Individual provider Active NPI

Kha Nguyen, DPM

  • Foot & Ankle Surgery Podiatrist
  • Las Vegas, NV
National Provider Identifier
1972162923
Registry record updated Aug 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
2113 Issued in NV
Practice address
3777 Pecos McLeod Ste 103
Las Vegas, NV 89121-4265
Phone
(702) 434-2023
Fax
(702) 434-1976
NPI assigned
Jun 12, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X DP213005 OR
Foot & Ankle Surgery Podiatrist 213ES0103X 2113 NV Primary
Foot & Ankle Surgery Podiatrist 213ES0103X POD22003 NM

Addresses

Primary practice location

3777 Pecos McLeod Ste 103
Las Vegas, NV 89121-4265

Mailing address

3777 Pecos McLeod Ste 103
Las Vegas, NV 89121-4265
Phone (505) 391-0788

Other practice location 1

311 Los Lentes Rd SE
Los Lunas, NM 87031-9224
Phone (505) 391-0788

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NM, NV2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230404002960 NM Practitioner - Podiatry 2860867850 Reassigns benefits to 1 organization
I20240725000457 NV Practitioner - Podiatry 2860867850 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ryan K Anderson D P M P CGroup PAC ID 7517999121, 51 clinicians

Practice addresses (Care Compare)

1608 7TH St
Suite B
Las Vegas, NM 87701-5177
Phone (505) 355-2766

3777 Pecos McLeod
Suite 103
Las Vegas, NV 89121-4265
Phone (702) 434-2023

Merit-based Incentive Payment System (MIPS)

Final score
99.91 of 100Reported as group
Promoting interoperability
99
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue70
Removal of skin lesions1-10
Removal of nail tissue297
Removal or shaving of skin growth138

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DP213005ORMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Ryan K Anderson D P M P C Podiatrist CurrentSince Mar 23, 2023 Accepting new patients
Eastern Podiatry LLC Podiatrist CurrentSince Jul 1, 2024 Accepting new patients
Michael R Pincus DPM LLC Podiatrist PastSince May 15, 2006 Accepting new patients

Locations

1608 7th St
Ste B
Las Vegas, NM 87701
Phone (505) 355-2766

105 Mills Ave
Ste 100
Las Vegas, NM 87701
Phone (505) 425-3313

311 Los Lentes Rd SE
Los Lunas, NM 87031
Phone (505) 565-2232

2207 Golf Course Rd SE
Ste A
Rio Rancho, NM 87124
Phone (505) 896-1500

3777 Pecos McLeod
Ste 103
Las Vegas, NV 89121
Phone (702) 324-2713

1060 Chambers St
Eugene, OR 97402
Phone (541) 342-3373

434 W Ascension Way
Ste 425
Salt Lake City, UT 84123

596 W 750 S
Ste 300
Woods Cross, UT 84010
Phone (801) 673-7661

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.

NPI Registry JSON

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

{
    "created_epoch": "1560297600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723507200000",
    "number": "1972162923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3777 PECOS MCLEOD STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214265",
            "telephone_number": "505-391-0788",
            "fax_number": "702-434-1976"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3777 PECOS MCLEOD STE 103",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891214265",
            "telephone_number": "702-434-2023",
            "fax_number": "702-434-1976"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "311 Los Lentes Rd SE",
            "address_purpose": "LOCATION",
            "city": "Los Lunas",
            "state": "NM",
            "postal_code": "870319224",
            "country_code": "US",
            "telephone_number": "505-391-0788",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "KHA",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-06-12",
        "last_updated": "2024-08-13",
        "certification_date": "2024-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OR",
            "license": "DP213005",
            "primary": false
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NV",
            "license": "2113",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NM",
            "license": "POD22003",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

Verify at the official NPI Registry.