Individual provider Active NPI

Duc Nguyen, DPM

  • Foot & Ankle Surgery Podiatrist
  • St Augustine, FL
National Provider Identifier
1801278171
Registry record updated Oct 15, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
4126 Issued in FL
Practice address
7509 State Road 13 N
Saint Augustine, FL 32092-2230
Phone
(904) 417-8894
Fax
(877) 370-4468
NPI assigned
Jun 23, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Foot & Ankle Surgery Podiatrist 213ES0103X 4126 FL Primary

Addresses

Primary practice location

7509 State Road 13 N
Saint Augustine, FL 32092-2230

Mailing address

7509 State Road 13 N
Saint Augustine, FL 32092-2230
Phone (904) 417-8894

Other practice location 1

8613 Old Kings Rd S Ste 301
Jacksonville, FL 32217-4845
Phone (904) 323-0954

Other practice location 2

374 Stockholm St
Brooklyn, NY 11237-4006
Phone (718) 963-7332

Other practice location 3

1820 State Road 13 Ste 11
Saint Johns, FL 32259-8855
Phone (904) 417-8894

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20191023002404 FL Practitioner - Podiatry 1254663222 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
D S Miles D P M P aGroup PAC ID 6305957143, 2 clinicians
All About Feet and Legs PAGroup PAC ID 7214153725, 5 clinicians

Practice addresses (Care Compare)

205 Zeagler Dr
Suite 201
Palatka, FL 32177-3860
Phone (386) 328-7228

236 Southpark Cir E
St Augustine, FL 32086-5137
Phone (904) 808-9950

6 Saint Johns Medical Park Dr
St Augustine, FL 32086-5298

7509 State Rd 13
Saint Augustine, FL 32092-2230
Phone (904) 417-8894

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue199
Removal of skin lesions56
Removal of nail tissue250
Removal or shaving of skin growth41

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4126FLMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
D S Miles D P M P a Foot & Ankle Surgery CurrentSince Mar 21, 2023 Accepting new patients
Duc Nguyen Podiatry LLC CurrentSince Jul 15, 2021 Accepting new patients
All About Feet & Legs, PA Foot & Ankle Surgery CurrentSince Jan 1, 2022 Accepting new patients
Clay County Podiatry Associates PA Past Accepting new patients

Locations

205 Zeagler Dr
Ste 201
Palatka, FL 32177
Phone (386) 328-7228

6 Saint Johns Medical Park Dr
#D
Saint Augustine, FL 32086

1820 State Road 13 N
Ste 11919
Saint Johns, FL 32259

1820 State Road 13 N
Ste 11
Saint Johns, FL 32259
Phone (904) 417-8894

236 Southpark Cir E
St Augustine, FL 32086
Phone (904) 429-4736

6 Saint Johns Medical Park Dr
St Augustine, FL 32086
Phone (904) 797-2401

Interoperability endpoints

  • Direct secure messaging: ducnguyen@aafalp-fl.direct.office.nextgen.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/FEEFCD/Endpoint/FEEFCD

Organizations & group practices 4

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": "1435017600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665792000000",
    "number": "1801278171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7509 STATE ROAD 13 N",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320922230",
            "telephone_number": "904-417-8894",
            "fax_number": "877-370-4468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7509 STATE ROAD 13 N",
            "city": "SAINT AUGUSTINE",
            "state": "FL",
            "postal_code": "320922230",
            "telephone_number": "904-417-8894",
            "fax_number": "877-370-4468"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8613 Old Kings Rd S Ste 301",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "FL",
            "postal_code": "322174845",
            "country_code": "US",
            "telephone_number": "904-323-0954",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "374 Stockholm St",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "112374006",
            "country_code": "US",
            "telephone_number": "718-963-7332",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1820 State Road 13 Ste 11",
            "address_purpose": "LOCATION",
            "city": "Saint Johns",
            "state": "FL",
            "postal_code": "322598855",
            "country_code": "US",
            "telephone_number": "904-417-8894",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DUC",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-06-23",
        "last_updated": "2022-10-15",
        "certification_date": "2022-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "4126",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St Augustine, FL

Sources for this page

Verify at the official NPI Registry.