Individual provider Active NPI

Baoluan T Nguyen, MD

  • Internal Medicine Physician
  • Wichita, KS
National Provider Identifier
1861682247
Registry record updated Mar 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
04-33275 Issued in KS
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

Updated by the provider on Mar 17, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1091162MedicaidLA
200566060 BMedicaidKS

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20080910000082 KS Practitioner - Internal Medicine 5092881318 Reassigns benefits to 1 organization

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
Ict Internal Medicine and Pain Management LLCGroup PAC ID 3577848266, 3 clinicians

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 100Reported as group

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Ict Internal Medicine & Pain Management, LLC Internal Medicine CurrentSince Feb 11, 2017 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.

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

Verify at the official NPI Registry.