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PAUL NGUYEN
NPI 1184487118
Dentist - General Practice in Virginia, IL

Active since February 01, 2024PECOS Enrolled
331 S MAIN ST, VIRGINIA, IL 62691(217) 452-3057 Get Directions Write a Review

NPPES record last updated: July 18, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Paul Nguyen NPPES

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

PAUL NGUYEN (NPI 1184487118) is an individual general practice provider in Virginia, Illinois, licensed in Illinois (019.035082) and active in the NPI registry since February 2024. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1184487118
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NamePAUL NGUYEN
Location Address331 S MAIN STVirginia, IL 62691-1571
Mailing Address1631 S Michigan Ave Apt 202Villa Park, IL 60181-4101 · (713) 392-8279
Phone(217) 452-3057
Sole ProprietorYes
Enumeration DateFebruary 1, 2024
Last NPPES UpdateJuly 18, 2024
NPPES CertifiedJuly 18, 2024
✔ NPI 1184487118 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in IL · 019.035082
Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
331 S MAIN ST, Virginia, IL 62691
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Home State Health, Ambetter Health, Ambetter Health of Delaware and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Nguyen 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62691 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
$85.71 typical visit price
range $54.80 – $168.44
Typical copayment $21.42 (range $13.70 – $42.11)
Most-billed visit code 99203
Established Patient
$68.64 typical visit price
range $17.16 – $136.56
Typical copayment $17.16 (range $4.29 – $34.14)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

MR. DAVID HERIFORD PA
Physician Assistant
331 S MAIN ST
VIRGINIA, IL 62691
Cass County (217) 452-3507
LARA ELIZABETH VOLLMER N.P.
Nurse Practitioner (Family)
331 S MAIN ST
VIRGNIA, IL 62691
Cass County (217) 452-3057
WILLIAM P CAPATI D.O.
Dentist (General Practice)
331 S MAIN ST
VIRGINIA, IL 62691
Cass County (217) 452-3057
DR. MATTHEW AARON LYNCH D.M.D.
Dentist
331 S MAIN ST
VIRGINIA, IL 62691
Cass County (217) 452-3057
MRS. EVELYN E SHEAFF FNP-BC
Nurse Practitioner (Family)
331 S MAIN ST
VIRGINIA, IL 62691
Cass County (217) 452-3057
SHERRY ANN SLIFER FNP
Nurse Practitioner (Family)
331 S MAIN ST
VIRGINIA, IL 62691
Cass County (217) 452-3057
DR. ERIN PAIGE ALEMAN D.M.D
Dentist
331 S MAIN ST
VIRGINIA, IL 62691
Cass County (217) 452-3057
DOMINIQUE SANCHEZ D.O.
Family Medicine
331 S MAIN ST
VIRGINIA, IL 62691
Cass County (217) 452-3057

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 Paul Nguyen's NPI number?

The NPI number for Paul Nguyen is 1184487118. It was assigned to this individual provider in the NPPES registry on February 1, 2024.

Where is Paul Nguyen located?

Paul Nguyen practices at 331 S Main St, Virginia, IL 62691. The listed phone number is (217) 452-3057.

What is Paul Nguyen's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Is Paul Nguyen enrolled in Medicare?

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

What insurance does Paul Nguyen accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, BEST Life and Blue Cross and Blue Shield of Montana and 7 other insurers list Paul 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 Paul Nguyen was last updated on July 18, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.