Individual provider Active NPI

Dat D Nguyen, MD

  • Pulmonary Disease Physician
  • Kingman, AZ
National Provider Identifier
1982698528
Registry record updated Oct 8, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
36837 Issued in AZ
Practice address
1739 E Beverly Ave Ste 203
Kingman, AZ 86409-3593
Phone
(928) 757-3133
Fax
(928) 757-3136
NPI assigned
Sep 9, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 36837 AZ
Critical Care Medicine (Internal Medicine) Physician 207RC0200X MD2025-0009 NM
Pulmonary Disease Physician 207RP1001X 36837 AZ Primary

Addresses

Primary practice location

1739 E Beverly Ave Ste 203
Kingman, AZ 86409-3593

Mailing address

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (928) 757-2101

Other practice location 1

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (928) 757-2101

Other identifiers 2

IdentifierTypeStateIssuer
0052035MedicaidNJ
210973MedicaidAZ

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, CA, OR, MT, ID, NM6 enrollments
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 6

Enrollment IDStateProvider typePAC IDDetails
I20070606000050 AZ Practitioner - Critical Care (Intensivists)Practitioner - Pulmonary Disease 7810955994 Reassigns benefits to 3 organizations
I20150202001991 CA Practitioner - Critical Care (Intensivists) 7810955994 Reassigns benefits to 2 organizations
I20221007000628 OR Practitioner - Internal Medicine 7810955994 Reassigns benefits to 1 organization
I20230628003006 MT Practitioner - Internal Medicine 7810955994 Reassigns benefits to 1 organization
I20250331003165 ID Practitioner - Internal Medicine 7810955994 Reassigns benefits to 1 organization
I20250425000932 NM Practitioner - Critical Care (Intensivists)Practitioner - Internal Medicine 7810955994 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Critical Care (Intensivists)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Inpatient Specialists of California PCGroup PAC ID 3476864448, 373 clinicians
Sound Physicians Intensivists of Washington PLLCGroup PAC ID 5395018808, 81 clinicians
Apogee Medical Group IncGroup PAC ID 2961314265, 85 clinicians
Kingman Healthcare IncGroup PAC ID 6901791367, 185 clinicians
Telemedicine Group PCGroup PAC ID 9830351824, 94 clinicians

Practice addresses (Care Compare)

1081 N China Lake Blvd
Ridgecrest, CA 93555-3130
Phone (760) 446-3551

1111 Crater Lake Ave
Medford, OR 97504-6241
Phone (541) 732-5000

3269 N Stockton Hill Rd
Kingman, AZ 86409-3619
Phone (928) 681-8577

3400 Douglas Blvd
Suite 170
Roseville, CA 95661-4281
Phone (916) 740-3721

Hospital & facility affiliations

  • Kingman Regional Medical Center Hospital, Kingman, AZ, CCN 030055
  • Providence St Mary Medical Center Hospital, Apple Valley, CA, CCN 050300
  • Adventist Health Ukiah Valley Hospital, Ukiah, CA, CCN 050301
  • McKenzie-Willamette Medical Center Hospital, Springfield, OR, CCN 380020
  • Community Hospital of San Bernardino Hospital, San Bernardino, CA, CCN 050089

Merit-based Incentive Payment System (MIPS)

Final score
84.85 of 100Reported as group
Quality
84.49
Promoting interoperability
83
Improvement activities
40
Cost
79.17

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
87138CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Inpatient Specialists of California, PC CurrentSince Jul 1, 2015 Accepting new patients
Apogee Medical Group Inc CurrentSince Sep 12, 2025 Accepting new patients
Kingman Healthcare, Inc CurrentSince Apr 14, 2016 Accepting new patients
Sound Physicians Intensivists of Arizona, Inc CurrentSince Mar 1, 2021 Accepting new patients
Ridgecrest Regional Hospital Current Accepting new patients
Telehealth Specialty Medical Group CurrentSince Aug 14, 2025 Accepting new patients
Kingman Healthcare, Inc Current Accepting new patients
Apogee Medical Group Inc CurrentSince Sep 12, 2025 Accepting new patients
Hospitalist Medicine Physicians of Montana - Missoula PC Critical Care Medicine CurrentSince May 14, 2023 Accepting new patients
Hospitalist Medicine Physicians of Idaho-TCG, PLLC CurrentSince Jan 7, 2025 Accepting new patients
Hospitalist Medicine Physicians of New Mexico-TCG LLC Critical Care Medicine CurrentSince Apr 1, 2025 Accepting new patients
Kingman Healthcare, Inc Pulmonary Disease CurrentSince Apr 14, 2016 Accepting new patients
Sound Physicians Intensivists of Washington PLLC Critical Care Medicine CurrentSince Jun 24, 2022 Accepting new patients
Tele-Medicine Services Ny, PLLC PastSince Apr 27, 2025 Accepting new patients
Apogee Medical Group of New Jersey PA Past Accepting new patients

Locations (25 of 31)

14200 W Celebrate Life Way
Goodyear, AZ 85338
Phone (623) 207-3000

1739 E Beverly Ave
Ste 203
Kingman, AZ 86409
Phone (928) 757-3133

1739 E Beverly Ave
Ste 118
Kingman, AZ 86409
Phone (928) 681-5800

3269 N Stockton Hill Rd
Kingman, AZ 86409
Phone (928) 757-0626

1739 E Beverly Ave
Ste 106
Kingman, AZ 86409
Phone (928) 681-8778

101 Civic Center Ln
Lk Havasu Cty, AZ 86403
Phone (928) 453-0150

350 N Wilmot Rd
Tucson, AZ 85711
Phone (520) 873-3000

2309 Antonio Ave
Camarillo, CA 93010
Phone (805) 389-5655

800 E Washington Blvd
Crescent City, CA 95531
Phone (707) 464-8511

20103 Lake Chabot Rd
Hayward, CA 94546
Phone (510) 537-1234

1720 E Cesar E Chavez Ave
Los Angeles, CA 90033
Phone (323) 260-5781

350 S Oak Ave
Oakdale, CA 95361
Phone (209) 847-3011

38600 Medical Center Dr
Palmdale, CA 93551
Phone (661) 382-5000

9471 Haven Ave
Ste 140
Rch Cucamonga, CA 91730
Phone (909) 474-2333

2550 Sister Mary Columba Dr
Red Bluff, CA 96080
Phone (530) 529-8000

1081 N China Lake Blvd
Ridgecrest, CA 93555
Phone (760) 446-0616

3400 Douglas Blvd
Ste 170
Roseville, CA 95661
Phone (855) 446-8628

3400 Douglas Blvd
Ste 225
Roseville, CA 95661
Phone (916) 740-3721

10 Woodland Rd
Saint Helena, CA 94574
Phone (707) 963-2002

225 N Jackson Ave
San Jose, CA 95116
Phone (408) 347-4051

2121 Santa Monica Blvd
Santa Monica, CA 90404
Phone (310) 281-2024

2101 N Waterman Ave
Sn Bernrdno, CA 92404
Phone (909) 881-4305

1800 N California St
Stockton, CA 95204
Phone (209) 467-6400

31700 Temecula Pkwy
Temecula, CA 92592
Phone (951) 303-8939

400 W Mineral King Ave
Visalia, CA 93291
Phone (559) 624-2001

Interoperability endpoints

  • Direct secure messaging: nguyen.dat@direct.azkrmc.md
  • Direct secure messaging: datnguyen@rrh.medalliesdirect.net
  • Direct secure messaging: dnguye03@yourcarecommunity.org

Organizations & group practices 15

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.

View all 15

Hospital & facility affiliations 7

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": "1126224000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759881600000",
    "number": "1982698528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3269 N STOCKTON HILL RD",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093619",
            "telephone_number": "928-757-2101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1739 E BEVERLY AVE STE 203",
            "city": "KINGMAN",
            "state": "AZ",
            "postal_code": "864093593",
            "telephone_number": "928-757-3133",
            "fax_number": "928-757-3136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3269 N Stockton Hill Rd",
            "address_purpose": "LOCATION",
            "city": "Kingman",
            "state": "AZ",
            "postal_code": "864093619",
            "country_code": "US",
            "telephone_number": "928-757-2101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DAT",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-09",
        "last_updated": "2025-10-08",
        "certification_date": "2025-10-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "AZ",
            "license": "36837",
            "primary": false
        },
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NM",
            "license": "MD2025-0009",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "AZ",
            "license": "36837",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0052035",
            "state": "NJ"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "210973",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingman, AZ

Sources for this page

Verify at the official NPI Registry.