Individual provider Active NPI

Peter Thanh Nguyen, M.D.

  • Family Medicine Physician
  • Lebanon, OH
National Provider Identifier
1972093573
Registry record updated Apr 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
35.140798 Issued in OH
Practice address
100 Arrow Springs Blvd Ste 2700
Lebanon, OH 45036-7019
Phone
(513) 282-7911
Fax
(513) 282-7900
NPI assigned
May 18, 2018
Reactivated
Jul 15, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 23, 2024

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 35.140798 OH Primary

Addresses

Primary practice location

100 Arrow Springs Blvd Ste 2700
Lebanon, OH 45036-7019

Mailing address

100 Arrow Springs Blvd Ste 2700
Lebanon, OH 45036-7019
Phone (513) 282-7911

Other practice location 1

28442 E River Rd
Perrysburg, OH 43551
Phone (419) 874-7939

Other practice location 2

838 E Wooster St
Bowling Green, OH 43402-3186
Phone (419) 372-2271

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address peter.nguyen.p1@direct.whc.nextgenshare.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20210806002971 OH Practitioner - Family Practice 0446504419 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Toledo College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Trihealth G LLCGroup PAC ID 0749222651, 294 clinicians

Practice addresses (Care Compare)

100 Arrow Springs Blvd
Suite 2700
Lebanon, OH 45036-7019
Phone (513) 282-7911

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Frederick Health Hospital Inc Past Accepting new patients
Trihealth G LLC Family Medicine Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: pnguyen420712@direct.trihealth.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 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": "1526601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1972093573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ARROW SPRINGS BLVD STE 2700",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450367019",
            "telephone_number": "513-282-7911",
            "fax_number": "513-282-7900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 ARROW SPRINGS BLVD STE 2700",
            "city": "LEBANON",
            "state": "OH",
            "postal_code": "450367019",
            "telephone_number": "513-282-7911",
            "fax_number": "513-282-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "28442 E River Rd",
            "address_purpose": "LOCATION",
            "city": "Perrysburg",
            "state": "OH",
            "postal_code": "43551",
            "country_code": "US",
            "telephone_number": "419-874-7939",
            "fax_number": "419-873-6837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "838 E Wooster St",
            "address_purpose": "LOCATION",
            "city": "Bowling Green",
            "state": "OH",
            "postal_code": "434023186",
            "country_code": "US",
            "telephone_number": "419-372-2271",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "PETER",
        "middle_name": "THANH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-05-18",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "deactivation_date": "2021-07-02",
        "reactivation_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OH",
            "license": "35.140798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "peter.nguyen.p1@direct.whc.nextgenshare.com",
            "affiliation": "N",
            "address_1": "838 E Wooster St",
            "city": "Bowling Green",
            "state": "OH",
            "country_code": "US",
            "postal_code": "434023186",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lebanon, OH

Sources for this page

Verify at the official NPI Registry.