Individual provider Active NPI

Patrick Phong Nguyen, DO

  • Family Medicine Physician
  • Merrimack, NH
National Provider Identifier
1841256559
Registry record updated Dec 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
14089 Issued in NH
Practice address
399 Daniel Webster Hwy
Merrimack, NH 03054-4112
Phone
(603) 429-3155
Fax
(603) 424-8693
NPI assigned
Apr 21, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 14089 NH Primary

Addresses

Primary practice location

399 Daniel Webster Hwy
Merrimack, NH 03054-4112

Mailing address

696 Daniel Webster Hwy
Merrimack, NH 03054-2748
Phone (603) 429-3155

Other identifiers 5

IdentifierTypeStateIssuer
001708039MedicaidPA
080127022OtherPALMETTO
975072OtherPABS
51393001OtherUNIVERA
110474OtherPAUNLSON

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
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
I20081106000191 NH Practitioner - Family Practice 4486623584 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Texas Medical Branch at Galveston, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Foundation Medical Partners IncGroup PAC ID 9436140456, 313 clinicians

Practice addresses (Care Compare)

10 Jones Rd
Milford, NH 03055-3100
Phone (603) 672-7600

399 Daniel Webster Highwy
Infectious Disease
Merrimack, NH 03054-2748
Phone (603) 429-1611

Hospital & facility affiliations

  • Home Health & Hospice Care Home health agency, Merrimack, NH, CCN 307017
  • Southern NH Medical Center Hospital, Nashua, NH, CCN 300020
  • St Joseph Hospital Hospital, Nashua, NH, CCN 300011
  • Lahey Hospital & Medical Center, Burlington Hospital, Burlington, MA, CCN 220171

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Foundation Medical Partners Inc Family Medicine CurrentSince Sep 16, 2008 Accepting new patients
Foundation Medical Partners Inc. CurrentSince Sep 16, 2008 Accepting new patients

Locations

696 Daniel Webster Hwy
Merrimack, NH 03054
Phone (603) 429-3155

399 Daniel Webster Hwy
Merrimack, NH 03054
Phone (603) 429-1611

10 Jones Rd
Milford, NH 03055
Phone (603) 672-7600

Interoperability endpoints

  • Direct secure messaging: pnguyen16219@direct.solutionhealth.org

Organizations & group practices 2

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 5

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": "1145577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481587200000",
    "number": "1841256559",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "696 DANIEL WEBSTER HWY",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030542748",
            "telephone_number": "603-429-3155",
            "fax_number": "603-424-8693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 DANIEL WEBSTER HWY",
            "city": "MERRIMACK",
            "state": "NH",
            "postal_code": "030544112",
            "telephone_number": "603-429-3155",
            "fax_number": "603-424-8693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PATRICK",
        "middle_name": "PHONG",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-21",
        "last_updated": "2016-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NH",
            "license": "14089",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001708039",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PALMETTO",
            "identifier": "080127022",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BS",
            "identifier": "975072",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNIVERA",
            "identifier": "51393001",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNLSON",
            "identifier": "110474",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Merrimack, NH

Sources for this page

Verify at the official NPI Registry.