Individual provider Active NPI

Minh Nguyen, MD

  • Family Medicine Physician
  • Grants Pass, OR
National Provider Identifier
1881954469
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD206288 Issued in OR
Practice address
520 SW Ramsey Ave
Grants Pass, OR 97527-5535
Phone
(541) 472-7810
Fax
(541) 472-7811
NPI assigned
May 17, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2015031854 MO
Family Medicine Physician 207Q00000X 4489-850 WI
Family Medicine Physician 207Q00000X 2020-01163 NC
Family Medicine Physician 207Q00000X MD206288 OR Primary

Addresses

Primary practice location

520 SW Ramsey Ave
Grants Pass, OR 97527-5535

Mailing address

520 SW Ramsey Ave
Grants Pass, OR 97527-5535
Phone (541) 472-7810

Other practice location 1

120 Health Center Dr
Ahoskie, NC 27910-8161
Phone (252) 332-3548

Other practice location 2

332 S Main Ave
Republic, MO 65738-1861
Phone (417) 732-5050

Other practice location 3

632 Broadway Ph
New York, NY 10012-2614
Phone (800) 731-4254

Other identifiers 4

IdentifierTypeStateIssuer
1881954469MedicaidNC
1881954469MedicaidWI
PENDINGOtherMORR MEDICARE
MD206288OtherOROREGON STATE BOARD

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Asante Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO, WA, OR, GA4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20150929001339 MO Practitioner - Family Practice 5092023846 Reassigns benefits to 1 organization
I20200323002774 WA Practitioner - Family Practice 5092023846 Reassigns benefits to 1 organization
I20210830001617 OR Practitioner - Family Practice 5092023846 Reassigns benefits to 1 organization
I20250102003044 GA Practitioner - Family Practice 5092023846 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Asante Physician PartnersGroup PAC ID 8325206246, 227 clinicians

Practice addresses (Care Compare)

520 SW Ramsey Ave
Suite 101
Grants Pass, OR 97527-5573
Phone (541) 472-7810

625 SW Ramsey Ave
Suite a
Grants Pass, OR 97527-5808
Phone (541) 507-2290

Hospital & facility affiliations

  • Riverside Home Health Care Home health agency, Grants Pass, OR, CCN 387143
  • Accentcare Home Health of Rogue Valley, LLC Home health agency, Medford, OR, CCN 387098
  • Assured Home Health Home health agency, Grants Pass, OR, CCN 387076
  • Asante Three Rivers Medical Center Hospital, Grants Pass, OR, CCN 380002
  • Asante Rogue Regional Medical Center Hospital, Medford, OR, CCN 380018
  • Asante Ashland Community Hospital Hospital, Ashland, OR, CCN 380005

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD206288ORMDFamily Medicine Physician
4489-850WIMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpoint Family Medicine Current Accepting new patients
Galileo Medical Group Ga, P.C. Family Medicine CurrentSince Sep 11, 2024 Accepting new patients
Healthpoint CurrentSince Mar 1, 2020 Accepting new patients
Asante Physician Partners Family Medicine CurrentSince Aug 30, 2021 Accepting new patients
Healthpoint CurrentSince Mar 1, 2020 Accepting new patients
Mercy Clinic Springfield Communities Family Medicine CurrentSince Sep 16, 2015 Accepting new patients

Locations

4300 Paces Ferry Rd SE
Ste 500
Atlanta, GA 30339
Phone (404) 496-8960

1605 Martin Springs Dr
Rolla, MO 65401
Phone (573) 458-6379

1605 Martin Springs Dr
Ste 330
Rolla, MO 65401
Phone (573) 458-6379

64 Bleecker St
New York, NY 10012
Phone (302) 313-1584

520 SW Ramsey Ave
Grants Pass, OR 97527
Phone (541) 472-7000

625 SW Ramsey Ave
Ste A
Grants Pass, OR 97527
Phone (541) 474-5004

2825 E Barnett Rd
Medford, OR 97504
Phone (541) 282-6770

126 Auburn Ave
Ste 300
Auburn, WA 98002
Phone (253) 735-0166

10414 Beardslee Blvd
Ste 100
Bothell, WA 98011
Phone (425) 486-0658

33431 13th Pl S
Federal Way, WA 98003
Phone (253) 874-7634

403 E Meeker St
Ste 200
Kent, WA 98030
Phone (253) 852-2866

16255 NE 87th St
Ste 150
Redmond, WA 98052
Phone (425) 882-1697

955 Powell Ave SW
Renton, WA 98057
Phone (253) 735-0166

200 S 2nd St
Renton, WA 98057
Phone (425) 226-5536

Interoperability endpoints

  • Direct secure messaging: minhthixuan.nguyen.p3@direct.hpc.nextgenshare.com
  • Direct secure messaging: mnguyen720860@directb.mercy.net

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.

Hospital & facility affiliations 6

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": "1337212800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1881954469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 SW RAMSEY AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275535",
            "telephone_number": "541-472-7810",
            "fax_number": "541-472-7811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 SW RAMSEY AVE",
            "city": "GRANTS PASS",
            "state": "OR",
            "postal_code": "975275535",
            "telephone_number": "541-472-7810",
            "fax_number": "541-472-7811"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Health Center Dr",
            "address_purpose": "LOCATION",
            "city": "Ahoskie",
            "state": "NC",
            "postal_code": "279108161",
            "country_code": "US",
            "telephone_number": "252-332-3548",
            "fax_number": "252-332-1665",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "332 S Main Ave",
            "address_purpose": "LOCATION",
            "city": "Republic",
            "state": "MO",
            "postal_code": "657381861",
            "country_code": "US",
            "telephone_number": "417-732-5050",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "632 Broadway Ph",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100122614",
            "country_code": "US",
            "telephone_number": "800-731-4254",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MINH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-17",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "2015031854",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "WI",
            "license": "4489-850",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2020-01163",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OR",
            "license": "MD206288",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881954469",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881954469",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "PENDING",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OREGON STATE BOARD",
            "identifier": "MD206288",
            "state": "OR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Asante",
            "affiliation": "N",
            "endpointDescription": "primary care office",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "520 SW Ramsey Ave",
            "city": "Grants Pass",
            "state": "OR",
            "country_code": "US",
            "postal_code": "975275535",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Grants Pass, OR

Sources for this page

Verify at the official NPI Registry.