Individual provider Active NPI

Thach N Nguyen, M.D.

  • Cardiovascular Disease Physician
  • Wormleysburg, PA
National Provider Identifier
1972504777
Registry record updated Apr 15, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD034809E Issued in PA
Practice address
1000 N Front St
Wormleysburg, PA 17043-1034
Phone
(717) 731-0101
Fax
(717) 731-8359
NPI assigned
Aug 3, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD034809E PA Primary
Internal Medicine Physician 207R00000X MD034809E PA
Interventional Cardiology Physician 207RI0011X MD034809E PA

Addresses

Primary practice location

1000 N Front St
Wormleysburg, PA 17043-1034

Mailing address

1000 N Front St
Wormleysburg, PA 17043-1034

Other identifiers 1

IdentifierTypeStateIssuer
001095009MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address vnguyen111858@phsdirect.pinnaclehealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20050601000546 PA Practitioner - Interventional CardiologyPractitioner - Internal MedicinePractitioner - Cardiovascular Disease (Cardiology) 1951299643 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Interventional CardiologyAlso: Cardiovascular Disease (Cardiology), Internal Medicine
Education
Temple University School of Medicine, 1984
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinnacle Health Cardiovascular Institute IncGroup PAC ID 6901087006, 117 clinicians

Practice addresses (Care Compare)

2808 Old Post Rd
Harrisburg, PA 17110-3685
Phone (717) 920-4400

Hospital & facility affiliations

  • Upmc Pinnacle Hospitals Hospital, Harrisburg, PA, CCN 390067
  • Upmc Carlisle Hospital, Carlisle, PA, CCN 390058
  • Upmc Lititz Hospital, Lititz, PA, CCN 390068
  • Upmc Hanover Hospital, Hanover, PA, CCN 390233

Merit-based Incentive Payment System (MIPS)

Final score
82.6 of 100Reported as group
Quality
70.07
Promoting interoperability
100
Improvement activities
40
Cost
71.93

Procedures performed for Medicare patients

ProcedureNumber of procedures
Coronary angioplasty and stenting36
Pacemaker insertion or repair1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD034809EPAMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Health Cardiovascular Institute Inc Cardiovascular Disease CurrentSince Jan 1, 2011 Accepting new patients
Cumberland Pathology Associates, LLC Past Accepting new patients
Moffitt Heart and Vascular Group Inc. Cardiovascular Disease Past Accepting new patients
Tristan Radiology Specialists, P.C. Past Accepting new patients

Locations

1251 E Main St
Ste 3
Annville, PA 17003
Phone (717) 988-0555

503 N 21st St
Camp Hill, PA 17011
Phone (717) 763-2100

360 Alexander Spring Rd
Carlisle, PA 17015
Phone (717) 243-6557

757 Norland Ave
Ste 205
Chambersburg, PA 17201
Phone (717) 217-6881

409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049

2808 Old Post Rd
Harrisburg, PA 17110
Phone (717) 591-7122

2020 Technology Pkwy
Ste 201
Mechanicsburg, PA 17050

659 Spring Garden Dr
Middletown, PA 17057
Phone (717) 835-1116

1000 N Front St
Wormleysburg, PA 17043

1000 N Front St
Ste 200
Wormleysburg, PA 17043

Interoperability endpoints

  • Direct secure messaging: tnguyen298220@upmc.direct-ci.com

Organizations & group practices 4

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 13

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1123027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1972504777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 N FRONT ST",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 N FRONT ST",
            "city": "WORMLEYSBURG",
            "state": "PA",
            "postal_code": "170431034",
            "telephone_number": "717-731-0101",
            "fax_number": "717-731-8359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "THACH",
        "middle_name": "N",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-03",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "PA",
            "license": "MD034809E",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD034809E",
            "primary": false
        },
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "PA",
            "license": "MD034809E",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001095009",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vnguyen111858@phsdirect.pinnaclehealth.org",
            "affiliation": "N",
            "address_1": "1000 N Front St",
            "city": "Wormleysburg",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170431034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wormleysburg, PA

Sources for this page

Verify at the official NPI Registry.