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DR. THAN NGUYEN D.O.
NPI 1316207236
Internal Medicine in Berkeley, CA

Active since May 24, 2012PECOS EnrolledAccepts Medicare Assignment
2850 TELEGRAPH AVE STE 130, BERKELEY, CA 94705(510) 204-8120(510) 506-7721 Get Directions Write a Review

NPPES record last updated: November 20, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Nov 20, 2025, Feb 11, 2022 (2 updates tracked since 2022).

About Dr. Than Nguyen D.o. NPPES

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

DR. THAN NGUYEN D.O. (NPI 1316207236) is an individual internal medicine provider in Berkeley, California, licensed in Michigan (L2226995) and active in the NPI registry since May 2012. He is enrolled in Medicare PECOS, maintains a secondary practice location in Farmington Hills, and is a graduate of Lake Erie College Of Osteopathic Medicine, Erie (2012).

NPPES Registry Identity

NPI1316207236
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. THAN NGUYENCredential: D.O.
Location Address2850 TELEGRAPH AVE STE 130Berkeley, CA 94705-1159
Mailing Address28050 Grand River AveFarmington Hills, MI 48336-5919
Phone(510) 204-8120
Fax(510) 506-7721
Sole ProprietorYes
Medical School CMSLake Erie College Of Osteopathic Medicine, ErieGraduated 2012
Enumeration DateMay 24, 2012
Last NPPES UpdateNovember 20, 20252 updates tracked since enumeration
NPPES CertifiedNovember 20, 2025
✔ NPI 1316207236 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in MI · L2226995
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.
Also ListedInternal Medicine · GastroenterologyTaxonomy 207RG0100X · License 20A15824 (CA)
2850 TELEGRAPH AVE STE 130, Berkeley, CA 94705
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Secondary Practice Location 1

Location 128050 Grand River AveFarmington Hills, MI 48336-5919 · Phone (248) 471-8224

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. Than Nguyen D.o. 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 ID5698068583
PECOS Enrollment IDI20190122000929
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 94705 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
$153.83 typical visit price
range $69.00 – $202.35
Typical copayment $38.45 (range $17.25 – $50.58)
Most-billed visit code 99204
Established Patient
$119.48 typical visit price
range $23.44 – $166.46
Typical copayment $29.87 (range $5.86 – $41.61)
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.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SHANNON LEE MCCUNE M.D.
Family Medicine
2850 TELEGRAPH AVE STE 130
BERKELEY, CA 94705
Alameda County (510) 204-8110
STEPHANIE PETREAS RN, FNP
Nurse Practitioner (Family)
2850 TELEGRAPH AVE STE 130
BERKELEY, CA 94705
Alameda County (510) 204-8110

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 Than Nguyen's NPI number?

The NPI number for Than Nguyen is 1316207236. It was assigned to this individual provider in the NPPES registry on May 24, 2012.

Where is Than Nguyen located?

Than Nguyen practices at 2850 Telegraph Ave Ste 130, Berkeley, CA 94705. The listed phone number is (510) 204-8120.

What is Than Nguyen's specialty?

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

Is Than Nguyen enrolled in Medicare?

Yes. Than 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.

When was this NPI record last updated?

The NPPES record for Than Nguyen was last updated on November 20, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.