Ivy Phuong Nguyen, DO

Primary specialty

Diagnostic Radiology PhysicianTaxonomy code 2085R0202X

License

21211 Issued in CA

Practice address

1001 Potrero Avenue
BLDG. 5, 1St FL
San Francisco, CA 94110

Phone

(628) 206-8020

NPI assigned

Apr 2, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in NY, PA, WV, OH4 enrollments

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 4

Specialty

Diagnostic Radiology

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Radiology Associates IncGroup PAC ID 0446210520, 18 clinicians

Fayette Physician Network IncGroup PAC ID 3375865819, shared by 2 NPIs, 309 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Wheeling Hospital, Inc Hospital, Wheeling, WV, CCN 510050
• Princeton Community Hospital Assn Inc Hospital, Princeton, WV, CCN 510046
• Reynolds Memorial Hospital, Inc Hospital, Glen Dale, WV, CCN 510013
• Weirton Medical Center, Inc Hospital, Weirton, WV, CCN 510023
• Wetzel County Hospital Hospital, New Martinsville, WV, CCN 510072

Merit-based Incentive Payment System (MIPS)

Final score

86.29 of 100Reported as group

Quality

82.44

Improvement activities

40

Merit-based Incentive Payment System (MIPS)

Final score

87.01 of 100Reported as group

Quality

86.78

Improvement activities

40

Cost

70.46

Merit-based Incentive Payment System (MIPS)

Final score

84.89 of 100Reported as group

Quality

81.13

Improvement activities

40

Cost

71.5

Merit-based Incentive Payment System (MIPS)

Final score

97.28 of 100Reported as group

Quality

89.92

Promoting interoperability

100

Improvement activities

40

Cost

78.23

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, 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.

• Radiology Associates, Inc

  • Diagnostic Radiology Physician
  • Wheeling, WV
  • NPI 1982671889

  NY, PA

  Medicare reassignment Care Compare group NPD
• Fayette Physician Network Inc

  • Family Medicine Physician
  • Friendsville, MD
  • NPI 1437823044

  OH, WV

  Medicare reassignment NPD
• Fayette Physician Network Inc

  • Surgery Physician
  • Uniontown, PA
  • NPI 1992107817
  Medicare reassignment NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Princeton Community Hospital Assn., Inc.

  • General Acute Care Hospital
  • Princeton, WV
  • NPI 1558313213
  Care Compare affiliation
• Reynolds Memorial Hospital, Inc

  • General Acute Care Hospital
  • Glen Dale, WV
  • NPI 1144228305
  Care Compare affiliation
• Weirton Medical Center, Inc

  • General Acute Care Hospital
  • Weirton, WV
  • NPI 1619921947
  Care Compare affiliation
• Wetzel County Hospital, Inc.

  • Rural Acute Care Hospital
  • New Martinsville, WV
  • NPI 1376175240
  Care Compare affiliation
• Wheeling Hospital Inc

  • General Acute Care Hospital
  • Wheeling, WV
  • NPI 1104821305
  Care Compare affiliation

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

{
    "created_epoch": "1522627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688947200000",
    "number": "1831695584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 743749",
            "city": "LOS ANGELES",
            "state": "CA",
            "postal_code": "900743749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 POTRERO AVENUE",
            "address_2": "BLDG. 5, 1ST FL",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "94110",
            "telephone_number": "628-206-8020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2201 Hempstead Tpke",
            "address_purpose": "LOCATION",
            "city": "East Meadow",
            "state": "NY",
            "postal_code": "115541859",
            "country_code": "US",
            "telephone_number": "516-572-0123",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Baystate Medical Center 759 Chestnut Street",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "MA",
            "postal_code": "01199",
            "country_code": "US",
            "telephone_number": "413-794-0000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "IVY",
        "middle_name": "PHUONG",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-02",
        "last_updated": "2023-07-10",
        "certification_date": "2023-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "CA",
            "license": "21211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hong Nguyen, RN
• Hung Nguyen, M.D.
• Huy Minh Nguyen, M.D.
• Huyen Nguyen
• Isabelle Nguyen, MD
• Jacqueline Nguyen, PSYD
• James Nguyen, MD
• Janet Nguyen, M.D.
• Janine Thuy Nguyen
• Jasmine Thuy Nguyen, O.D.

• Diagnostic Radiology Physician in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Diagnostic Radiology Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2023; 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.