Individual provider Active NPI

Phu Hoang Nguyen, D.P.M.

  • Podiatrist
  • Miami, FL
National Provider Identifier
1801823778
Registry record updated Oct 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
PO3164 Issued in FL
Practice address
3661 S Miami Ave
Suite 309
Miami, FL 33133-4236
Phone
(305) 854-6600
Fax
(305) 854-9777
NPI assigned
Jun 27, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X PO3164 FL Primary

Addresses

Primary practice location

3661 S Miami Ave
Suite 309
Miami, FL 33133-4236

Mailing address

3661 S Miami Ave
Suite 309
Miami, FL 33133-4236
Phone (305) 854-6600

Other identifiers 3

IdentifierTypeStateIssuer
65931OtherFLBLUE CROSS BLUE SHIELD
65931XOtherFLMEDICARE
PO3164OtherFLLICENSE

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
I20060728000123 FL Practitioner - Podiatry 8325051857 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Camillus Health Concern IncGroup PAC ID 4688575210, 15 clinicians

Practice addresses (Care Compare)

336 NW 5TH St
Miami, FL 33128-1616
Phone (305) 477-4840

3661 S Miami Ave
Suite 309
Miami, FL 33133-4232
Phone (305) 854-6600

Hospital & facility affiliations

  • HCA Florida Mercy Hospital Hospital, Plantation, FL, CCN 100167

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue12

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Camillus Health Concern Inc CurrentSince Feb 22, 2015 Accepting new patients
Camillus Health Concern, Inc. CurrentSince Feb 22, 2015 Accepting new patients
Phu H Nguyen DPM PA CurrentSince Jul 7, 2010 Accepting new patients
Ankle & Foot Center of Tampa Bay Podiatrist Past Accepting new patients

Locations

336 NW 5th St
Miami, FL 33128
Phone (305) 477-4840

3661 S Miami Ave
Ste 309
Miami, FL 33133
Phone (305) 854-6600

3641 S Miami Ave
Miami, FL 33133
Phone (305) 854-3636

3661 S Miami Ave
Ste 603
Miami, FL 33133
Phone (305) 854-1942

3663 S Miami Ave
Miami, FL 33133
Phone (305) 285-2131

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1222905600000",
    "number": "1801823778",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE",
            "address_2": "SUITE 309",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334236",
            "telephone_number": "305-854-6600",
            "fax_number": "305-854-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3661 S MIAMI AVE",
            "address_2": "SUITE 309",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331334236",
            "telephone_number": "305-854-6600",
            "fax_number": "305-854-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHU",
        "middle_name": "HOANG",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2008-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "FL",
            "license": "PO3164",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "65931",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "65931X",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PO3164",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

Verify at the official NPI Registry.