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JAMES NGUYEN MD
NPI 1154363323
Family Medicine in New York, NY

Active since June 12, 2006PECOS EnrolledAccepts Medicare Assignment
21 E 22ND ST, NEW YORK, NY 10010(212) 460-7800(212) 460-7877 Get Directions Write a Review

NPPES record last updated: September 30, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Sep 20, 2019, Mar 17, 2018, Nov 13, 2017 (3 updates tracked since 2017).

About James Nguyen Md NPPES

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

JAMES NGUYEN MD (NPI 1154363323) is an individual family medicine provider in New York, New York, licensed in New York (232010) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS, is affiliated with Nyu Langone Hospitals, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154363323
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES NGUYENCredential: MD
Location Address21 E 22ND STNew York, NY 10010-5332
Mailing Address55 Water St Fl 2New York, NY 10041-0010 · (646) 680-2888 · Fax (516) 542-5556
Phone(212) 460-7800
Fax(212) 460-7877
Sole ProprietorNo
Medical School CMSMidwestern University, Chicago College Of Osteopathic MedGraduated 2001
Enumeration DateJune 12, 2006
Last NPPES UpdateSeptember 30, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 30, 2025
✔ NPI 1154363323 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in NY · 232010
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
21 E 22ND ST, New York, NY 10010
Open in Google Maps ↗

Secondary Practice Locations 2

Location 1215 East 95th StreetNew York, NY 10128-4007 · Phone (212) 996-8000 · Fax (212) 423-3127
Location 2324 E 23rd StNew York, NY 10010-4701 · Phone (212) 460-7800

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Nguyen Md 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 ID6507820214
PECOS Enrollment IDI20041112000771
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 Reassignments

2

Medicare enrollment records show James Nguyen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Advantagecare Physicians PC
3.7 mi
General Practice
215 E 95TH ST
New York, NY 10128
  • Reassigned Medicare billing, New York enrollment
  • 724 clinicians in this Medicare group
NPI 1336578772 (212) 996-8000
New York University
1,038 mi
Cardiovascular Disease
3301 QUANTUM BLVD
Boynton Beach, FL 33426
  • Reassigned Medicare billing, New York enrollment
  • 7,712 clinicians in this Medicare group
NPI 1285826438 (877) 648-2964

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

Areas of Expertise CMS Part B claims 9

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
174 services82 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services48 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
23 services23 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
22 services22 patients
Annual wellness visit; includes a personalized prevention plan of service (pps), initial visit G0438
An annual wellness visit is a yearly appointment with your doctor to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's an opportunity to discuss your health status and goals and get a plan tailored for you.
20 services20 patients
Influenza vaccine split virus, preservative free 90662
The Influenza Vaccine Split Virus, preservative-free, is a flu shot to protect against the influenza virus. It is made from parts of inactivated flu viruses and doesn't contain preservatives, reducing potential side effects. It helps your body develop immunity to the flu.
19 services19 patients

Hospital Affiliations CMS Care Compare

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

Nyu Langone Hospitals

Acute Care Hospitals · New York, NY
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number330214
Location550 First AvenueNew York, NY 10016 · New York County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 10010 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$102.04 typical visit price
range $65.69 – $198.19
Typical copayment $25.51 (range $16.42 – $49.54)
Most-billed visit code 99203
Established Patient
$114.88 typical visit price
range $21.20 – $160.66
Typical copayment $28.72 (range $5.30 – $40.16)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
3 suppliers11 claims22 services$5.38 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 7

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

DR. CLARIS A GAUTREAUX M.D.
Family Medicine
21 E 22ND ST
NEW YORK, NY 10010
New York County (212) 460-7800
JULIE MASON MORGAN M.D.
Internal Medicine
21 E 22ND ST
NEW YORK, NY 10010
New York County (212) 460-7800
DR. CATHYANN CORRADO DPM
Podiatrist
21 E 22ND ST
NEW YORK, NY 10010
New York County (212) 460-7800
DR. ANJNA NAIN GANATRA MD
Family Medicine
21 E 22ND ST
NEW YORK, NY 10010
New York County (212) 460-7800
JASON H KINDT D.O.
Family Medicine
21 E 22ND ST
NEW YORK, NY 10010
New York County (212) 460-7800
DR. AMITA VADADA M.D.
Ophthalmology
21 E 22ND ST
NEW YORK, NY 10010
New York County (212) 460-7800
MS. A DEBORAH HIRSCH LCSW
Social Worker (Clinical)
21 E 22ND ST, #11B
NEW YORK, NY 10010
New York County (212) 979-9766

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 James Nguyen's NPI number?

The NPI number for James Nguyen is 1154363323. It was assigned to this individual provider in the NPPES registry on June 12, 2006.

Where is James Nguyen located?

James Nguyen practices at 21 E 22nd St, New York, NY 10010. The listed phone number is (212) 460-7800.

What is James Nguyen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Nguyen enrolled in Medicare?

Yes. James 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.

Which organizations bill Medicare for James Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), James Nguyen reassigns Medicare benefits to 2 organizations: Advantagecare Physicians PC (New York, NY) and New York University (Boynton Beach, FL). Each 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 James Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does James Nguyen accept?

Health plans from Blue Cross and Blue Shield of Texas list James 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 James Nguyen affiliated with any hospitals?

According to CMS data, James Nguyen is affiliated with Nyu Langone Hospitals.

When was this NPI record last updated?

The NPPES record for James Nguyen was last updated on September 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 months 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.