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PAUL NGUYEN
NPI 1326742230
Clinic/Center - Primary Care in Mesa, AZ

Active since March 27, 2023PECOS Enrolled
1300 S COUNTRY CLUB DR STE 3, MESA, AZ 85210(480) 827-5500 Get Directions Write a Review

NPPES record last updated: July 21, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jul 21, 2026, Mar 27, 2023 (2 updates tracked since 2023).

About Paul Nguyen NPPES

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

PAUL NGUYEN (NPI 1326742230) is an individual primary care provider in Mesa, Arizona and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS, maintains a secondary practice location in Phoenix, and is a graduate of University Of Arizona College Of Medicine (2023).

NPPES Registry Identity

NPI1326742230
Entity TypeIndividualMale
Primary Taxonomy261QP2300X
Provider Legal NamePAUL NGUYEN
Location Address1300 S COUNTRY CLUB DR STE 3Mesa, AZ 85210-5162
Mailing Address2331 W La Salle StPhoenix, AZ 85041-3539 · (623) 251-8801
Phone(480) 827-5500
Sole ProprietorNo
Medical School CMSUniversity Of Arizona College Of MedicineGraduated 2023
Enumeration DateMarch 27, 2023
Last NPPES UpdateJuly 21, 20262 updates tracked since enumeration
NPPES CertifiedJuly 21, 2026
✔ NPI 1326742230 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
1300 S COUNTRY CLUB DR STE 3, Mesa, AZ 85210
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Secondary Practice Location 1

Location 11111 E McDowell RdPhoenix, AZ 85006-2612 · Phone (602) 839-2000

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Paul Nguyen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2365809373
PECOS Enrollment IDI20260804001509
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 Reassignment

Medicare enrollment records show Paul Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Banner Primary Care Physicians Arizona LLC
15 mi
Primary Care
2901 N CENTRAL AVE STE 160
Phoenix, AZ 85012
  • Reassigned Medicare billing, Arizona enrollment
  • 271 clinicians in this Medicare group
NPI 1417238908 (602) 747-4000

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 85210 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
$168.60 typical visit price
range $55.44 – $168.60
Typical copayment $42.15 (range $13.86 – $42.15)
Most-billed visit code 99205
Established Patient
$98.00 typical visit price
range $17.72 – $137.41
Typical copayment $24.50 (range $4.43 – $34.35)
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 20

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

OLIVIA TAYLOR
Student in an Organized Health Care Education/Training Program
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Maricopa County (480) 827-5500
DR. ABDELRAHMAN HAFEZ MD
Student in an Organized Health Care Education/Training Program
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Maricopa County (480) 827-5500
CASSIDY S MURPHY FNP
Nurse Practitioner (Family)
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Maricopa County (480) 827-5500
DR. AUSTIN GRANT SIMMONS DO
Student in an Organized Health Care Education/Training Program
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Maricopa County (480) 827-5500
THOMAS FOTAKIS FOSS M.D.
Family Medicine
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Maricopa County (480) 827-5500
VENKAT RAGHAV BHASKARA DO
Student in an Organized Health Care Education/Training Program
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Maricopa County (480) 827-5500
PETER J COOK DO
Student in an Organized Health Care Education/Training Program
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Maricopa County (480) 827-5500
DR. HYTHAM SAMI HAMMAD MD
Student in an Organized Health Care Education/Training Program
1300 S COUNTRY CLUB DR STE 3
MESA, AZ 85210
Maricopa County (480) 827-5500

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 1326742230. It was assigned to this individual provider in the NPPES registry on March 27, 2023.

Where is Paul Nguyen located?

Paul Nguyen practices at 1300 S Country Club Dr Ste 3, Mesa, AZ 85210. The listed phone number is (480) 827-5500.

What is Paul Nguyen's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

Is Paul Nguyen enrolled in Medicare?

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

Which organization bills Medicare for Paul Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Paul Nguyen reassigns Medicare benefits to Banner Primary Care Physicians Arizona LLC (Phoenix, AZ). The 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 Paul Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Paul Nguyen accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and UnitedHealthcare 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 21, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.