Phuong Hoai Nguyen

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0110010452 Issued in VA

Practice address

2812 Old Lee Hwy Ste 210a
Fairfax, VA 22031-4367

Phone

(703) 642-6633

NPI assigned

Dec 23, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Connie D. Le, M.D, P.CGroup PAC ID 1052349453, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Connie D. Le, M.D, P.C

  • Exclusive Provider Organization
  • Annandale, VA
  • NPI 1174712301

  DC

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1734912000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741132800000",
    "number": "1831907740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2812 OLD LEE HWY STE 210A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314367",
            "telephone_number": "703-642-6633"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2812 OLD LEE HWY STE 210A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220314367",
            "telephone_number": "703-642-6633"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4208 Evergreen Ln Ste 214",
            "address_purpose": "LOCATION",
            "city": "Annandale",
            "state": "VA",
            "postal_code": "220033254",
            "country_code": "US",
            "telephone_number": "703-642-6633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHUONG",
        "middle_name": "HOAI",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-12-23",
        "last_updated": "2025-03-05",
        "certification_date": "2025-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110010452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ky Nu Gia Nguyen, FNP
• Mai Thanh Nguyen, PHARM D.
• My-Duyen Quynh Nguyen, RN, BSN
• Nghi V Nguyen, MD
• Nicole Nguyen
• Quynh-Anh Nguyen
• Richard Hoang Nguyen, PT, DPT
• Stephanie Giang-Tien Nguyen, DO
• Tamkhanh Huu Nguyen
• The Ngoc Nguyen

• Physician Assistant in Fairfax, VA
• Providers in Fairfax, VA by specialty
• Physician Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 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.