NPIMap

Individual provider Active NPI

Thuan Vinh Nguyen, MD

  • Nephrology Physician
  • Olympia, WA
National Provider Identifier
1831516889
Registry record updated Oct 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
MD60967871 Issued in WA
Practice address
3525 Ensign Rd NE
Ste K
Olympia, WA 98506-5065
Phone
(360) 413-8121
Fax
(360) 413-8865
NPI assigned
Mar 26, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X MD60967871 WA Primary

Addresses

Primary practice location

3525 Ensign Rd NE
Ste K
Olympia, WA 98506-5065

Mailing address

3525 Ensign Rd NE
Ste K
Olympia, WA 98506-5065
Phone (360) 413-8121

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200218002212 WA Practitioner - Nephrology 1355778044 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nephrology
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Memorial Nephrology Associates PLLCGroup PAC ID 1153392592, 9 clinicians

Practice addresses (Care Compare)

3525 Ensign Rd NE
Suite K
Olympia, WA 98506-5065
Phone 36041381211

Hospital & facility affiliations

  • FMC Aberdeen Dialysis facility, Aberdeen, WA, CCN 502531
  • FMC Thurston County Dialysis Center Dialysis facility, Lacey, WA, CCN 502575
  • DaVita Lacey Dialysis Dialysis facility, Lacey, WA, CCN 502607
  • DaVita Olympia Dialysis Center Dialysis facility, Olympia, WA, CCN 502555
  • Providence St Peter Hospital Hospital, Olympia, WA, CCN 500024
  • Grays Harbor Community Hospital Hospital, Aberdeen, WA, CCN 500031
  • Summit Pacific Medical Center Hospital, Elma, WA, CCN 501304
  • Tacoma General Allenmore Hospital Hospital, Tacoma, WA, CCN 500129
  • Willapa Harbor Hospital Hospital, South Bend, WA, CCN 501303

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD60967871WAMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Nephrology Associates PLLC Nephrology CurrentSince Sep 30, 2019 Accepting new patients

Locations

3525 Ensign Rd NE
Ste K
Olympia, WA 98506
Phone (360) 413-8121

Interoperability endpoints

  • Direct secure messaging: thuan.nguyen@direct.davitaphysiciansolutions.com

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 9

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": "1395792000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729468800000",
    "number": "1831516889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3525 ENSIGN RD NE",
            "address_2": "STE K",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065065",
            "telephone_number": "360-413-8121",
            "fax_number": "360-413-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3525 ENSIGN RD NE",
            "address_2": "STE K",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985065065",
            "telephone_number": "360-413-8121",
            "fax_number": "360-413-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THUAN",
        "middle_name": "VINH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-03-26",
        "last_updated": "2024-10-21",
        "certification_date": "2024-10-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "WA",
            "license": "MD60967871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Olympia, WA

Sources for this page

Verify at the official NPI Registry.