Individual provider Active NPI

Dung Van Nguyen, M.D

  • Family Medicine Physician
  • Wichita, KS
National Provider Identifier
1962554857
Registry record updated Jan 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
04-32130 Issued in KS
Practice address
1431 S Bluffview Dr
Suite 212
Wichita, KS 67218-3010
Phone
(316) 252-8373
Fax
(316) 295-4289
NPI assigned
Jan 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 04-32130 KS Primary

Addresses

Primary practice location

1431 S Bluffview Dr
Suite 212
Wichita, KS 67218-3010

Mailing address

1431 S Bluffview Dr
Suite 212
Wichita, KS 67218-3010
Phone (316) 252-8373

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20070309000256 KS Practitioner - Family Practice 4486757556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1431 S Bluffview Dr
Suite 212
Wichita, KS 67218-3039
Phone (316) 252-8373

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
04-32130KSMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Nguyen Family Medicine LLC Family Medicine CurrentSince Jun 18, 2015 Accepting new patients

Locations

1431 S Bluffview Dr
Ste 212
Wichita, KS 67218
Phone (316) 252-8373

1431 S Bluffview Dr
Ste 21
Wichita, KS 67218
Phone (316) 684-5094

Interoperability endpoints

  • Direct secure messaging: dnguyen@nfml-ks.direct.office.nextgen.com
  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

Organizations & group practices 1

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 1

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": "1169078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1484265600000",
    "number": "1962554857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 S BLUFFVIEW DR",
            "address_2": "SUITE 212",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183010",
            "telephone_number": "316-252-8373",
            "fax_number": "316-295-4289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 S BLUFFVIEW DR",
            "address_2": "SUITE 212",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183010",
            "telephone_number": "316-252-8373",
            "fax_number": "316-295-4289"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DUNG",
        "middle_name": "VAN",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-18",
        "last_updated": "2017-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KS",
            "license": "04-32130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wichita, KS

Sources for this page

Verify at the official NPI Registry.