Individual provider Active NPI

Tram Nhat Bao Nguyen, MD

  • Critical Care Medicine (Internal Medicine) Physician
  • South Miami, FL
National Provider Identifier
1942705173
Registry record updated Jul 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Care Medicine (Internal Medicine) PhysicianTaxonomy code 207RC0200X
License
ME161660 Issued in FL
Practice address
6200 SW 73Rd St
South Miami, FL 33143-4679
Phone
(059) 287-2493
Fax
(305) 630-3632
NPI assigned
Mar 29, 2018
Last updated
Jul 7, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 7, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 000000001 FL
Critical Care Medicine (Internal Medicine) Physician 207RC0200X ME161660 FL Primary

Addresses

Primary practice location

6200 SW 73Rd St
South Miami, FL 33143-4679

Mailing address

8600 SW 92ND St Ste 204B
Miami, FL 33156-7377
Phone (059) 287-2493

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20230717000403 FL Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 9931463429 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)Also: Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Florida Critical Care Services LLCGroup PAC ID 2466714241, 151 clinicians

Practice addresses (Care Compare)

5000 University Dr
Miami, FL 33146-2008
Phone (305) 928-7249

6200 SW 73 St
South Miami, FL 33143-4679
Phone (305) 661-9404

8900 N Kendall Dr
Miami, FL 33176-2118
Phone (305) 661-9404

9555 SW 162 Ave
Miami, FL 33196-6408
Phone (305) 661-9404

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Sheridan Healthcorp Inc CurrentSince Jul 1, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 14, 2023 Accepting new patients
Florida Hospital Medical Group Inc CurrentSince Jul 14, 2023 Accepting new patients
South Florida Critical Care Services LLC Critical Care Medicine CurrentSince Aug 1, 2023 Accepting new patients
Sheridan Healthcorp, Inc. CurrentSince Jul 1, 2023 Accepting new patients
Sheridan Healthcorp Inc Current Accepting new patients
Pulmonary Physicians of South Florida LLC Critical Care Medicine PastSince Jul 9, 2023 Accepting new patients

Locations

2600 Westhall Ln
Ste 4
Maitland, FL 32751
Phone (407) 200-2700

8370 W Flagler St
Ste 226
Miami, FL 33144
Phone (305) 917-5414

8900 SW 88th St
Miami, FL 33176
Phone (305) 596-1960

401 NW 42nd Ave
Plantation, FL 33317
Phone (954) 513-6434

6200 SW 73rd St
South Miami, FL 33143
Phone (305) 661-4611

1613 NW 136th Ave
Ste 200
Sunrise, FL 33323
Phone (954) 838-2502

3360 Burns Rd
West Palm Beach, FL 33410
Phone (561) 622-1411

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 5

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": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1688688000000",
    "number": "1942705173",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8600 SW 92ND ST STE 204B",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331567377",
            "telephone_number": "059-287-2493",
            "fax_number": "305-630-3632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6200 SW 73RD ST",
            "city": "SOUTH MIAMI",
            "state": "FL",
            "postal_code": "331434679",
            "telephone_number": "059-287-2493",
            "fax_number": "305-630-3632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRAM",
        "middle_name": "NHAT BAO",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2023-07-07",
        "certification_date": "2023-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "FL",
            "license": "000000001",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "FL",
            "license": "ME161660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in South Miami, FL

Sources for this page

Verify at the official NPI Registry.