Active NPI
Phuong X. Nguyen, MD
- Surgery Physician
- Baltimore, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- D0065562
- Practice address
- 301 Saint Paul PL
Dept. of Surgery
Baltimore, MD 21202-2102 - Phone
- (410) 332-9265
- NPI assigned
- Jan 8, 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | D0065562 | MD | Primary |
Addresses
Primary practice location
301 Saint Paul PL
Dept. of Surgery
Baltimore, MD 21202-2102
Mailing address
301 St. Paul Place
Medical Staff Office
Baltimore, MD 21202
Phone (410) 659-2802
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
- 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
- General Surgery
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1734 York Rd
Lutherville, MD 21093-5606
Phone (410) 252-2273
301 Saint Paul St
Baltimore, MD 21202-2102
7602 Belair Rd
Baltimore, MD 21236-4088
Phone (410) 663-8100
Hospital & facility affiliations
- Mercy Medical Center Inc
- Tidalhealth Peninsula Regional, Inc
- University of MD St Joseph Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 79.13 of 100
- Quality
- 56.5
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.94
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Hernia repair - groin (open) | 15 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0065562 | MD | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Paul Place Specialists, Inc. | Current | Accepting new patients | |
| St Paul Place Specialists Inc | Current | Accepting new patients | |
| Tidalhealth Specialty Care, LLC | Current | Accepting new patients | |
| St. Paul Place Specialists, Inc. | Current | Accepting new patients | |
| Saint Paul Place Specialists, Inc. | Past | Accepting new patients | |
| Mercy Medical Center Inc | Past | Accepting new patients |
Locations
888 Bestgate Rd
Ste 300
Annapolis, MD 21401
Phone (303) 880-1999
301 Saint Paul St
Baltimore, MD 21202
Phone (410) 385-4930
100 E Carroll St
Salisbury, MD 21801
Phone (410) 543-7100
1734 York Rd
Timonium, MD 21093
Phone (410) 252-2273
Interoperability endpoints
- pnguyen6574@direct.mdmercy.com
Organizations & group practices 7
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.
-
- Orthopaedic Foot and Ankle Surgery Physician
- Baltimore, MD
- NPI 1871549196
-
- Medical Specialty Clinic/Center
- Salisbury, MD
- NPI 1619504735
-
- Family Medicine Physician
- Baltimore, MD
- NPI 1477530624
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1497707681
-
- Orthopaedic Surgery Physician
- Baltimore, MD
- NPI 1831471234
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1144282583
-
- Physical Therapist
- Baltimore, MD
- NPI 1346292422
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Baltimore, MD
- NPI 1144282583
-
- General Acute Care Hospital
- Salisbury, MD
- NPI 1780689463
-
- General Acute Care Hospital
- Towson, MD
- NPI 1124374079
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1386806400000",
"number": "1881742963",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "301 ST. PAUL PLACE",
"address_2": "MEDICAL STAFF OFFICE",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "21202",
"telephone_number": "410-659-2802"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 SAINT PAUL PL",
"address_2": "DEPT. OF SURGERY",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212022102",
"telephone_number": "410-332-9265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "PHUONG",
"middle_name": "X.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-08",
"last_updated": "2013-12-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MD",
"license": "D0065562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2013; 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.