KATIE LUU NGUYEN MD
NPI 1013667336
Student in an Organized Health Care Education/Training Program in Chicago, IL

Q: What is Katie Nguyen's NPI number?

The NPI number for Katie Nguyen is 1013667336. It was assigned to this individual provider in the NPPES registry on March 28, 2022.

Q: What is Katie Nguyen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Q: When was this NPI record last updated?

The NPPES record for Katie Nguyen was last updated on May 19, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since March 28, 2022PECOS Enrolled

5841 S MARYLAND AVE # MC2026, CHICAGO, IL 60637(773) 702-6024 Get Directions Write a Review

NPPES record last updated: May 19, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

On this page

About Katie Luu Nguyen Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KATIE LUU NGUYEN MD (NPI 1013667336) is an individual student in an organized health care education/training program in Chicago, Illinois and active in the NPI registry since March 2022. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013667336

Entity TypeIndividualFemale

Primary Taxonomy390200000X

Provider Legal NameKATIE LUU NGUYENCredential: MD

Location Address5841 S MARYLAND AVE # MC2026Chicago, IL 60637-1443

Mailing Address180 Harvester Dr Ste 110Burr Ridge, IL 60527-6686

Phone(773) 702-6024

Sole ProprietorNo

Enumeration DateMarch 28, 2022

Last NPPES UpdateMay 19, 2023

NPPES CertifiedMay 19, 2023

✔ NPI 1013667336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care

Taxonomy Code390200000X

Definition

An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

5841 S MARYLAND AVE # MC2026, Chicago, IL 60637

Open in Google Maps ↗

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Katie Luu Nguyen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Leave this field empty

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEREK FRANCO MD

Radiology (Diagnostic Radiology)