NPIMap

Individual provider Active NPI

Dung B Nguyen, M.D.

  • Radiation Oncology Physician
  • Elyria, OH
National Provider Identifier
1891736625
Registry record updated Jan 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Radiation Oncology PhysicianTaxonomy code 2085R0001X
License
430961 Issued in KS
Practice address
41201 Schadden Rd
Elyria, OH 44035-2249
Phone
(440) 324-0400
Fax
(440) 324-0441
NPI assigned
Jun 10, 2006
Last updated
Jan 8, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 8, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Radiation Oncology Physician 2085R0001X 430961 KS Primary

Addresses

Primary practice location

41201 Schadden Rd
Elyria, OH 44035-2249

Mailing address

41201 Schadden Rd
Elyria, OH 44035-2249
Phone (440) 324-0400

Other identifiers 1

IdentifierTypeStateIssuer
200301860AMedicaidKS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, PA, MA, IA4 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
I20070322000372 OH Practitioner - Radiation Oncology 3375537590 Reassigns benefits to 3 organizations
I20200625000246 PA Practitioner - Radiation Oncology 3375537590 Reassigns benefits to 1 organization
I20211215002025 MA Practitioner - Radiation Oncology 3375537590 Reassigns benefits to 1 organization
I20220806000463 IA Practitioner - Radiation Oncology 3375537590 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Radiation Oncology
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Spencer Municipal HospitalGroup PAC ID 4183533060, 95 clinicians

Practice addresses (Care Compare)

1200 1St Ave E
Spencer, IA 51301-4330

1200 1St Ave E
Spencer, IA 51301-4342
Phone (712) 264-6198

1200 1St Ave E C
Nwia Bone Joint and Sports Surgeons
Spencer, IA 51301-4342
Phone (712) 262-7511

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
430961KSMDRadiation Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Spencer Municipal Hospital CurrentSince Aug 15, 2022 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Spencer Municipal Hospital CurrentSince Aug 15, 2022 Accepting new patients
Mercy Health Physicians North Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Delta Medix PC CurrentSince Jun 23, 2020 Accepting new patients
Spencer Municipal Hospital Current Accepting new patients
Triad Health Services, LLC CurrentSince Aug 4, 2021 Accepting new patients
Physicians of Cape Cod Hospital CurrentSince Feb 7, 2022 Accepting new patients
Mercy Health Physicians Lorain Specialty Care LLC CurrentSince Sep 1, 2021 Accepting new patients
Mid-Minnesota Radiation Oncology, PA Radiation Oncology Past Accepting new patients
Vascular Diagnostic Center PC Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients
American Radiation Oncology PA Radiation Oncology PastSince Dec 1, 2004 Accepting new patients
The Surgery Center at Southwoods, LLC Past Accepting new patients

Locations

1200 1st Ave E
Spencer, IA 51301
Phone (712) 264-6164

27 Park St
Hyannis, MA 02601
Phone (508) 775-5011

140 Academy St
#10
Presque Isle, ME 04769
Phone (207) 764-3734

140 Academy St
Ste 10
Presque Isle, ME 04769
Phone (207) 764-3734

578 N Leavitt Rd
Amherst, OH 44001
Phone (440) 960-3912

41201 Schadden Rd
Elyria, OH 44035
Phone (440) 324-0400

2222 Cherry St
Ste 2300
Toledo, OH 43608
Phone (419) 251-8013

3900 Sunforest Ct
Ste 240
Toledo, OH 43623
Phone (419) 472-3126

4126 N Holland Sylvania Rd
Ste 175
Toledo, OH 43623
Phone (419) 407-1100

100 Debartolo Pl
Ste 200
Youngstown, OH 44512
Phone (330) 965-7828

1044 Belmont Ave
Youngstown, OH 44504
Phone (330) 480-2182

6262 Mahoning Ave
Ste B
Youngstown, OH 44515
Phone (330) 758-9787

6262 Mahoning Ave
Ste C
Youngstown, OH 44515
Phone 3307299214225

7629 Market St
Ste 250
Youngstown, OH 44512
Phone (330) 729-9480

300 Lackawanna Ave
Scranton, PA 18503
Phone (570) 342-7864

300 Lackawanna Ave
Unit 200
Scranton, PA 18503
Phone (570) 342-7864

5 Morgan Hwy
Ste 7
Scranton, PA 18508
Phone (570) 342-7864

Organizations & group practices 16

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 16

Hospital & facility affiliations 30

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 30

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641600000000",
    "number": "1891736625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41201 SCHADDEN RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440352249",
            "telephone_number": "440-324-0400",
            "fax_number": "440-324-0441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41201 SCHADDEN RD",
            "city": "ELYRIA",
            "state": "OH",
            "postal_code": "440352249",
            "telephone_number": "440-324-0400",
            "fax_number": "440-324-0441"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DUNG",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2022-01-08",
        "certification_date": "2022-01-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "KS",
            "license": "430961",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200301860A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elyria, OH

Sources for this page

Verify at the official NPI Registry.