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JOHNNY THANH NGUYEN
NPI 1104308394
Physician Assistant - Surgical in Bellevue, WA

Active since September 04, 2018PECOS EnrolledAccepts Medicare Assignment
79.16/100
CMS Quality Rating
1135 116TH AVE NE STE 605, BELLEVUE, WA 98004(425) 454-8161(425) 454-9304 Get Directions Write a Review

NPPES record last updated: August 29, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 29, 2019, Sep 4, 2018 (2 updates tracked since 2018).

About Johnny Thanh Nguyen NPPES

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

JOHNNY THANH NGUYEN (NPI 1104308394) is an individual surgical provider in Bellevue, Washington and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS, is affiliated with Overlake Hospital Medical Center, and maintains a secondary practice location in Seattle.

NPPES Registry Identity

NPI1104308394
Entity TypeIndividualMale
Primary Taxonomy363AS0400X
Provider Legal NameJOHNNY THANH NGUYEN
Location Address1135 116TH AVE NE STE 605Bellevue, WA 98004-4697
Mailing Address1135 116th Ave Ne Ste 605Bellevue, WA 98004-4697 · (425) 454-8161 · Fax (425) 454-9304
Phone(425) 454-8161
Fax(425) 454-9304
Sole ProprietorNo
Medical School CMSOtherGraduated 2019
Enumeration DateSeptember 4, 2018
Last NPPES UpdateAugust 29, 20192 updates tracked since enumeration
✔ NPI 1104308394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1135 116TH AVE NE STE 605, Bellevue, WA 98004
Open in Google Maps ↗

Secondary Practice Location 1

Location 14311 11th Ave NE Ste 200Seattle, WA 98105-6367 · Phone (206) 616-4001 · Fax (206) 616-3889

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska, Providence Health Plan.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Johnny Thanh Nguyen is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7214362037
PECOS Enrollment IDI20200123002710
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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Removal of lymph nodes of chest cavity using an endoscope 32674
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to access and remove lymph nodes in the chest cavity. It's a minimally invasive method, which can help in diagnosing or treating certain conditions.
13 services13 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Overlake Hospital Medical Center

Acute Care Hospitals · Bellevue, WA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number500051
Location1035-116th Ave NEBellevue, WA 98004 · King County
Emergency services Birthing friendly

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.

79.16/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality74.53
Promoting Interoperability100
Improvement Activities40
Cost56.02

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 Johnny Nguyen's NPI number?

The NPI number for Johnny Nguyen is 1104308394. It was assigned to this individual provider in the NPPES registry on September 4, 2018.

Where is Johnny Nguyen located?

Johnny Nguyen practices at 1135 116th Ave NE Ste 605, Bellevue, WA 98004. The listed phone number is (425) 454-8161.

What is Johnny Nguyen's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

Is Johnny Nguyen enrolled in Medicare?

Yes. Johnny Nguyen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Johnny Nguyen accept?

Health plans from Premera Blue Cross Blue Shield of Alaska and Providence Health Plan list Johnny 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.

Is Johnny Nguyen affiliated with any hospitals?

According to CMS data, Johnny Nguyen is affiliated with Overlake Hospital Medical Center.

When was this NPI record last updated?

The NPPES record for Johnny Nguyen was last updated on August 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.