DR. LAN T. NGUYEN MD
NPI 1265753040
Internal Medicine in Honolulu, HI

Active since June 16, 2010PECOS EnrolledAccepts Medicare Assignment
86.2/100
CMS Quality Rating
1301 PUNCHBOWL ST, HONOLULU, HI 96813(808) 366-8167(855) 437-1594 Get Directions Write a Review

NPPES record last updated: July 23, 2021. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 23, 2021, Jun 27, 2018 (2 updates tracked since 2018).

About Dr. Lan T. Nguyen Md NPPES

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

DR. LAN T. NGUYEN MD (NPI 1265753040) is an individual internal medicine provider in Honolulu, Hawaii, licensed in Hawaii (MD18631) and active in the NPI registry since June 2010. She is enrolled in Medicare PECOS, is affiliated with The Queens Medical Center, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1265753040
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameDR. LAN T. NGUYENCredential: MD
Location Address1301 PUNCHBOWL STHonolulu, HI 96813-2402
Mailing Address46-006 Nana PlKaneohe, HI 96744-3644 · (619) 957-4907
Fax(855) 437-1594
Sole ProprietorYes
Medical School CMSOtherGraduated 1999
Enumeration DateJune 16, 2010
Last NPPES UpdateJuly 23, 20212 updates tracked since enumeration
NPPES CertifiedJune 27, 2021
✔ NPI 1265753040 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
Licenses✔ Licensed in HI · MD18631✔ Licensed in CA · A118694
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.
1301 PUNCHBOWL ST, Honolulu, HI 96813

Secondary Practice Locations 2

Location 191-2141 Fort Weaver RdEwa Beach, HI 96706-1993 · Phone (808) 366-8167 · Fax (855) 437-1594
Location 246-006 Nana PlKaneohe, HI 96744-3644 · Phone (619) 957-4907

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

Dr. Lan T. 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 ID345487435
PECOS Enrollment IDI20160908000296
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

4

Medicare enrollment records show Lan Nguyen reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Internal Medicine
1301 PUNCHBOWL ST
Honolulu, HI 96813
  • Reassigned Medicare billing, Hawaii enrollment
Multi-Specialty
888 S KING ST
Honolulu, HI 96813
  • Reassigned Medicare billing, Hawaii enrollment
  • 664 clinicians in this Medicare group
Health Maintenance Organization
3288 MOANALUA RD
Honolulu, HI 96819
  • Reassigned Medicare billing, Hawaii enrollment
  • 1,187 clinicians in this Medicare group
Hospitalist
400 N PEPPER AVE
Colton, CA 92324
  • Reassigned Medicare billing, California enrollment
  • 338 clinicians in this Medicare group

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 3

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.
543 services90 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.
74 services67 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
57 services53 patients

Hospital Affiliations CMS Care Compare 3

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

The Queens Medical Center

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number120001
Location1301 Punchbowl StHonolulu, HI 96813 · Honolulu County
Emergency services Birthing friendly

Straub Clinic And Hospital

Acute Care Hospitals · Honolulu, HI
4/5 CMS rating
OwnershipProprietary
CMS Certification Number120022
Location888 S King StreetHonolulu, HI 96813 · Honolulu County
Emergency services
OwnershipVoluntary non-profit - Private
CMS Certification Number123300
Location1319 Punahou StreetHonolulu, HI 96826 · Honolulu County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 96813 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
$136.68 typical visit price
range $60.53 – $180.05
Typical copayment $34.17 (range $15.13 – $45.01)
Most-billed visit code 99204
Established Patient
$105.65 typical visit price
range $20.09 – $147.56
Typical copayment $26.41 (range $5.02 – $36.89)
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.

86.2/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality80.28
Promoting Interoperability100
Improvement Activities40
Cost73.72

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…
100%65 patients5/55-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.

Internal Medicine (Critical Care Medicine)
1301 PUNCHBOWL ST
HONOLULU, HI 96813
Internal Medicine (Pulmonary Disease)
1301 PUNCHBOWL ST
HONOLULU, HI 96813
Hospitalist
1301 PUNCHBOWL ST
HONOLULU, HI 96813
Physician Assistant
1301 PUNCHBOWL ST
HONOLULU, HI 96813
Psychiatric Hospital
1301 PUNCHBOWL ST
HONOLULU, HI 96813
Specialist
1301 PUNCHBOWL ST
HONOLULU, HI 96813
Physical Therapist
1301 PUNCHBOWL ST
HONOLULU, HI 96813
Psychiatry & Neurology (Psychiatry)
1301 PUNCHBOWL ST
HONOLULU, HI 96813

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 Lan Nguyen's NPI number?

The NPI number for Lan Nguyen is 1265753040. It was assigned to this individual provider in the NPPES registry on June 16, 2010.

Where is Lan Nguyen located?

Lan Nguyen practices at 1301 Punchbowl St, Honolulu, HI 96813. The listed phone number is (808) 366-8167.

What is Lan Nguyen's specialty?

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

Is Lan Nguyen enrolled in Medicare?

Yes. 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.

Which organizations bill Medicare for Lan Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Lan Nguyen reassigns Medicare benefits to 4 organizations: Work Well Live Well LLC (Honolulu, HI), Straub Clinic & Hospital (Honolulu, HI), Hawaii Permanente Medical Group Inc (Honolulu, HI) and Quantum Healthcare Medical Associates Inc. (Colton, CA). 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 Lan Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

Is Lan Nguyen affiliated with any hospitals?

According to CMS data, Lan Nguyen is affiliated with The Queens Medical Center, Straub Clinic And Hospital and Kapiolani Medical Center For Women & Children.

When was this NPI record last updated?

The NPPES record for Lan Nguyen was last updated on July 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.