Individual provider Active NPI

Ken T Nguyen, M.D.

  • Internal Medicine Physician
  • Lake Charles, LA
National Provider Identifier
1922209055
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
MD.202580 Issued in LA
Practice address
4200 Nelson Rd
Lake Charles, LA 70605-4118
Phone
(337) 475-4748
Fax
(337) 944-4421
NPI assigned
May 29, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X MD.202580 LA Primary

Addresses

Primary practice location

4200 Nelson Rd
Lake Charles, LA 70605-4118

Mailing address

5000 Lake St Unit 7579
Lake Charles, LA 70606-5348
Phone (337) 302-4239

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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

Enrollment IDStateProvider typePAC IDDetails
I20081224000122 LA Practitioner - HospitalistPractitioner - Internal Medicine 4587726641 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Internal Medicine
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
KNDL PartnersGroup PAC ID 0547664617, 2 clinicians

Practice addresses (Care Compare)

4200 Nelson Rd
Lake Charles, LA 70605-4118
Phone (337) 474-6370

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
25.77 of 100Reported as individual
Quality
0
Improvement activities
0
Cost
85.89

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
KNDL Partners Internal Medicine CurrentSince Jul 1, 2021 Accepting new patients
Ipn of Arizona, PLC Internal Medicine Past Accepting new patients
Banner Sun City Medical Group Past Accepting new patients
Hospitalist Medicine Physicians of Louisiana, LLC Internal Medicine Past Accepting new patients
Hospital Medicine Associates LLC Internal Medicine Past Accepting new patients
Christus Health Southwestern Louisiana Past Accepting new patients
CHG Hospital Sulphur, LLC Past Accepting new patients

Locations

3730 Nelson Rd
Lake Charles, LA 70605
Phone (337) 513-0817

1718 N Mlk Hwy
Lake Charles, LA 70601
Phone (318) 272-7926

524 Dr Michael Debakey Dr
Lake Charles, LA 70601
Phone (337) 430-4455

5000 Lake St
Unit 7579
Lake Charles, LA 70606

4200 Nelson Rd
Lake Charles, LA 70605
Phone (318) 474-6370

Organizations & group practices 7

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": "1180396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1922209055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5000 LAKE ST UNIT 7579",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706065348",
            "telephone_number": "337-302-4239",
            "fax_number": "337-944-4421"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4200 NELSON RD",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706054118",
            "telephone_number": "337-475-4748",
            "fax_number": "337-944-4421"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KEN",
        "middle_name": "T",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-05-29",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "LA",
            "license": "MD.202580",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Charles, LA

Sources for this page

Verify at the official NPI Registry.