Active NPI
Duc Nguyen, DPM
- Foot & Ankle Surgery Podiatrist
- St Augustine, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 4126
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 199 |
| Removal of skin lesions | 56 |
| Removal of nail tissue | 250 |
| Removal or shaving of skin growth | 41 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4126 | FL | MD | Foot & Ankle Surgery Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| D S Miles D P M P a | Foot & Ankle Surgery | Current | Accepting new patients |
| Duc Nguyen Podiatry LLC | Current | Accepting new patients | |
| All About Feet & Legs, PA | Foot & Ankle Surgery | Current | 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
- ducnguyen@aafalp-fl.direct.office.nextgen.com
- 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.
-
- Podiatric Clinic/Center
- St Augustine, FL
- NPI 1659943546
-
- Podiatrist
- Middleburg, FL
- NPI 1033559257
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- St Augustine, FL
- NPI 1144211020
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.