Individual provider Active NPI

Long T. Nguyen, M.D.

  • Internal Medicine Physician
  • Oklahoma City, OK
National Provider Identifier
1811956006
Registry record updated Jul 20, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
20102 Issued in OK
Practice address
3300 NW Expressway
Oklahoma City, OK 73112-4418
Phone
(405) 713-7403
Fax
(405) 713-2794
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 20102 OK
Internal Medicine Physician 207R00000X 20102 OK Primary

Addresses

Primary practice location

3300 NW Expressway
Oklahoma City, OK 73112-4418

Mailing address

5300 N Independence Ave
Suite 280
Oklahoma City, OK 73112-5556
Phone (405) 713-7403

Other identifiers 1

IdentifierTypeStateIssuer
100132200AMedicaidOK

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20040524000651 OK Practitioner - Internal MedicinePractitioner - Emergency Medicine 2163413543 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Emergency Medicine
Education
University of Oklahoma College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Transitional Care Organization LLCGroup PAC ID 2961894035, 11 clinicians
Best Physicians at Home, IncGroup PAC ID 7012138662, 10 clinicians

Practice addresses (Care Compare)

Oklahoma City, OK 73118
Phone (405) 259-2333

1920 E 1St St
Chandler, OK 74834-2439
Phone 4056540013100

4220 N Classen Blvd
Suite D
Oklahoma City, OK 73118-2434

Hospital & facility affiliations

  • SSM Health St Anthony Hospital - Oklahoma City Hospital, Oklahoma City, OK, CCN 370037

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20102OKMDPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist

Practice roles

OrganizationSpecialtyStatusNew patients
Allied Wound Care Specialist PLLC CurrentSince Jul 20, 2022 Accepting new patients
Transitional Care Organization LLC CurrentSince Jul 10, 2022 Accepting new patients
Integris Ambulatory Care Corporation Internal Medicine CurrentSince Jan 5, 2015 Accepting new patients
Best Physicians at Home, Inc CurrentSince Oct 29, 2020 Accepting new patients
Nemri Medical Services, Inc. Past Accepting new patients
Watonga Hospital Trust Authority Past Accepting new patients
Inpatient Consultants of Texas, PLLC Internal Medicine Past Accepting new patients
Watonga Hospital Trust Authority Past Accepting new patients
SSM Health Care of Oklahoma, Inc. Past Accepting new patients

Locations

511 E 1st St
Chandler, OK 74834
Phone (405) 258-0014

1920 E 1st St
Ste F
Chandler, OK 74834
Phone (405) 255-2155

3300 NW Expressway St
Oklahoma City, OK 73112
Phone (405) 251-2815

4220 N Classen Blvd
Ste C
Oklahoma City, OK 73118
Phone (405) 900-4995

5300 N Independence Ave
Ste 280
Oklahoma City, OK 73112
Phone (405) 552-0155

3400 NW Expressway
Ste 500
Oklahoma City, OK 73112
Phone (405) 945-4589

1000 N Lee Ave
Oklahoma City, OK 73102
Phone (405) 272-6152

2825 Parklawn Dr
Oklahoma City, OK 73110
Phone (405) 245-1453

4220 N Classen Blvd
Ste D
Oklahoma City, OK 73118
Phone (405) 259-2333

1145 W I 240 Service Rd
Ste F100
Oklahoma City, OK 73139
Phone (405) 898-9048

100 Valley Dr
Pauls Valley, OK 73075
Phone (405) 238-5501

1900 N 14th St
Ponca City, OK 74601
Phone (580) 718-2932

900 17th St
Woodward, OK 73801
Phone (405) 610-4411

Interoperability endpoints

  • Direct secure messaging: lnguyen433169@direct-ehr-ssmhc.com
  • FHIR API: https://api.platform.athenahealth.com/21335/brand/1/csg/1/fhir/r4
  • Direct secure messaging: lnguye19@yourcarecommunity.org

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Best Home Health Care, Inc.Chandler, OK, CCN 377698 Home health agency 5% Or Greater Direct Ownership Interest (20%) Jan 26, 2022

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 9

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": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1500508800000",
    "number": "1811956006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5300 N INDEPENDENCE AVE",
            "address_2": "SUITE 280",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731125556",
            "telephone_number": "405-713-7403",
            "fax_number": "405-713-2794"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 NW EXPRESSWAY",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124418",
            "telephone_number": "405-713-7403",
            "fax_number": "405-713-2794"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LONG",
        "middle_name": "T.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2017-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "20102",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OK",
            "license": "20102",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100132200A",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

Verify at the official NPI Registry.