Individual provider Active NPI

Virginia Nguyen, M.D.

  • Surgery Physician
  • Norfolk, VA
National Provider Identifier
1821470998
Registry record updated Jul 11, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101272560 Issued in VA
Practice address
600 Gresham Dr
Norfolk, VA 23507-1904
Phone
(757) 388-6402
Fax
(757) 961-6440
NPI assigned
Jun 24, 2015
Last updated
Jul 11, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2023

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X MD61432960 WA
Surgery Physician 208600000X R10395 IA
Surgery Physician 208600000X 0101272560 VA Primary
Vascular Surgery Physician 2086S0129X MD61432960 WA

Addresses

Primary practice location

600 Gresham Dr
Norfolk, VA 23507-1904

Mailing address

600 Gresham Dr Ste 8620
Norfolk, VA 23507-1904
Phone (757) 388-6402

Other practice location 1

1415 Woodland Ave
Suite 140
Des Moines, IA 50309-3203
Phone (515) 241-4076

Other practice location 2

505 NE 87th Ave Ste 301
Vancouver, WA 98664-1965
Phone (360) 514-1854

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
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
I20230724000508 WA Practitioner - Vascular SurgeryPractitioner - General Surgery 8921310632 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular SurgeryAlso: General Surgery
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
PeacehealthGroup PAC ID 5890689293, 188 clinicians
PeacehealthGroup PAC ID 9537073960, 292 clinicians
PeacehealthGroup PAC ID 8820178288, 245 clinicians

Practice addresses (Care Compare)

1615 Delaware St
Longview, WA 98632-2367
Phone (360) 636-4814

2950 Squalicum Pkwy
Suite B
Bellingham, WA 98225-1857
Phone (360) 788-6063

505 NE 87TH Ave
Suite 301
Vancouver, WA 98664-1965
Phone (360) 514-2550

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Leg revascularization (restoring blood flow)1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
R10395IAMDSurgery Physician
0101272560VAMDSurgery Physician
MD61432960WAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Peacehealth CurrentSince Jan 1, 2026 Accepting new patients
Peacehealth Vascular Surgery CurrentSince Jan 1, 2026 Accepting new patients
Peacehealth Surgery CurrentSince Aug 28, 2023 Accepting new patients
Peacehealth CurrentSince Dec 3, 2023 Accepting new patients

Locations

2950 Squalicum Pkwy
Ste B
Bellingham, WA 98225
Phone (360) 715-4186

3015 Squalicum Pkwy
Ste 100
Bellingham, WA 98225
Phone (360) 715-4186

1615 Delaware St
Longview, WA 98632
Phone (360) 363-4818

1115 SE 164th Ave
Dept 364
Vancouver, WA 98683
Phone (360) 735-8100

505 NE 87th Ave
Ste 301
Vancouver, WA 98664
Phone (360) 514-1854

Interoperability endpoints

  • Direct secure messaging: vnguyen620817@direct.peacehealth.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 6

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": "1435104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689033600000",
    "number": "1821470998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR STE 8620",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-388-6402",
            "fax_number": "757-961-6440"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GRESHAM DR",
            "city": "NORFOLK",
            "state": "VA",
            "postal_code": "235071904",
            "telephone_number": "757-388-6402",
            "fax_number": "757-961-6440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1415 Woodland Ave",
            "address_2": "Suite 140",
            "address_purpose": "LOCATION",
            "city": "Des Moines",
            "state": "IA",
            "postal_code": "503093203",
            "country_code": "US",
            "telephone_number": "515-241-4076",
            "fax_number": "515-241-4080",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "505 NE 87th Ave Ste 301",
            "address_purpose": "LOCATION",
            "city": "Vancouver",
            "state": "WA",
            "postal_code": "986641965",
            "country_code": "US",
            "telephone_number": "360-514-1854",
            "fax_number": "360-514-6063",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VIRGINIA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-06-24",
        "last_updated": "2023-07-11",
        "certification_date": "2023-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "WA",
            "license": "MD61432960",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "IA",
            "license": "R10395",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101272560",
            "primary": true
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "WA",
            "license": "MD61432960",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Norfolk, VA

Sources for this page

Verify at the official NPI Registry.