1. Home
  2. Directory
  3. Rhode Island
  4. Providence
  5. Internal Medicine
  6. NPI Profile

QUYNH-LAN VIET NGUYEN M.D
NPI 1184064149
Internal Medicine in Providence, RI

Active since July 04, 2013PECOS EnrolledAccepts Medicare Assignment
52.56/100
CMS Quality Rating
825 CHALKSTONE AVE, PROVIDENCE, RI 02908(401) 456-2033 Get Directions Write a Review

NPPES record last updated: December 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Quynh-lan Viet Nguyen M.d NPPES

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

QUYNH-LAN VIET NGUYEN M.D (NPI 1184064149) is an individual internal medicine provider in Providence, Rhode Island, licensed in Rhode Island (LP02905) and active in the NPI registry since July 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1184064149
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameQUYNH-LAN VIET NGUYENCredential: M.D
Location Address825 CHALKSTONE AVEProvidence, RI 02908-4728
Mailing Address825 Chalkstone AveProvidence, RI 02908-4728 · (401) 456-2033
Phone(401) 456-2033
Sole ProprietorNo
Medical School CMSOtherGraduated 2013
Enumeration DateJuly 4, 2013
Last NPPES UpdateDecember 20, 2021
✔ NPI 1184064149 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in RI · LP02905
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
825 CHALKSTONE AVE, Providence, RI 02908
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Medica, Oscar Insurance Company.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

Quynh-lan Viet Nguyen M.d 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 ID1951697895
PECOS Enrollment IDI20231101002950
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 4

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
133 services86 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
36 services25 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
29 services29 patients
Hospital discharge day management, 30 minutes or less 99238
Hospital discharge day management of 30 minutes or less includes finalizing your treatment, discussing your progress, and planning after-care at home. It ensures you're ready to leave the hospital and continue recovery safely.
11 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 02908 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
$134.17 typical visit price
range $58.57 – $177.03
Typical copayment $33.54 (range $14.64 – $44.25)
Most-billed visit code 99204
Established Patient
$103.10 typical visit price
range $18.92 – $144.38
Typical copayment $25.77 (range $4.73 – $36.09)
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.

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.

52.56/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality16.98
Improvement Activities40
Cost60.76

Reported Quality Measures

Care Plan
Percentage of patients aged 65 years and older who have an advance care plan or surrogate decision maker documented in the medical record that an advance care plan was discussed but the patient did not wish or was not able to name a surrogate decision maker…
95%39 patients4/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

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.

DR. TODD F ROBERTS MD
Internal Medicine (Medical Oncology)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-6565
DR. WILLIAM ARTHUR YELLE MD
Anesthesiology
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-2000
IAN M JACOBSON MD
Emergency Medicine
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (330) 493-4443
PROSPECT CHARTERCARE RWMC, LLC
General Acute Care Hospital
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-2000
N PETER LIBBEY M.D.
Pathology (Anatomic Pathology)
825 CHALKSTONE AVE, ROGER WILLIAMS MEDICAL CENTER/PATHOLOGY DEPT.
PROVIDENCE, RI 02908
Providence County (401) 456-2162
GARRICK MARK WHITLOCK CRNA
Nurse Anesthetist, Certified Registered
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-2000
DR. JOHN WESLEY PATRESAN MD
Internal Medicine (Hematology & Oncology)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-2000
VALERIE JEAN ZUERCHER
Social Worker (Clinical)
825 CHALKSTONE AVE
PROVIDENCE, RI 02908
Providence County (401) 456-4807

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 Quynh-lan Nguyen's NPI number?

The NPI number for Quynh-lan Nguyen is 1184064149. It was assigned to this individual provider in the NPPES registry on July 4, 2013.

Where is Quynh-lan Nguyen located?

Quynh-lan Nguyen practices at 825 Chalkstone Ave, Providence, RI 02908. The listed phone number is (401) 456-2033.

What is Quynh-lan Nguyen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Quynh-lan Nguyen enrolled in Medicare?

Yes. Quynh-lan 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 Quynh-lan Nguyen accept?

Health plans from Medica and Oscar Insurance Company list Quynh-lan 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.

When was this NPI record last updated?

The NPPES record for Quynh-lan Nguyen was last updated on December 20, 2021. 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.