Active NPI
Baoluan T Nguyen, MD
- Internal Medicine Physician
- Wichita, KS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 04-33275
- Practice address
- 7329 W. Village Cir
Wichita, KS 67205 - Phone
- (316) 260-6363
- Fax
- (316) 260-6301
- NPI assigned
- Jul 31, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 04-33275 | KS | Primary |
Addresses
Primary practice location
7329 W. Village Cir
Wichita, KS 67205
Mailing address
7329 W Village Cir
Wichita, KS 67205-1555
Phone (316) 260-6363
Other practice location 1
8710 W 13th St N
Suite 102
Wichita, KS 67212-6254
Phone (316) 260-6363
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1091162 | Medicaid | LA | |
| 200566060 B | Medicaid | KS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
- 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
- Internal Medicine
- Education
- Other, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7329 W Village Cir
Wichita, KS 67205-1555
Phone (316) 260-6363
Merit-based Incentive Payment System (MIPS)
- Final score
- 75 of 100
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ict Internal Medicine & Pain Management, LLC | Internal Medicine | Current | Accepting new patients |
Locations
8710 W 13th St N
Ste 102
Wichita, KS 67212
Phone (316) 260-6363
7329 W Village Cir
Ste 100
Wichita, KS 67205
7329 W Village Cir
Ste 102
Wichita, KS 67205
7329 W Village Cir
Wichita, KS 67205
Phone (316) 260-6363
550 N Hillside St
Wichita, KS 67214
Phone (316) 688-2239
Organizations & group practices 1
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.
-
- Internal Medicine Physician
- Wichita, KS
- NPI 1568910768
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1773705600000",
"number": "1861682247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7329 W VILLAGE CIR",
"city": "WICHITA",
"state": "KS",
"postal_code": "672051555",
"telephone_number": "316-260-6363",
"fax_number": "316-260-6301"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7329 W. VILLAGE CIR",
"city": "WICHITA",
"state": "KS",
"postal_code": "67205",
"telephone_number": "316-260-6363",
"fax_number": "316-260-6301"
}
],
"practiceLocations": [
{
"address_1": "8710 W 13th St N",
"address_2": "Suite 102",
"address_purpose": "LOCATION",
"city": "Wichita",
"state": "KS",
"postal_code": "672126254",
"country_code": "US",
"telephone_number": "316-260-6363",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NGUYEN",
"first_name": "BAOLUAN",
"middle_name": "T",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-31",
"last_updated": "2026-03-17",
"certification_date": "2026-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "KS",
"license": "04-33275",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1091162",
"state": "LA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200566060 B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wichita, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2026; 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.