine CurrentSince Dec 14, 2014 Accepting new patients
Optumcare Florida, LLC CurrentSince Mar 1, 2010 Accepting new patients
Optumcare Florida LLC Family Medicine CurrentSince Mar 1, 2010 Accepting new patients
Optumcare Florida Ci, LLC Past Accepting new patients
Decatur County General Hospital Past Accepting new patients

Locations

1989 W Lumsden Rd
Brandon, FL 33511
Phone (813) 653-3111

2940 S US Highway 1
Ste C11
Fort Pierce, FL 34982
Phone (407) 423-5178

1345 West Bay Dr
Ste 202
Largo, FL 33770
Phone (727) 559-0895

4821 US Highway 19
Ste 5
New Port Richey, FL 34652
Phone (727) 851-9650

10051 5th St N
Ste 200
St Petersburg, FL 33702
Phone (727) 286-4093

2331 4th St N
St Petersburg, FL 33704
Phone (727) 593-9848

6909 W Waters Ave
Tampa, FL 33634
Phone (813) 609-6835

5130 Sunforest Dr
Ste 300
Tampa, FL 33634
Phone (813) 302-5835

6224 Harney Rd
Tampa, FL 33610
Phone (813) 238-9111

8637 Fredericksburg Rd
Ste 360
San Antonio, TX 78240
Phone (210) 304-3500

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Interoperability endpoints

  • Direct secure messaging: haidong.nguyen@wellmed.eclinicaldirectplus.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631664000000",
    "number": "1790719094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6224 HARNEY RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336105500",
            "telephone_number": "813-238-9111",
            "fax_number": "813-239-9111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6224 HARNEY RD",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336105500",
            "telephone_number": "813-238-9111",
            "fax_number": "813-239-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HAIDONG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2021-09-15",
        "certification_date": "2021-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME105504",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "002058300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tampa, FL

Sources for this page

Verify at the official NPI Registry.