Individual provider Active NPI

Dan Phuong Nguyen, MD

  • Physical Medicine & Rehabilitation Physician
  • Martinsburg, WV
National Provider Identifier
1851895098
Registry record updated Jul 16, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
0101275001 Issued in VA
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, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240515002279 WV Practitioner - Physical Medicine and Rehabilitation 9133500515 Reassigns benefits to 3 organizations

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 100Reported as apm
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

OrganizationSpecialtyStatusNew patients
Jefferson Memorial Hospital CurrentSince Mar 31, 2025 Accepting new patients
West Virginia University Medical Corporation CurrentSince Mar 27, 2024 Accepting new patients
Anesthesia Solutions PLLC CurrentSince Jul 1, 2022 Accepting new patients
West Virginia University Medical Corporation CurrentSince Mar 27, 2024 Accepting new patients
Jefferson Memorial Hospital CurrentSince Mar 31, 2025 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

  • Direct secure messaging: 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.

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": "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

Verify at the official NPI Registry.