JOHN NGUYEN
NPI 1386199529
Chiropractor - Sports Physician in Chicago, IL
About John Nguyen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JOHN NGUYEN (NPI 1386199529) is an individual sports physician in Chicago, Illinois, licensed in Illinois (038.012991) and active in the NPI registry since August 2016. He is a graduate of New York Chiropractic College (2016).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
John Nguyen is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show John Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Chicago, IL 60657
- Reassigned Medicare billing, Illinois enrollment
- 4 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.
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 John Nguyen's NPI number?
The NPI number for John Nguyen is 1386199529. It was assigned to this individual provider in the NPPES registry on August 17, 2016.
Where is John Nguyen located?
John Nguyen practices at 3464 N Lincoln Ave Ste 100, Chicago, IL 60657. The listed phone number is (773) 348-6908.
What is John Nguyen's specialty?
The primary specialty registered for this NPI is Chiropractor, specializing in Sports Physician, with taxonomy code 111NS0005X.
Is John Nguyen enrolled in Medicare?
Yes. John Nguyen is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for John Nguyen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), John Nguyen reassigns Medicare benefits to Wellness Revolution Lakeview LLC (Chicago, IL). 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 John 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 John Nguyen was last updated on February 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# John Nguyen · NPI 1386199529
Sports Physician provider in Chicago, Illinois. Individual provider, active in the CMS NPPES registry since August 17, 2016.
## Identity
- **NPI:** 1386199529 (Entity type: Individual)
- **Enumerated:** August 17, 2016
- **Primary specialty:** Chiropractor - Sports Physician · taxonomy 111NS0005X
- **State license:** 038.012991 (Illinois)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 3464 N LINCOLN AVE STE 100, Chicago, IL 60657-1173
- **Phone:** (773) 348-6908
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** Wellness Revolution Lakeview LLC (NPI 1063920916, Chicago, IL), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** New York Chiropractic College, class of 2016
## Record status
- **NPPES last updated:** February 13, 2024
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Source: [NPI Profile](https://npiprofile.com/npi/1386199529) · Data from the CMS NPPES public registry.