KOLBY VAN NGUYEN
NPI 1104707595
Anesthesiologist Assistant in Pembroke Pines, FL
NPI Status: Active since September 11, 2025
Contact Information
7800 SHERIDAN ST
PEMBROKE PINES, FL
ZIP 33024
Phone: (954) 939-5000
- Individual
- Male
- Years of Experience 4
- Anesthesiologist Assistant
- May Accept Medicare Approved Payment
About KOLBY NGUYEN
This page provides the complete NPI Profile along with additional information for Kolby Nguyen, a provider established in Pembroke Pines, Florida with a medical specialization in Anesthesiologist Assistant and more than 4 years of experience. The healthcare provider is registered in the NPI registry with number 1104707595 assigned on September 2025. The practitioner's primary taxonomy code is 367H00000X. The provider is registered as an individual and his NPI record was last updated one year ago.
- NPI
- 1104707595
- Provider Name
- KOLBY VAN NGUYEN
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 7800 SHERIDAN ST PEMBROKE PINES, FL 33024
- Location Phone
- (954) 939-5000
- Mailing Address
- 9520 SEAGRAPE DR APT 201 DAVIE, FL 33324
- Medical School Name
- OTHER
- Graduation Year
- 2022
- Is Sole Proprietor?
- No
- Enumeration Date
- 09-11-2025
- Last Update Date
- 09-11-2025
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Anesthesiologist Assistant
- Taxonomy Code
- 367H00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License State
- FL
- Taxonomy Description
- An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.
Medicare Participation & PECOS Enrollment Status
Kolby Nguyen is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
PECOS PAC ID: 2860998374
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20251003000293
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Reviews for KOLBY VAN NGUYEN
There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.
NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1104707595, we treat the final digit (5) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 55. The final step is to find the difference between that total and the next multiple of ten (60 - 55 = 5).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 55 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
PEMBROKE PINES, FL 33024
PEMBROKE PINES, FL 33024
PEMBROKE PINES, FL 33024
PEMBROKE PINES, FL 33024
PEMBROKE PINES, FL 33024
PEMBROKE PINES, FL 33024
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1104707595, enumerated as an "individual" on September 11, 2025.
The provider is located at 7800 SHERIDAN ST PEMBROKE PINES, FL 33024 and the phone number is (954) 939-5000.
Anesthesiologist Assistant with taxonomy code 367H00000X.
