Individual provider Active NPI

Chau Ngoc Nguyen, M.D.

  • Surgery Physician
  • Saint Joseph, MO
National Provider Identifier
1881612414
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
2004030207 Issued in MO
Practice address
802 N Riverside Rd Ste G50
Saint Joseph, MO 64507-2510
Phone
(816) 671-4888
Fax
(816) 671-4890
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 2004030207 MO Primary

Addresses

Primary practice location

802 N Riverside Rd Ste G50
Saint Joseph, MO 64507-2510

Mailing address

802 N Riverside Rd Ste G50
Saint Joseph, MO 64507-2510
Phone (816) 671-4888

Other practice location 1

901 Heartland Rd
Suite G 50
Saint Joseph, MO 64506-2553
Phone (816) 671-4888

Other practice location 2

901 Heartland Rd
Suite G 50
Saint Joseph, MO 64506-2553
Phone (816) 671-4888

Other identifiers 3

IdentifierTypeStateIssuer
200387840AMedicaidKS
P00334976OtherMORR MEDICARE
208332304MedicaidMO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20060927000034 MO Practitioner - General SurgeryPractitioner - Vascular Surgery 6507861432 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General SurgeryAlso: Vascular Surgery
Education
University of Oklahoma College of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heartland Regional Medical CenterGroup PAC ID 6709772767, 394 clinicians

Practice addresses (Care Compare)

5202 Faraon St
Suite a
Saint Joseph, MO 64506-3840
Phone (816) 271-1067

5301 Faraon St
Saint Joseph, MO 64506-3512
Phone (816) 271-7546

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone (816) 271-3500

901 Heartland Rd
Saint Joseph, MO 64506-6201

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.76 of 100Reported as group
Quality
74.35
Promoting interoperability
100
Improvement activities
40
Cost
74.85

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)24
Mastectomy16
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
2004030207MOMDSurgery Physician

Interoperability endpoints

  • Direct secure messaging: chau.nguyen@direct.mymlc.com

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 2

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": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1881612414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "802 N RIVERSIDE RD STE G50",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072510",
            "telephone_number": "816-671-4888",
            "fax_number": "816-671-4890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "802 N RIVERSIDE RD STE G50",
            "city": "SAINT JOSEPH",
            "state": "MO",
            "postal_code": "645072510",
            "telephone_number": "816-671-4888",
            "fax_number": "816-671-4890"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Heartland Rd",
            "address_2": "Suite G 50",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645062553",
            "country_code": "US",
            "telephone_number": "816-671-4888",
            "fax_number": "816-671-4890",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "901 Heartland Rd",
            "address_2": "Suite G 50",
            "address_purpose": "LOCATION",
            "city": "Saint Joseph",
            "state": "MO",
            "postal_code": "645062553",
            "country_code": "US",
            "telephone_number": "816-671-4888",
            "fax_number": "816-671-4890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "CHAU",
        "middle_name": "NGOC",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "MO",
            "license": "2004030207",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200387840A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00334976",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "208332304",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Saint Joseph, MO

Sources for this page

Verify at the official NPI Registry.