Individual provider Active NPI

Kha C Nguyen, M.D., PH.D.

  • Diagnostic Radiology Physician
  • Baltimore, MD
National Provider Identifier
1881973550
Registry record updated Jun 30, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
0101284634 Issued in VA
Practice address
22 S Greene St
Department of Diagnostic Radiology and Nuclear Medicine
Baltimore, MD 21201-1544
Phone
(585) 507-2840
NPI assigned
Aug 11, 2011
Last updated
Jun 30, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X D0073129 MD
Diagnostic Radiology Physician 2085R0202X 036172921 IL
Diagnostic Radiology Physician 2085R0202X 0101284634 VA Primary

Addresses

Primary practice location

22 S Greene St
Department of Diagnostic Radiology and Nuclear Medicine
Baltimore, MD 21201-1544

Mailing address

22 S Greene St
Department of Diagnostic Radiology and Nuclear Medicine
Baltimore, MD 21201-1544
Phone (585) 507-2840

Other practice location 1

8700 Sudley Rd
Manassas, VA 20110-4418
Phone (703) 369-8073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, KY, NV, SC, NC, IL, VA7 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 7

Enrollment IDStateProvider typePAC IDDetails
I20120717000144 GA Practitioner - Diagnostic Radiology 4284809377 Reassigns benefits to 12 organizations
I20221011002231 KY Practitioner - Diagnostic Radiology 4284809377 Reassigns benefits to 1 organization
I20231219001849 NV Practitioner - Diagnostic Radiology 4284809377 Reassigns benefits to 1 organization
I20240502002007 SC Practitioner - Diagnostic Radiology 4284809377 Reassigns benefits to 1 organization
I20241223000882 NC Practitioner - Diagnostic Radiology 4284809377 Reassigns benefits to 2 organizations
I20250521003503 IL Practitioner - Diagnostic Radiology 4284809377 Reassigns benefits to 2 organizations
I20260228000876 VA Practitioner - Diagnostic Radiology 4284809377 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
University of Rochester School of Medicine and Dentistry, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bonaventure Medical Foundation LLCGroup PAC ID 7517863178, 164 clinicians
East Georgia Radiology LLCGroup PAC ID 7315040698, 44 clinicians
Northside Radiology Associates LLCGroup PAC ID 4486555398, 381 clinicians
Anderson Medical Group LLCGroup PAC ID 5193792018, 136 clinicians

Practice addresses (Care Compare)

1339 W Lake St
Addison, IL 60101-1836
Phone (847) 981-5767

1499 Fair Rd
Statesboro, GA 30458-1683
Phone (912) 486-1339

1514 Vernon Rd
Lagrange, GA 30240-4131
Phone (404) 851-6577

1786 Moon Lake Blvd
Hoffman Est, IL 60194-5029
Phone (847) 755-8208

23 Cedar View Dr
Savannah, GA 31410-1903
Phone (540) 361-1000

6800 State Route 162
Maryville, IL 62062-8500
Phone 6182885711402

800 Biesterfield Rd
Elk Grove Village, IL 60007-3361

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
036172921ILMDDiagnostic Radiology Physician
D0073129MDMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
East Georgia Radiology LLC Diagnostic Radiology CurrentSince Jun 23, 2012 Accepting new patients
Northside Radiology Associates LLC Diagnostic Radiology CurrentSince Dec 20, 2022 Accepting new patients
University of Virginia Physicians Group CurrentSince Mar 1, 2026 Accepting new patients
Radiology Associates of South Carolina LLC Diagnostic Radiology CurrentSince Nov 26, 2023 Accepting new patients
West Virginia Radiology Associates PC Diagnostic Radiology CurrentSince Jul 25, 2024 Accepting new patients
Georgia Radiology Services, LLC Diagnostic Radiology CurrentSince Oct 15, 2019 Accepting new patients
Dominion Imaging LLC Diagnostic Radiology CurrentSince Jan 8, 2025 Accepting new patients
T J Samson Community Hospital CurrentSince Sep 12, 2022 Accepting new patients
Scotland Memorial Hospital Inc CurrentSince Sep 1, 2024 Accepting new patients
Scotland Memorial Hospital Inc Diagnostic Radiology CurrentSince Sep 1, 2024 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Dec 1, 2023 Accepting new patients
Bonaventure Medical Foundation, LLC CurrentSince May 1, 2025 Accepting new patients
Bowling Green-Warren County Community Hospital Corporation Diagnostic Radiology CurrentSince Mar 24, 2025 Accepting new patients
Radiologic Associates of Fredericksburg LTD Diagnostic Radiology CurrentSince Aug 24, 2025 Accepting new patients
Anderson Medical Group, LLC CurrentSince Oct 13, 2025 Accepting new patients
Foundation Radiology Group PC Diagnostic Radiology CurrentSince Jan 12, 2026 Accepting new patients
Radiology Associates of North Carolina PC Diagnostic Radiology CurrentSince Nov 18, 2024 Accepting new patients
Bowling Green-Warren County Community Hospital Corporation CurrentSince Mar 24, 2025 Accepting new patients
Atlantic Imaging Services LLC Diagnostic Radiology CurrentSince Nov 22, 2024 Accepting new patients
University Medical Center of Southern Nevada CurrentSince Dec 1, 2023 Accepting new patients
University of Maryland Diagnostic Imaging Specialists P a Diagnostic Radiology Past Accepting new patients
University Imaging Center, LLC Diagnostic Radiology Past Accepting new patients
University Imaging Center, LLC Diagnostic Radiology Past Accepting new patients

Locations

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

2200 Vernon St
Lagrange, GA 30240

1067 Peachtree St
Louisville, GA 30434
Phone (478) 625-7000

1000 Johnson Ferry Rd
Sandy Springs, GA 30342
Phone (404) 851-8737

1499 Fair Rd
Statesboro, GA 30458
Phone (912) 486-1000

1786 Moon Lake Blvd
Hoffman Estates, IL 60169
Phone (847) 640-5640

6800 State Route 162
Maryville, IL 62062
Phone (618) 288-4095

6810 State Route 162
Ste 215
Maryville, IL 62062
Phone (618) 391-6405

1301 N Race St
Glasgow, KY 42141
Phone (270) 651-4141

310 N L Rogers Wells Blvd
Glasgow, KY 42141
Phone (270) 651-1111

237 N Fayetteville St
Ste B
Asheboro, NC 27203
Phone (336) 328-3444

566 Ruin Creek Rd
Henderson, NC 27536
Phone (252) 436-1352

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

100 Hospital Dr
Louisburg, NC 27549
Phone (252) 438-4143

615 Ridge Rd
Roxboro, NC 27573
Phone (336) 503-5699

1800 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 207-8253

7 Acee Dr
Natrona Hts, PA 15065

1 Saint Francis Dr
Greenville, SC 29601
Phone (864) 225-1000

1021 Eden Way N
Ste 109
Chesapeake, VA 23320
Phone (757) 312-6267

648 Grassfield Pkwy
Ste 1
Chesapeake, VA 23322
Phone (757) 312-6797

736 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6124

844 Battlefield Blvd N
Chesapeake, VA 23320
Phone (757) 312-6800

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: knguyen2476943@direct.bsmhealth.org
  • Direct secure messaging: knguyen537467@direct.ahsys.org

Organizations & group practices 24

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 24

Hospital & facility affiliations 5

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": "1313020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782777600000",
    "number": "1881973550",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "address_2": "DEPARTMENT OF DIAGNOSTIC RADIOLOGY AND NUCLEAR MEDICINE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "585-507-2840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 S GREENE ST",
            "address_2": "DEPARTMENT OF DIAGNOSTIC RADIOLOGY AND NUCLEAR MEDICINE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011544",
            "telephone_number": "585-507-2840"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8700 Sudley Rd",
            "address_purpose": "LOCATION",
            "city": "Manassas",
            "state": "VA",
            "postal_code": "201104418",
            "country_code": "US",
            "telephone_number": "703-369-8073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KHA",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "M.D., PH.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-11",
        "last_updated": "2026-06-30",
        "certification_date": "2026-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MD",
            "license": "D0073129",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "IL",
            "license": "036172921",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "VA",
            "license": "0101284634",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.