Individual provider Active NPI

Anthony Nguyen, DO

  • Allergy & Immunology Physician
  • Las Vegas, NV
National Provider Identifier
1841519915
Registry record updated Sep 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
DO3737 Issued in NV
Practice address
6080 S Fort Apache Rd Ste 110
Las Vegas, NV 89148-5616
Phone
(702) 268-2820
NPI assigned
May 27, 2010
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2024

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology Physician 207K00000X H0079500 MD
Allergy & Immunology Physician 207K00000X 34.016196 OH
Allergy & Immunology Physician 207K00000X OP60856014 WA
Pediatrics Physician 208000000X 125058267 IL
Allergy & Immunology Physician 207K00000X DO3737 NV Primary

Addresses

Primary practice location

6080 S Fort Apache Rd Ste 110
Las Vegas, NV 89148-5616

Mailing address

PO Box 603725
Charlotte, NC 28260-3725
Phone (828) 575-2625

Other practice location 1

55 W Tietan St
Walla Walla, WA 99362-4498
Phone (509) 525-3720

Other practice location 2

7525 Greenway Center Dr
Suite 215
Greenbelt, MD 20770-3509
Phone (301) 474-8118

Other practice location 3

6565 Perimeter Dr
Dublin, OH 43016-8461
Phone (614) 328-9927

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV
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
I20240725004148 NV Practitioner - Allergy/Immunology 2769793397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Allergy/Immunology
Education
Lake Erie College of Osteopathic Medicine, Bradenton, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Partners PLLCGroup PAC ID 7113822420, 144 clinicians

Practice addresses (Care Compare)

6080 S Fort Apache Rd
Suite 110
Las Vegas, NV 89148-5616
Phone (702) 342-9250

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
DO3737NVMDAllergy & Immunology Physician
125058267ILMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
NPI 1508468638 Allergy & Immunology CurrentSince Sep 9, 2024 Accepting new patients
Allergy Partners, PLLC Allergy & Immunology CurrentSince Sep 9, 2024 Accepting new patients
Premier Allergy Allergy & Immunology PastSince Aug 1, 2015 Accepting new patients
Allergy Partners, PLLC Allergy & Immunology Past Accepting new patients

Locations

2485 W Horizon Ridge Pkwy
Ste 100
Henderson, NV 89052
Phone (702) 212-5889

6080 S Fort Apache Rd
Las Vegas, NV 89148

6080 S Fort Apache Rd
Ste 110
Las Vegas, NV 89148
Phone (702) 871-0303

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1274918400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726185600000",
    "number": "1841519915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 603725",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282603725",
            "telephone_number": "828-575-2625",
            "fax_number": "828-350-2174"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6080 S FORT APACHE RD STE 110",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891485616",
            "telephone_number": "702-268-2820"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 W Tietan St",
            "address_purpose": "LOCATION",
            "city": "Walla Walla",
            "state": "WA",
            "postal_code": "993624498",
            "country_code": "US",
            "telephone_number": "509-525-3720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7525 Greenway Center Dr",
            "address_2": "Suite 215",
            "address_purpose": "LOCATION",
            "city": "Greenbelt",
            "state": "MD",
            "postal_code": "207703509",
            "country_code": "US",
            "telephone_number": "301-474-8118",
            "fax_number": "301-345-1271",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6565 Perimeter Dr",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "OH",
            "postal_code": "430168461",
            "country_code": "US",
            "telephone_number": "614-328-9927",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANTHONY",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-05-27",
        "last_updated": "2024-09-13",
        "certification_date": "2024-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "MD",
            "license": "H0079500",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "OH",
            "license": "34.016196",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "WA",
            "license": "OP60856014",
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "IL",
            "license": "125058267",
            "primary": false
        },
        {
            "code": "207K00000X",
            "taxonomy_group": "",
            "desc": "Allergy & Immunology",
            "state": "NV",
            "license": "DO3737",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.