Individual provider Active NPI

Charly Nguyen, M.D.

  • Otolaryngology Physician
  • Elgin, IL
National Provider Identifier
1861508665
Registry record updated Nov 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
036-101896 Issued in IL
Practice address
1750 N Randall Rd Ste 210
Elgin, IL 60123-7903
Phone
(847) 888-9000
Fax
(847) 888-9001
NPI assigned
Aug 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 036-101896 IL Primary

Addresses

Primary practice location

1750 N Randall Rd Ste 210
Elgin, IL 60123-7903

Mailing address

1750 N Randall Rd Ste 210
Elgin, IL 60123-7903

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
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
I20100220000323 IL Practitioner - Otolaryngology 9032253653 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Cincinnati College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Specialty Care Institute PLLCGroup PAC ID 1759565310, 11 clinicians

Practice addresses (Care Compare)

1750 N Randall Rd
Suite 210
Elgin, IL 60123-7903
Phone (847) 888-9000

Hospital & facility affiliations

  • Advocate Sherman Hospital Hospital, Elgin, IL, CCN 140030
  • Advocate Good Shepherd Hospital Hospital, Barrington, IL, CCN 140291

Merit-based Incentive Payment System (MIPS)

Final score
88.96 of 100Reported as apm
Quality
69.5
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036-101896ILMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Specialty Care Institute, PLLC CurrentSince Dec 1, 2024 Accepting new patients
The Vision Institute of Illinois, Inc PastSince Aug 1, 2014 Accepting new patients

Locations

602 Fox Glen Ct
Barrington, IL 60010
Phone (847) 277-0111

29327 Network Pl
Chicago, IL 60673

1750 N Randall Rd
Ste 210
Elgin, IL 60123
Phone (847) 888-9000

22285 N Pepper Rd
Ste 105
Lake Barrington, IL 60010
Phone (847) 277-9100

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JECEBA

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 3

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": "1156204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731628800000",
    "number": "1861508665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1750 N RANDALL RD STE 210",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237903"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1750 N RANDALL RD STE 210",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601237903",
            "telephone_number": "847-888-9000",
            "fax_number": "847-888-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CHARLY",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-22",
        "last_updated": "2024-11-15",
        "certification_date": "2024-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IL",
            "license": "036-101896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elgin, IL

Sources for this page

Verify at the official NPI Registry.