KHOA VAN DANG NGUYEN DPM
NPI 1336775394
Podiatrist - Foot & Ankle Surgery in Phoenixville, PA

Active since March 20, 2020PECOS EnrolledAccepts Medicare Assignment
140 NUTT RD, PHOENIXVILLE, PA 19460(610) 983-1000 Get Directions Write a Review

NPPES record last updated: June 8, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Jun 18, 2023, Mar 20, 2020 (2 updates tracked since 2020).

About Khoa Van Dang Nguyen Dpm NPPES

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

KHOA VAN DANG NGUYEN DPM (NPI 1336775394) is an individual foot & ankle surgery provider in Phoenixville, Pennsylvania, licensed in California (E6245) and active in the NPI registry since March 2020. He is enrolled in Medicare PECOS, maintains a secondary practice location in Sacramento, and is a graduate of California School Of Podiatric Medicine (2023).

NPPES Registry Identity

NPI1336775394
Entity TypeIndividualMale
Primary Taxonomy213ES0103X
Provider Legal NameKHOA VAN DANG NGUYENCredential: DPM
Location Address140 NUTT RDPhoenixville, PA 19460-3906
Mailing Address7701 Lakewood Park DrSacramento, CA 95828-4966 · (909) 343-2279
Sole ProprietorYes
Medical School CMSCalifornia School Of Podiatric MedicineGraduated 2023
Enumeration DateMarch 20, 2020
Last NPPES UpdateJune 8, 20262 updates tracked since enumeration
NPPES CertifiedJune 8, 2026
✔ NPI 1336775394 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPodiatrist · Foot & Ankle SurgeryPodiatric Medicine & Surgery Service Providers
Taxonomy Code213ES0103X
License✔ Licensed in CA · E6245
140 NUTT RD, Phoenixville, PA 19460

Secondary Practice Location 1

Location 17701 Lakewood Park DrSacramento, CA 95828-4966 · Phone (909) 343-2279

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

Khoa Van Dang Nguyen Dpm 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 ID6103382882
PECOS Enrollment IDI20260803001044
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 Khoa Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Orthopaedic Surgery
2151 HERNDON AVE STE 105
Fresno, CA 93611
  • Reassigned Medicare billing, California enrollment
  • 508 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.

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.

Student in an Organized Health Care Education/Training Program
140 NUTT RD
PHOENIXVILLE, PA 19460
Student in an Organized Health Care Education/Training Program
140 NUTT RD
PHOENIXVILLE, PA 19460
Student in an Organized Health Care Education/Training Program
140 NUTT RD
PHOENIXVILLE, PA 19460
Hospitalist
140 NUTT RD
PHOENIXVILLE, PA 19460
Internal Medicine
140 NUTT RD
PHOENIXVILLE, PA 19460
Student in an Organized Health Care Education/Training Program
140 NUTT RD
PHOENIXVILLE, PA 19460
Podiatrist (Foot & Ankle Surgery)
140 NUTT RD
PHOENIXVILLE, PA 19460
Nurse Anesthetist, Certified Registered
140 NUTT RD
PHOENIXVILLE, PA 19460

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 Khoa Nguyen's NPI number?

The NPI number for Khoa Nguyen is 1336775394. It was assigned to this individual provider in the NPPES registry on March 20, 2020.

Where is Khoa Nguyen located?

Khoa Nguyen practices at 140 Nutt Rd, Phoenixville, PA 19460. The listed phone number is (610) 983-1000.

What is Khoa Nguyen's specialty?

The primary specialty registered for this NPI is Podiatrist, specializing in Foot & Ankle Surgery, with taxonomy code 213ES0103X.

Is Khoa Nguyen enrolled in Medicare?

Yes. Khoa 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 organization bills Medicare for Khoa Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Khoa Nguyen reassigns Medicare benefits to Community Foundation Medical Group (Fresno, CA). 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 Khoa Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Khoa Nguyen was last updated on June 8, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.