NPIMap

Individual provider Active NPI

Lam D. Nguyen, DO

  • Pain Medicine (Physical Medicine & Rehabilitation) Physician
  • Tulsa, OK
National Provider Identifier
1902082258
Registry record updated Feb 23, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X
License
4722 Issued in OK
Practice address
9320 S Mingo Rd
Tulsa, OK 74133-5710
Phone
(918) 901-9701
Fax
(918) 901-9702
NPI assigned
Jan 17, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Physical Medicine & Rehabilitation) Physician 2081P2900X 4722 OK Primary

Addresses

Primary practice location

9320 S Mingo Rd
Tulsa, OK 74133-5710

Mailing address

9320 S Mingo Rd
Tulsa, OK 74133-5710
Phone (918) 901-9701

Other identifiers 1

IdentifierTypeStateIssuer
200224100AMedicaidOK

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address AdvancedPainofTulsa.LamNguyen@141752.advancedmd-direct.com Direct

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090224000391 OK Practitioner - Interventional Pain Management 7012072143 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Interventional Pain Management
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Pain of Tulsa PLLCGroup PAC ID 5890034144, 8 clinicians

Practice addresses (Care Compare)

9320 S Mingo Rd
Tulsa, OK 74133-5710
Phone (918) 901-9701

Hospital & facility affiliations

  • Saint Francis Hospital, Inc Hospital, Tulsa, OK, CCN 370091
  • Saint Francis Hospital South, LLC Hospital, Tulsa, OK, CCN 370218
  • Ascension St John Jane Phillips Hospital, Bartlesville, OK, CCN 370018
  • Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114

Merit-based Incentive Payment System (MIPS)

Final score
57.52 of 100Reported as group
Quality
0
Improvement activities
40
Cost
77.3

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
4722OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Family Care, PLLC CurrentSince Apr 17, 2024 Accepting new patients
Advanced Pain of Tulsa PLLC Pain Medicine CurrentSince Dec 13, 2018 Accepting new patients
Hatton Anesthesia LLC Past Accepting new patients

Locations

9716 Riverside Pkwy
Ste 200
Tulsa, OK 74137
Phone (405) 271-7498

9320 S Mingo Rd
Tulsa, OK 74133
Phone (918) 459-4000

Interoperability endpoints

  • Direct secure messaging: advancedpainoftulsa.lamnguyen@141752.advancedmd-direct.com

Organizations & group practices 3

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 7

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": "1200528000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1645574400000",
    "number": "1902082258",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9320 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335710",
            "telephone_number": "918-901-9701",
            "fax_number": "918-901-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9320 S MINGO RD",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741335710",
            "telephone_number": "918-901-9701",
            "fax_number": "918-901-9702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LAM",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-01-17",
        "last_updated": "2022-02-23",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "OK",
            "license": "4722",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200224100A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "AdvancedPainofTulsa.LamNguyen@141752.advancedmd-direct.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "9320 S MINGO RD",
            "city": "Tulsa",
            "state": "OK",
            "country_code": "US",
            "postal_code": "741335710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.