Active NPI
Thu Nguyen, MD
- Internal Medicine Physician
- Hilo, HI
National Provider Identifier
1831137447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 10125
- Practice address
- 868 Ululani St
Suite 105
Hilo, HI 96720-3913 - Phone
- (808) 961-5522
- Fax
- (808) 961-0006
- NPI assigned
- Jun 4, 2006
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 10125 | HI | Primary |
Addresses
Primary practice location
868 Ululani St
Suite 105
Hilo, HI 96720-3913
Mailing address
868 Ululani St
Suite 105
Hilo, HI 96720-3913
Phone (808) 961-5522
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08743802 | Medicaid | HI | |
| 110236584 | Other | HI | RAILROAD MEDICARE |
| 00A0213692 | Other | HI | HMSA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Other, 1985
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
868 Ululani St
Hilo, HI 96720-3913
Phone (808) 962-5522
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10125 | HI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thu Nguyen , MD, LLC | Internal Medicine | Current | Accepting new patients |
Locations
868 Ululani St
Ste 105
Hilo, HI 96720
Phone (808) 961-5522
670 Ponahawai St
Ste 116
Hilo, HI 96720
Phone (808) 756-5481
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1202256000000",
"number": "1831137447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "868 ULULANI ST",
"address_2": "SUITE 105",
"city": "HILO",
"state": "HI",
"postal_code": "967203913",
"telephone_number": "808-961-5522",
"fax_number": "808-961-0006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "868 ULULANI ST",
"address_2": "SUITE 105",
"city": "HILO",
"state": "HI",
"postal_code": "967203913",
"telephone_number": "808-961-5522",
"fax_number": "808-961-0006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "THU",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-06-04",
"last_updated": "2008-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "HI",
"license": "10125",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08743802",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "110236584",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HMSA",
"identifier": "00A0213692",
"state": "HI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2008; 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.