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KEVIN NGUYEN DO
NPI 1104566397
Student in an Organized Health Care Education/Training Program in Scranton, PA

Active since March 29, 2022PECOS Enrolled
501 S WASHINGTON AVE, SCRANTON, PA 18505(570) 343-2383 Get Directions Write a Review

NPPES record last updated: March 29, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Kevin Nguyen Do NPPES

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

KEVIN NGUYEN DO (NPI 1104566397) is an individual student in an organized health care education/training program in Scranton, Pennsylvania and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1104566397
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameKEVIN NGUYENCredential: DO
Location Address501 S WASHINGTON AVEScranton, PA 18505-3814
Mailing Address18201 S 3rd StFountain Valley, CA 92708-4426 · (714) 724-2783
Phone(570) 343-2383
Sole ProprietorYes
Enumeration DateMarch 29, 2022
NPPES CertifiedMarch 28, 2022
✔ NPI 1104566397 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.
501 S WASHINGTON AVE, Scranton, PA 18505
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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Kevin Nguyen Do 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.

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.

DOUGLAS FISHER DO
Student in an Organized Health Care Education/Training Program
501 S WASHINGTON AVE
SCRANTON, PA 18505
Lackawanna County (570) 343-2383
DR. RAMSHA KHAN DO
Student in an Organized Health Care Education/Training Program
501 S WASHINGTON AVE
SCRANTON, PA 18505
Lackawanna County (570) 343-2383
MRS. MARIAM CHELIDZE MD
Student in an Organized Health Care Education/Training Program
501 S WASHINGTON AVE
SCRANTON, PA 18505
Lackawanna County (570) 343-2383
JONATHAN YI DO
Family Medicine
501 S WASHINGTON AVE
SCRANTON, PA 18505
Lackawanna County (570) 343-2383
GRIFFIN BURKE NEVILLE MD
Student in an Organized Health Care Education/Training Program
501 S WASHINGTON AVE
SCRANTON, PA 18505
Lackawanna County (570) 343-2383
DR. MEAGHAN PATRICIA RUDDY PHD
Clinical Ethicist
501 S WASHINGTON AVE, STE 1000
SCRANTON, PA 18505
Lackawanna County (570) 371-7176
DR. WAIL ALSAFI MD
Internal Medicine
501 S WASHINGTON AVE
SCRANTON, PA 18505
Lackawanna County (904) 613-8158
DEEPINDER SAMRA MD
Student in an Organized Health Care Education/Training Program
501 S WASHINGTON AVE
SCRANTON, PA 18505
Lackawanna County (570) 591-5131

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 Kevin Nguyen's NPI number?

The NPI number for Kevin Nguyen is 1104566397. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Where is Kevin Nguyen located?

Kevin Nguyen practices at 501 S Washington Ave, Scranton, PA 18505. The listed phone number is (570) 343-2383.

What is Kevin Nguyen's specialty?

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

Is Kevin Nguyen enrolled in Medicare?

Yes. Kevin Nguyen is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Kevin Nguyen was last updated on March 29, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.