Kim-Dung T. Nguyen, MD, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

0101226147 Issued in VA

Legal business name

KIM-DUNG T. NGUYEN, MD, PC

Practice address

5130 Duke St
8
Alexandria, VA 22304-2924

Phone

(703) 823-2849

Fax

(703) 823-2847

NPI assigned

Jul 13, 2007

Organization subpart

No

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

Authorized official

Name

Mr. Ted Nguyen

Title

Office Manager

Phone

(703) 538-2200

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in DC

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/EBJDDD

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kim-Dung T Nguyen, M.D.

  • Internal Medicine Physician
  • Alexandria, VA
  • NPI 1013953397

  DC

  Medicare reassignment NPD

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

{
    "created_epoch": "1184284800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1320105600000",
    "number": "1891994547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11193",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223120193",
            "telephone_number": "703-538-2200",
            "fax_number": "703-823-2847"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5130 DUKE ST",
            "address_2": "8",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223042924",
            "telephone_number": "703-823-2849",
            "fax_number": "703-823-2847"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIM-DUNG T. NGUYEN, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-13",
        "last_updated": "2011-11-01",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "TED",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "703-538-2200",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "VA",
            "license": "0101226147",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5849543",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ruth Kifetew
• Rediet M Kifle
• Laksana Kik, RPH
• David James Killeen, MD
• Kim Ierna Kitchen DDS, PC
• Aileen Chyn Kim, DDS
• Andrew Y Kim, M.D.
• April Bomi Kim, DNP
• Dong Min Kim, D.P.M.
• Elisabeth Kim, PT

• Internal Medicine Physician in Alexandria, VA
• Providers in Alexandria, VA by specialty
• Internal Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.

Verify at the official NPI Registry.