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QUOC-HUNG LY NGUYEN MD
NPI 1053738427
Surgery - Pediatric Surgery in Falls Church, VA

Active since March 24, 2014PECOS Enrolled
81.28/100
CMS Quality Rating
3300 GALLOWS RD, FALLS CHURCH, VA 22042(703) 776-4001(703) 776-7113 Get Directions Write a Review

NPPES record last updated: September 20, 2023. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Quoc-hung Ly Nguyen Md NPPES

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

QUOC-HUNG LY NGUYEN MD (NPI 1053738427) is an individual pediatric surgery provider in Falls Church, Virginia, licensed in Virginia (0101277533) and active in the NPI registry since March 2014. He is enrolled in Medicare PECOS, maintains a secondary practice location in San Francisco, and is a graduate of Albert Einstein College Of Medicine Of Yeshiva University (2014).

NPPES Registry Identity

NPI1053738427
Entity TypeIndividualMale
Primary Taxonomy2086S0120X
Provider Legal NameQUOC-HUNG LY NGUYENCredential: MD
Location Address3300 GALLOWS RDFalls Church, VA 22042-3307
Mailing AddressUcsf Department Of Surgery 513 Parnassus Ave, S-321San Francisco, CA 94143-0470 · (415) 476-1239
Phone(703) 776-4001
Fax(703) 776-7113
Sole ProprietorNo
Medical School CMSAlbert Einstein College Of Medicine Of Yeshiva UniversityGraduated 2014
Enumeration DateMarch 24, 2014
Last NPPES UpdateSeptember 20, 2023
NPPES CertifiedSeptember 20, 2023
✔ NPI 1053738427 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySurgery · Pediatric SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code2086S0120X
License✔ Licensed in VA · 0101277533
Definition
A surgeon with expertise in the management of surgical conditions in premature and newborn infants, children and adolescents.
Also ListedSurgeryTaxonomy 208600000X · License 141329 (CA)
3300 GALLOWS RD, Falls Church, VA 22042
Open in Google Maps ↗

Secondary Practice Location 1

Location 1Ucsf Department Of Surgery 513 Parnassus Ave, S-321San Francisco, CA 94143-0470 · Phone (415) 476-1239

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Quoc-hung Ly Nguyen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315239654
PECOS Enrollment IDI20260918002737
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.

Medicare Billing Reassignment

Medicare enrollment records show Quoc-hung Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Inova Health Care Services
Same address
Internal Medicine
3300 GALLOWS RD, PHYSICIAN SERVICES
Falls Church, VA 22042
  • Reassigned Medicare billing, District of Columbia enrollment
  • 2,618 clinicians in this Medicare group
NPI 1952320061 (703) 321-2627

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

81.28/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality70.77
Promoting Interoperability100
Improvement Activities40
Cost66.84

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.

ALLISON ELIZABETH TWEEDIE MD
Psychiatry & Neurology (Psychiatry)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-4001
DR. OLEG DOLGHI M.D
Obstetrics & Gynecology
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-4001
MRS. CHERYL ANNE FRASER NP
Nurse Practitioner (Acute Care)
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-4132
MISS CRYSTAL FALKE PA-C
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-3281
EMERGENCY MEDICINE ASSOCIATES
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-4002
NARGES NAJMYAR PA-C
Physician Assistant
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 970-2670
SARAH MARAKOS DO
Pediatrics
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-6652
KARA STONE YOUNG CRNA
Nurse Anesthetist, Certified Registered
3300 GALLOWS RD
FALLS CHURCH, VA 22042
Fairfax County (703) 776-4001

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Quoc-hung Nguyen's NPI number?

The NPI number for Quoc-hung Nguyen is 1053738427. It was assigned to this individual provider in the NPPES registry on March 24, 2014.

Where is Quoc-hung Nguyen located?

Quoc-hung Nguyen practices at 3300 Gallows Rd, Falls Church, VA 22042. The listed phone number is (703) 776-4001.

What is Quoc-hung Nguyen's specialty?

The primary specialty registered for this NPI is Surgery, specializing in Pediatric Surgery, with taxonomy code 2086S0120X.

Is Quoc-hung Nguyen enrolled in Medicare?

Yes. Quoc-hung Nguyen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Quoc-hung Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Quoc-hung Nguyen reassigns Medicare benefits to Inova Health Care Services (Falls Church, VA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Quoc-hung Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Quoc-hung Nguyen accept?

Health plans from Oscar Health list Quoc-hung Nguyen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Quoc-hung Nguyen was last updated on September 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.