Individual provider Active NPI

Phuong Thuy Nguyen, MD

  • Infectious Disease Physician
  • Zephyrhills, FL
National Provider Identifier
1811159262
Registry record updated May 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
ME 111356 Issued in FL
Practice address
36819 Eiland Blvd Ste 1
Zephyrhills, FL 33542-0600
Phone
(813) 783-1237
Fax
(813) 355-5042
NPI assigned
Jun 26, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 4, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X ME 111356 FL Primary

Addresses

Primary practice location

36819 Eiland Blvd Ste 1
Zephyrhills, FL 33542-0600

Mailing address

38135 Market SQ
Zephyrhills, FL 33542-7505
Phone (813) 528-4975

Other practice location 1

38051 Market Sq
Zephyrhills, FL 33542-7504
Phone (813) 780-8085

Other identifiers 1

IdentifierTypeStateIssuer
014071700MedicaidFL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address id@flmed.directbygreenway.com Health Information Exchange (HIE)

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
I20131023002014 FL Practitioner - Infectious DiseasePractitioner - Internal Medicine 1759545825 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Infectious DiseaseAlso: Internal Medicine
Education
University of South Florida College of Medicine, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Ohi West Medical Group II LLCGroup PAC ID 0648631192, 407 clinicians

Practice addresses (Care Compare)

2740 Windguard Cir
Suite 101
Wesley Chapel, FL 33544-7363
Phone (813) 778-0288

Hospital & facility affiliations

  • Concierge Home Care Home health agency, Odessa, FL, CCN 108428
  • Adventhealth Home Health Home health agency, Dade City, FL, CCN 108170
  • Adventhealth Wesley Chapel Hospital, Wesley Chapel, FL, CCN 100319
  • Adventhealth Zephyrhills Hospital, Zephyrhills, FL, CCN 100046
  • Adventhealth Tampa Hospital, Tampa, FL, CCN 100173
  • Adventhealth Dade City Hospital, Dade City, FL, CCN 100211
  • St Josephs Hospital Hospital, Tampa, FL, CCN 100075

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue400
Removal of skin lesions12
Removal of nail tissue1-10
Removal or shaving of skin growth33

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME 111356FLMDInfectious Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Medical Clinic LLC CurrentSince Jan 1, 2015 Accepting new patients
Florida Medical Clinic, LLC CurrentSince Jan 1, 2015 Accepting new patients
Ohi West Medical Group II LLC CurrentSince May 1, 2024 Accepting new patients
Ohi West Medical Group II LLC CurrentSince May 1, 2024 Accepting new patients
Ohi West Medical Group II LLC PastSince Sep 5, 2021 Accepting new patients

Locations

2740 Windguard Cir
Ste 101
Wesley Chapel, FL 33544
Phone (813) 284-2220

38135 Market Square Dr
Ste 101
Zephyrhills, FL 33542
Phone (813) 788-7651

6215 Abbott Station Dr
Ste 107
Zephyrhills, FL 33542
Phone (813) 783-1237

38135 Market Square Dr
Zephyrhills, FL 33542
Phone (352) 567-0188

38051 Market Square Dr
Zephyrhills, FL 33542
Phone (813) 779-2057

36819 Eiland Blvd
#1
Zephyrhills, FL 33542
Phone (813) 778-0288

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 5

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 9

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": "1214438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1683158400000",
    "number": "1811159262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "38135 MARKET SQ",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335427505",
            "telephone_number": "813-528-4975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "36819 EILAND BLVD STE 1",
            "city": "ZEPHYRHILLS",
            "state": "FL",
            "postal_code": "335420600",
            "telephone_number": "813-783-1237",
            "fax_number": "813-355-5042"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "38051 Market Sq",
            "address_purpose": "LOCATION",
            "city": "Zephyrhills",
            "state": "FL",
            "postal_code": "335427504",
            "country_code": "US",
            "telephone_number": "813-780-8085",
            "fax_number": "813-355-5042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHUONG",
        "middle_name": "THUY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-26",
        "last_updated": "2023-05-04",
        "certification_date": "2023-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "FL",
            "license": "ME 111356",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "014071700",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "id@flmed.directbygreenway.com",
            "affiliation": "N",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "36819 Eiland Blvd Ste 1",
            "city": "Zephyrhills",
            "state": "FL",
            "country_code": "US",
            "postal_code": "335420600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Zephyrhills, FL

Sources for this page

Verify at the official NPI Registry.