MICHAEL ONG NGUYEN MD
NPI 1174028138
Dermatology in Encino, CA

NPI Status: Active since March 29, 2018

Contact Information

15503 VENTURA BLVD
ENCINO, CA
ZIP 91436
Phone: (818) 461-8148
Fax: (818) 461-8105

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  • Individual
  • Male
  • Years of Experience 7
  • Dermatology
  • PECOS Enrolled
  • Accepts Medicare Approved Payment

About MICHAEL NGUYEN

Michael Nguyen is a provider established in Encino, California and his medical specialization is Dermatology with more than 7 years of experience. He graduated from Harvard Medical School in 2018. The healthcare provider is registered in the NPI registry with number 1174028138 assigned on March 2018. The practitioner's primary taxonomy code is 207N00000X with license number A164715 (CA). The provider is registered as an individual and his NPI record was last updated 2 years ago.

NPI
1174028138
Provider Name
MICHAEL ONG NGUYEN MD
Gender
Male
Entity Type
Individual
Location Address
15503 VENTURA BLVD ENCINO, CA 91436
Location Phone
(818) 461-8148
Location Fax
(818) 461-8105
Mailing Address
5767 W CENTURY BLVD STE 400 LOS ANGELES, CA 90045
Mailing Phone
(310) 301-8707
Mailing Fax
(818) 461-8105
Medical School Name
HARVARD MEDICAL SCHOOL
Graduation Year
2018
Is Sole Proprietor?
No
Enumeration Date
03-29-2018
Last Update Date
08-29-2022
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A dermatologist like Michael Nguyen is a medical specialty involving the management of skin conditions and diseases. Dermatologists diagnose some sexually transmitted diseases, warts, cancer, acne, dermatitis and may offer cosmetic treatments, and therapies that reduce age spots and wrinkles.

Michael Nguyen is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

The typical physician office visit costs for Medicare beneficiaries in this area are: $24.87 for a new patient copayment and $20.28 for an established patient copayment.

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

Dermatology

Taxonomy Code
207N00000X
Type
Allopathic & Osteopathic Physicians
License No.
A164715
License State
CA
Taxonomy Description
A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging.

PECOS Enrollment and Medicare Participation Status

Michael Nguyen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

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.

  • Is the provider registered in PECOS? Yes

  • PECOS PAC ID: 3274964051

    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: I20220721001308

    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? Yes

    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.

  • Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes

  • Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes

  • Eligible to Order or Refer a Home Health Agency (HHA): Yes

  • Eligible to Order or Refer Power Mobility Devices: Yes

Physician Visit Costs

The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.

For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.

The prices below reflect the costs for new and established patients in the 91436 ZIP code area.

New Patients Visit Costs *

The most utilized procedure code for new patients office visits is 99203

  • Average New Patient Price $99.5
  • Minimum New Patient Price $65.18
  • Maximum New Patient Price $194.87
  • Average New Patient Copayment $24.87
  • Minimum New Patient Copayment $16.29
  • Maximum New Patient Copayment $48.71

Established Patients Visit Costs *

The most utilized procedure code for established patients office visits is 99213

  • Average Established Patient Price $81.14
  • Minimum Established Patient Price $20.89
  • Maximum Established Patient Price $159.82
  • Average Established Patient Copayment $20.28
  • Minimum Established Patient Copayment $5.22
  • Maximum Established Patient Copayment $39.95

* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Hospital Affiliations

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Michael Nguyen is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL1250 16TH STREET
SANTA MONICA, CA 90404
(310) 319-4000Acute Care Hospitals
RONALD REAGAN UCLA MEDICAL CENTER757 WESTWOOD PLAZA
LOS ANGELES, CA 90095
(310) 825-6301Acute Care Hospitals

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1174028138
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
21144021616
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 1 + 1 + 4 + 4 + 0 + 2 + 1 + 6 + 1 + 6 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1174028138 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 7 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1881935823HONEST DERMATOLOGY MEDICAL GROUP
Organization
Dermatology15503 VENTURA BLVD SUITE 370
ENCINO, CA 91436
(818) 789-3811
1013249275 MELISSA SUE BROWN PA-C
Individual
Physician Assistant15503 VENTURA BLVD SUITE 370
ENCINO, CA 91436
(818) 789-3811
1609141639HUNTINGTON REPRODUCTIVE CENTER MEDICAL GROUP, A MEDICAL CORPORATION
Organization
Clinical Medical Laboratory15503 VENTURA BLVD SUITE 200
ENCINO, CA 91436
(818) 788-7288
1780116707 KELSEY THOMAS-BOISVERT MD
Individual
Family Medicine15503 VENTURA BLVD
ENCINO, CA 91436
(818) 461-8148
1558009878 JOHANNA P. SALAZAR MS, RDN
Individual
Student in an Organized Health Care Education/Training Program15503 VENTURA BLVD
ENCINO, CA 91436
(562) 424-4055
1881048072 LEI LEI
Individual
Internal Medicine (Endocrinology, Diabetes & Metabolism)15503 VENTURA BLVD
ENCINO, CA 91436
(818) 461-8148
1457024762 KRISTAL MADDEN PA-C
Individual
Physician Assistant15503 VENTURA BLVD
ENCINO, CA 91436
(818) 995-8044

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174028138, enumerated in the NPI registry as an "individual" on March 29, 2018

The provider is located at 15503 Ventura Blvd Encino, Ca 91436 and the phone number is (818) 461-8148

The provider's speciality is Dermatology with taxonomy code 207N00000X

The provider has more than 7 years of experience. He graduated from Harvard Medical School in 2018.

Yes, as of July 02, 2024 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary the provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.

Medicare beneficiaries should expect a typical cost of $99.5 with an average copayment of $24.87 for new patient appointments. Established patients should expect a typical charge of $81.14 and an average copayment of 20.28. Please review your insurance plan or contact the provider directly to determine your specific costs.

The practitioner is affiliated to the following hospital(s): SANTA MONICA - UCLA MED CTR & ORTHOPAEDIC HOSPITAL and RONALD REAGAN UCLA MEDICAL CENTER. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on March 29, 2018. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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