Active NPI
Dan Phuong Nguyen, MD
- Physical Medicine & Rehabilitation Physician
- Martinsburg, WV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Medicine & Rehabilitation Physician
- License
- 0101275001
- Practice address
- Spring Mills Medical Office
61 Campus Dr Ste 300
Martinsburg, WV 25404-7542 - Phone
- (304) 596-5160
- Fax
- (304) 596-5161
- NPI assigned
- Mar 21, 2018
- Last updated
- Jul 16, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physical Medicine & Rehabilitation Physician | 208100000X | 0101275001 | VA | Primary |
Addresses
Primary practice location
Spring Mills Medical Office
61 Campus Dr Ste 300
Martinsburg, WV 25404-7542
Mailing address
Spring Mills Medical Office
61 Campus Dr Ste 300
Martinsburg, WV 25404
Phone (045) 965-1603
Other practice location 1
119 Oakfield Dr
Brandon, FL 33511-5779
Phone (813) 681-5551
Other practice location 2
Jefferson Memorial Hospital
300 S Preston St
Ranson, WV 25438-1631
Phone (304) 728-1795
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WV
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Medicine and Rehabilitation
- Education
- Other, 2018
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
61 Campus Dr
Suite 300
Martinsburg, WV 25404-7542
Phone (304) 264-0704
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 95.34 of 100
- Quality
- 79.86
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson Memorial Hospital | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Anesthesia Solutions PLLC | Current | Accepting new patients | |
| West Virginia University Medical Corporation | Current | Accepting new patients | |
| Jefferson Memorial Hospital | Current | Accepting new patients | |
| Jefferson Memorial Hospital | Current | Accepting new patients |
Locations
9020 Stony Point Pkwy
Ste 140
Richmond, VA 23235
Phone (804) 330-0303
61 Campus Dr
Ofc
Martinsburg, WV 25404
Phone (304) 596-5160
61 Campus Dr
Ste 300
Martinsburg, WV 25404
Phone (304) 264-0704
1 Medical Center Dr
Morgantown, WV 26506
Phone (304) 293-4500
300 S Preston St
Ranson, WV 25438
Phone (304) 728-1600
Interoperability endpoints
- dan.nguyen@hca3.eclinicaldirectplus.com
Organizations & group practices 6
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.
-
dba University Health Associates
- Family Medicine Physician
- Morgantown, WV
- NPI 1275504508
-
dba Jefferson Medical Center
- Critical Access Hospital
- Ranson, WV
- NPI 1891722377
-
- Medicare Defined Swing Bed Hospital Unit
- Ranson, WV
- NPI 1104242569
-
- Internal Medicine Physician
- Ranson, WV
- NPI 1316364953
-
dba Crisis Support and Recovery Center
- Community/Behavioral Health Agency
- Martinsburg, WV
- NPI 1174233530
-
- Certified Registered Nurse Anesthetist
- Richmond, VA
- NPI 1215402169
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Berkeley Medical Center
- General Acute Care Hospital
- Martinsburg, WV
- NPI 1457389249
-
- Medicare Defined Swing Bed Hospital Unit
- Ranson, WV
- NPI 1104242569
-
dba Jefferson Medical Center
- Critical Access Hospital
- Ranson, WV
- NPI 1891722377
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521590400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721088000000",
"number": "1851895098",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SPRING MILLS MEDICAL OFFICE",
"address_2": "61 CAMPUS DR STE 300",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "25404",
"telephone_number": "045-965-1603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SPRING MILLS MEDICAL OFFICE",
"address_2": "61 CAMPUS DR STE 300",
"city": "MARTINSBURG",
"state": "WV",
"postal_code": "254047542",
"telephone_number": "304-596-5160",
"fax_number": "304-596-5161"
}
],
"practiceLocations": [
{
"address_1": "119 Oakfield Dr",
"address_purpose": "LOCATION",
"city": "Brandon",
"state": "FL",
"postal_code": "335115779",
"country_code": "US",
"telephone_number": "813-681-5551",
"fax_number": "813-916-2944",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "Jefferson Memorial Hospital",
"address_2": "300 S Preston St",
"address_purpose": "LOCATION",
"city": "Ranson",
"state": "WV",
"postal_code": "254381631",
"country_code": "US",
"telephone_number": "304-728-1795",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "DAN",
"middle_name": "PHUONG",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2018-03-21",
"last_updated": "2024-07-16",
"certification_date": "2024-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "208100000X",
"taxonomy_group": "",
"desc": "Physical Medicine & Rehabilitation",
"state": "VA",
"license": "0101275001",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Martinsburg, WV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2024; 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.