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: July 26, 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 146-006 Nana PlKaneohe, HI 96744-3644 · Phone (619) 957-4907
Location 291-2141 Fort Weaver RdEwa Beach, HI 96706-1993 · Phone (808) 366-8167 · Fax (855) 437-1594

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

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.

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.

Radiology (Neuroradiology)
1301 PUNCHBOWL ST
HONOLULU, HI 96813
Radiology (Diagnostic Radiology)
1301 PUNCHBOWL ST
HONOLULU, HI 96813
Radiology (Vascular & Interventional Radiology)
1301 PUNCHBOWL ST
HONOLULU, HI 96813
Nurse Practitioner
1301 PUNCHBOWL ST
HONOLULU, HI 96813
Radiology (Diagnostic Radiology)
1301 PUNCHBOWL ST
HONOLULU, HI 96813
Radiology (Diagnostic Radiology)
1301 PUNCHBOWL ST
HONOLULU, HI 96813
Radiology (Diagnostic Radiology)
1301 PUNCHBOWL ST
HONOLULU, HI 96813
Registered Nurse
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.

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 with the weekly NPPES data releases published by CMS.