Individual provider Active NPI

Dai Le Nguyen, M.D.

  • Family Medicine Physician
  • Norristown, PA
National Provider Identifier
1821284910
Registry record updated Sep 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MT187004 Issued in PA
Practice address
6422 Kelly Dr
Norristown, PA 19401-6234
Phone
(405) 923-6064
NPI assigned
Sep 21, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MT187004 PA Primary

Addresses

Primary practice location

6422 Kelly Dr
Norristown, PA 19401-6234

Mailing address

6422 Kelly Dr
Norristown, PA 19401-6234
Phone (405) 923-6064

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
I20090430000549 FL Practitioner - Emergency Medicine 1557419553 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Criticare Clinics IncGroup PAC ID 7517966534, 104 clinicians

Practice addresses (Care Compare)

10 Giralda Ave
Coral Gables, FL 33134-5303
Phone (786) 467-5000

1228 S Pine Island Rd
Suite 110
Plantation, FL 33324-4580
Phone (954) 837-1410

1240 S Dixie Hwy
Coral Gables, FL 33146-2902
Phone (786) 467-5080

12472 W Sunrise Blvd
Sunrise, FL 33323-2987
Phone (954) 837-1245

14701 NW 77TH Ave
Miami Lakes, FL 33014-2500
Phone (786) 662-0700

15885 Pines Blvd
Pembroke Pines, FL 33027-1220
Phone (954) 837-1300

1652 Town Ctr Cir
Weston, FL 33326-3666
Phone (954) 837-1150

2660 Brickell Ave
Miami, FL 33129-2800
Phone (786) 467-5320

4741 S University Dr
Davie, FL 33328-3819
Phone (954) 837-1050

6300 S Dixie Hwy 100
South Miami UC
South Miami, FL 33143-4934
Phone (786) 467-5080

709 Alton Rd
Suite 440
Miami Beach, FL 33139-5521
Phone (786) 204-4150

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MT187004PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Criticare Clinics Inc CurrentSince Mar 18, 2012 Accepting new patients

Locations

1240 S Dixie Hwy
Coral Gables, FL 33146
Phone (305) 669-2833

10 Giralda Ave
Coral Gables, FL 33134
Phone (786) 459-5000

4741 S University Dr
Davie, FL 33328
Phone (954) 837-1050

9915 NW 41st St
Doral, FL 33178
Phone (305) 271-8851

2660 Brickell Ave
Miami, FL 33129
Phone (786) 467-5320

14701 NW 77th Ave
Miami Lakes, FL 33014
Phone (305) 669-2833

15885 Pines Blvd
Pembroke Pines, FL 33027
Phone (954) 837-1300

5901 SW 74th St
Ste 202
South Miami, FL 33143
Phone (305) 665-2059

12472 W Sunrise Blvd
Sunrise, FL 33323
Phone (305) 297-3561

Organizations & group practices 1

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 1

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": "1190332800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1190332800000",
    "number": "1821284910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6422 KELLY DR",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194016234",
            "telephone_number": "405-923-6064"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6422 KELLY DR",
            "city": "NORRISTOWN",
            "state": "PA",
            "postal_code": "194016234",
            "telephone_number": "405-923-6064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DAI",
        "middle_name": "LE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-09-21",
        "last_updated": "2007-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MT187004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norristown, PA

Sources for this page

Verify at the official NPI Registry.