Phuong Vu Nguyen, D.O.

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

05-40797 Issued in KS

Practice address

929 N Saint Francis St
Wichita, KS 67214-3821

Phone

(714) 861-0879

NPI assigned

Feb 18, 2013

Last updated

Nov 14, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Mike Nguyen Other name

Medicare fee-for-service enrollment

Enrolled in KS

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 1

Specialty

Emergency Medicine

Education

Arizona College of Osteopathic Medicine Mid Western University, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Kansas Medical Center LLCGroup PAC ID 2668476862, 54 clinicians

Rock Regional Hospital LLCGroup PAC ID 8325386634, 21 clinicians

Cep America - Kansas LLCGroup PAC ID 3971814286, 59 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Rock Regional Hospital, LLC Hospital, Derby, KS, CCN 170204
• Ascension Via Christi Hospitals Wichita, Inc. Hospital, Wichita, KS, CCN 170122
• Kansas Medical Center LLC Hospital, Andover, KS, CCN 170197

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: phuong.nguyen@directsbamh.org

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.

• Cep America - Kansas LLC

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1659768125
  Medicare reassignment Care Compare group NPD
• Kansas Medical Center LLC

  • General Acute Care Hospital
  • Andover, KS
  • NPI 1255380127
  Medicare reassignment Care Compare group NPD
• Rock Regional Hospital, LLC

  dba Rock Regional Clinic

  • Multi-Specialty Clinic/Center
  • Derby, KS
  • NPI 1598641219
  Medicare reassignment Care Compare group NPD
• Hutchinson Regional Medical Center, Inc.

  • Hospitalist Physician
  • Hutchinson, KS
  • NPI 1972605285

  Emergency Medicine

  Medicare reassignment NPD
• Cep America - Kansas LLC

  • Emergency Medicine Physician
  • Wichita, KS
  • NPI 1023405503
  NPD
• Cep America - Kansas LLC

  • Emergency Medicine Physician
  • Wellington, KS
  • NPI 1932704608
  NPD
• Hutchinson Regional Medical Center, Inc.

  dba Hutchinson Regional Physician Network

  • Pulmonary Disease Physician
  • Hutchinson, KS
  • NPI 1659931525
  NPD
• Kansas Medical Center, LLC

  dba KMC Physicians

  • Emergency Medical Services (Emergency Medicine) Physician
  • Andover, KS
  • NPI 1801007786
  NPD
• Kansas Medical Center, LLC

  dba Andover Anesthesia Care Specialists

  • Anesthesiology Physician
  • Andover, KS
  • NPI 1952512832
  NPD
• Kansas Medical Center, LLC

  dba Andover Cardiology

  • Cardiovascular Disease Physician
  • Andover, KS
  • NPI 1952585341
  NPD

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

• Ascension Via Christi Hospitals Wichita Inc.

  • General Acute Care Hospital
  • Wichita, KS
  • NPI 1154314789
  Care Compare affiliation
• Kansas Medical Center LLC

  • General Acute Care Hospital
  • Andover, KS
  • NPI 1255380127
  Care Compare affiliation

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

{
    "created_epoch": "1361145600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1542153600000",
    "number": "1902146517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10106 E BAYLEY CT",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672073936",
            "telephone_number": "714-861-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "929 N SAINT FRANCIS ST",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672143821",
            "telephone_number": "714-861-0879"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "36475 Five Mile Rd",
            "address_purpose": "LOCATION",
            "city": "Livonia",
            "state": "MI",
            "postal_code": "481541971",
            "country_code": "US",
            "telephone_number": "734-655-2727",
            "fax_number": "734-655-8430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PHUONG",
        "middle_name": "VU",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-02-18",
        "last_updated": "2018-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "KS",
            "license": "05-40797",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MIKE",
            "last_name": "NGUYEN",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Nguyen Kieu T Nguyen, AUD
• Nguyet Thi Kim Nguyen, PHARMD
• Nicole Marie Nguyen, LSCSW
• Phuong Nguyen, MD
• Phuong Thao Thi Nguyen
• Sally My Nguyen, NURSE PRACTITIONER
• Shayla Nguyen, DDS
• Shayla Nguyen
• Son Thanh Nguyen, D.O.
• Thai Viet Nguyen

• Emergency Medicine Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Emergency Medicine Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.