Tommy Nguyen, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

74905 Issued in AZ

Practice address

4653 S Lakeshore Dr Ste 3
Tempe, AZ 85282-7161

Phone

(480) 456-8981

NPI assigned

Jul 1, 2011

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 7

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

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

Specialty

General Practice

Education

Other, 2011

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Desert Senita Community Health CenterGroup PAC ID 3476441866, 12 clinicians

Puerto Sonora Internal MedicineGroup PAC ID 6002288958, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Desert Senita Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Ajo, AZ
  • NPI 1114037496
  Medicare reassignment Care Compare group NPD
• Puerto Sonora Internal Medicine

  • Internal Medicine Physician
  • Tempe, AZ
  • NPI 1427635408
  Medicare reassignment Care Compare group
• Desert Senita Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Arizona City, AZ
  • NPI 1447124326
  NPD
• Desert Senita Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Arizona City, AZ
  • NPI 1548794142
  NPD
• Scottsdale Internal Medicine PLLC

  • Adult Health Clinical Nurse Specialist
  • Phoenix, AZ
  • NPI 1790050409
  NPD
• Desert Senita Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Casa Grande, AZ
  • NPI 1891512927
  NPD (past)
• Desert Senita Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Stanfield, AZ
  • NPI 1932974672
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1309478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743984000000",
    "number": "1821385592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1525 S HIGLEY RD STE 104",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852965045",
            "telephone_number": "480-875-9456",
            "fax_number": "480-546-4446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4653 S LAKESHORE DR STE 3",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852827161",
            "telephone_number": "480-456-8981"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1525 S Higley Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852965045",
            "country_code": "US",
            "telephone_number": "480-875-9456",
            "fax_number": "480-546-4446",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TOMMY",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-01",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "TPME6158",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "74905",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301510341",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "FL",
            "license": "TPME6158",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "MI",
            "license": "4301510341",
            "primary": false
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "AZ",
            "license": "THMD00139",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "AZ",
            "license": "74905",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Annie Nguyen
• Kim Nguyen, FNP-BC
• Minh Phuong Nguyen
• Oanh Nguyen
• Thuan Nguyen, MD
• Van Quoc Nguyen, DPT
• Jack Nickel, RD
• Kimberly Nickelsen, RN
• Nicole Heim LPC PLLC
• Michele M Nied

• General Practice Physician in Tempe, AZ
• Providers in Tempe, AZ by specialty
• General Practice Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2025; 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.

Verify at the official NPI Registry.