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DEREK NGUYEN
NPI 1205457074
Student in an Organized Health Care Education/Training Program in Denver, CO

Active since May 02, 2020PECOS Enrolled
3055 ROSLYN ST UNIT 100, DENVER, CO 80238(720) 553-2696 Get Directions Write a Review

NPPES record last updated: June 19, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 19, 2023, Jun 9, 2020 (2 updates tracked since 2020).

About Derek Nguyen NPPES

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

DEREK NGUYEN (NPI 1205457074) is an individual student in an organized health care education/training program in Denver, Colorado, licensed in Colorado (TL.0009856) and active in the NPI registry since May 2020. He is enrolled in Medicare PECOS and maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1205457074
Entity TypeIndividualMale
Primary Taxonomy390200000X
Provider Legal NameDEREK NGUYEN
Location Address3055 ROSLYN ST UNIT 100Denver, CO 80238-3324
Mailing Address3055 Roslyn St Unit 100Denver, CO 80238-3324 · (720) 553-2696
Phone(720) 553-2696
Sole ProprietorNo
Enumeration DateMay 2, 2020
Last NPPES UpdateJune 19, 20232 updates tracked since enumeration
NPPES CertifiedJune 19, 2023
✔ NPI 1205457074 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
License✔ Licensed in CO · TL.0009856
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
3055 ROSLYN ST UNIT 100, Denver, CO 80238
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Secondary Practice Location 1

Location 1800 Stanton L Young BlvdOklahoma City, OK 73104-5018 · Phone (405) 271-2316

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Derek 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.

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. NAOMI ELKA MALAM MD
Family Medicine
3055 ROSLYN ST UNIT 100
DENVER, CO 80238
Denver County (720) 848-0000
HALEH FARR MATINRAD MD
Student in an Organized Health Care Education/Training Program
3055 ROSLYN ST UNIT 100
DENVER, CO 80238
Denver County (720) 553-2696
LILLIAN TOASPERN MD
Student in an Organized Health Care Education/Training Program
3055 ROSLYN ST UNIT 100
DENVER, CO 80238
Denver County (720) 553-2696
ALLISON JACQUELINE COSTELLO MD, MBA
Family Medicine
3055 ROSLYN ST UNIT 100
DENVER, CO 80238
Denver County (720) 848-9000
AARON LESLIE BERGMAN PHD
Psychologist (Clinical)
3055 ROSLYN ST UNIT 100
DENVER, CO 80238
Denver County (720) 848-0000
HANNAH KIMMEL SUPRON MD, MPH
Student in an Organized Health Care Education/Training Program
3055 ROSLYN ST UNIT 100
DENVER, CO 80238
Denver County (720) 553-2696
UNIVERSITY PHYSICIANS INCORPORATED
Family Medicine
3055 ROSLYN ST UNIT 100
DENVER, CO 80238
Denver County (720) 848-9000
DR. BREANNA DANIELLE HOUSS MD
Student in an Organized Health Care Education/Training Program
3055 ROSLYN ST UNIT 100
DENVER, CO 80238
Denver County (303) 697-2583

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 Derek Nguyen's NPI number?

The NPI number for Derek Nguyen is 1205457074. It was assigned to this individual provider in the NPPES registry on May 2, 2020.

Where is Derek Nguyen located?

Derek Nguyen practices at 3055 Roslyn St Unit 100, Denver, CO 80238. The listed phone number is (720) 553-2696.

What is Derek Nguyen's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Derek Nguyen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Derek Nguyen was last updated on June 19, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.