Active NPI
Dat D Nguyen, MD
- Pulmonary Disease Physician
- Kingman, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pulmonary Disease Physician
- License
- 36837
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0052035 | Medicaid | NJ | |
| 210973 | Medicaid | AZ |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, CA, OR, MT, ID, NM
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 6
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070606000050 | AZ | Practitioner - Critical Care (Intensivists) | 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) | 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 PCSound Physicians Intensivists of Washington PLLCApogee Medical Group IncKingman Healthcare IncTelemedicine Group PC
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
- Providence St Mary Medical Center
- Adventist Health Ukiah Valley
- McKenzie-Willamette Medical Center
- Community Hospital of San Bernardino
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.85 of 100
- 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
| License | State | Type | Specialty |
|---|---|---|---|
| 87138 | CA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inpatient Specialists of California, PC | Current | Accepting new patients | |
| Apogee Medical Group Inc | Current | Accepting new patients | |
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Sound Physicians Intensivists of Arizona, Inc | Current | Accepting new patients | |
| Ridgecrest Regional Hospital | Current | Accepting new patients | |
| Telehealth Specialty Medical Group | Current | Accepting new patients | |
| Kingman Healthcare, Inc | Current | Accepting new patients | |
| Apogee Medical Group Inc | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of Montana - Missoula PC | Critical Care Medicine | Current | Accepting new patients |
| Hospitalist Medicine Physicians of Idaho-TCG, PLLC | Current | Accepting new patients | |
| Hospitalist Medicine Physicians of New Mexico-TCG LLC | Critical Care Medicine | Current | Accepting new patients |
| Kingman Healthcare, Inc | Pulmonary Disease | Current | Accepting new patients |
| Sound Physicians Intensivists of Washington PLLC | Critical Care Medicine | Current | Accepting new patients |
| Tele-Medicine Services Ny, PLLC | Past | 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
- nguyen.dat@direct.azkrmc.md
- datnguyen@rrh.medalliesdirect.net
- 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.
-
- Internal Medicine Physician
- San Bernardino, CA
- NPI 1952792475
CA
-
- Critical Care Medicine (Internal Medicine) Physician
- Spokane, WA
- NPI 1528582699
Critical Care Medicine, OR
-
- Internal Medicine Physician
- Tucson, AZ
- NPI 1962944702
AZ
-
- Internal Medicine Physician
- Lewiston, ID
- NPI 1104305648
ID
-
- Critical Care Medicine (Internal Medicine) Physician
- Missoula, MT
- NPI 1841925203
Critical Care Medicine, MT
-
- Critical Care Medicine (Internal Medicine) Physician
- Las Cruces, NM
- NPI 1376022822
Critical Care Medicine, NM
-
- Community/Retail Pharmacy
- Kingman, AZ
- NPI 1992286298
-
- Internal Medicine Physician
- Phoenix, AZ
- NPI 1205883725
Hospital & facility affiliations 7
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- San Bernardino, CA
- NPI 1235290818
Hospital
-
- General Acute Care Hospital
- Springfield, OR
- NPI 1568413573
Hospital
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.