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DR. HOAI NGHIA NGUYEN M.D.
NPI 1508815929
Internal Medicine in Massillon, OH

Active since May 10, 2006PECOS EnrolledAccepts Medicare Assignment
7452 FULTON DR NW, MASSILLON, OH 44646(330) 837-9249(330) 837-3054 Get Directions Write a Review

NPPES record last updated: November 6, 2009. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Hoai Nghia Nguyen M.d. NPPES

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

DR. HOAI NGHIA NGUYEN M.D. (NPI 1508815929) is an individual internal medicine provider in Massillon, Ohio, licensed in Ohio (35072978) and active in the NPI registry since May 2006. He is enrolled in Medicare PECOS, is affiliated with Akron General Medical Center, and is a graduate of University Of Miami, Lm Miller School Of Medicine (1993).

NPPES Registry Identity

NPI1508815929
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameDR. HOAI NGHIA NGUYENCredential: M.D.
Location Address7452 FULTON DR NWMassillon, OH 44646-9393
Mailing Address7452 Fulton Dr NwMassillon, OH 44646-9393 · (330) 837-9249 · Fax (330) 837-3054
Phone(330) 837-9249
Fax(330) 837-3054
Sole ProprietorYes
Medical School CMSUniversity Of Miami, Lm Miller School Of MedicineGraduated 1993
Enumeration DateMay 10, 2006
Last NPPES UpdateNovember 6, 2009
✔ NPI 1508815929 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 OH · 35072978
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 ListedPediatricsTaxonomy 208000000X · License 35072978 (OH)
7452 FULTON DR NW, Massillon, OH 44646
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Other Identifiers 3

Medicaid2158221OH
Medicare ID-Type UnspecifiedNG0898535
Medicare UPINH09081

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

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

Dr. Hoai Nghia Nguyen M.d. 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 ID8820999469
PECOS Enrollment IDI20040116000706
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 Reassignments

3

Medicare enrollment records show Hoai Nghia Nguyen reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Cleveland Clinic Mercy Hospital
5.8 mi
General Acute Care Hospital
1320 MERCY DR NW
Canton, OH 44708
  • Reassigned Medicare billing, Ohio enrollment
  • 235 clinicians in this Medicare group
NPI 1366433195 (330) 489-1000
Mercy Professional Care, LLC
5.8 mi
Internal Medicine
1320 MERCY DR NW, SECOND FLOOR MERCY HALL
Canton, OH 44708
  • Reassigned Medicare billing, Ohio enrollment
  • 127 clinicians in this Medicare group
NPI 1902827876 (330) 471-5930
The Cleveland Clinic Foundation
45 mi
General Acute Care Hospital
9500 EUCLID AVE
Cleveland, OH 44195
  • Reassigned Medicare billing, Ohio enrollment
  • 7,608 clinicians in this Medicare group
NPI 1679525919 (216) 444-2200

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

Areas of Expertise CMS Part B claims 6

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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
243 services93 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
59 services48 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
31 services31 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
28 services28 patients
Office or other outpatient visit for the evaluation and management of established patient that may not require presence of healthcare professional 99211
This service involves an outpatient visit for established patients who may not need direct interaction with a healthcare professional. It could include reviewing test results, monitoring existing conditions, or adjusting treatment plans. It's typically done remotely, ensuring your comfort and convenience.
23 services12 patients
New patient office or other outpatient visit with low level of medical decision making, if using time, 30 minutes or more 99203
This service involves an initial office or outpatient visit for a new patient. The healthcare professional will spend 30-44 minutes understanding your health history, current issues, and discussing possible treatment plans. It's a comprehensive evaluation to start your healthcare journey.
17 services17 patients

Hospital Affiliations CMS Care Compare 3

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Akron General Medical Center

Acute Care Hospitals · Akron, OH
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360027
Location1 Akron General AvenueAkron, OH 44307 · Summit County
Emergency services Birthing friendly

Mercy Medical Center

Acute Care Hospitals · Canton, OH
2/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360070
Location1320 Mercy Drive NWCanton, OH 44708 · Stark County
Emergency services Birthing friendly

Cleveland Clinic

Acute Care Hospitals · Cleveland, OH
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number360180
Location9500 Euclid AvenueCleveland, OH 44195 · Cuyahoga County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 44646 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
$126.12 typical visit price
range $54.34 – $166.65
Typical copayment $31.53 (range $13.58 – $41.66)
Most-billed visit code 99204
Established Patient
$96.44 typical visit price
range $17.10 – $135.40
Typical copayment $24.11 (range $4.27 – $33.85)
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.

Reported Quality Measures

Preventive Care and Screening: Screening for Depression and Follow-Up Plan
Percentage of patients aged 12 years and older screened for depression on the date of the encounter using an age appropriate standardized depression screening tool AND if positive, a follow-up plan is documented on the date of the positive screen
100%97 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.

Referred Medical Equipment & Supplies CMS DME claims 3

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Portable gaseous oxygen system, rental; includes portable container, regulator, flowmeter, humidifier, cannula or mask, and tubing E0431
DME-Oxygen and Supplies · category DC000N
1 supplier15 claims15 services$16.48 avg. paid by Medicare
Oxygen concentrator, single delivery port, capable of delivering 85 percent or greater oxygen concentration at the prescribed flow rate E1390
DME-Oxygen and Supplies · category DC002N
2 suppliers27 claims27 services$74.83 avg. paid by Medicare
Portable gaseous oxygen system, rental; home compressor used to fill portable oxygen cylinders; includes portable containers, regulator, flowmeter, humidifier, cannula or mask, and tubing K0738
DME-Oxygen and Supplies · category DC000N
1 supplier12 claims12 services$28.17 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 6

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

DARCY JO DREVON CNP
Nurse Practitioner (Family)
7452 FULTON DR NW, SUITE B
MASSILLON, OH 44646
Stark County (330) 833-4596
ERIN B. WEBER M.D.
Pediatrics
7452 FULTON DR NW, STE. B
MASSILLON, OH 44646
Stark County (330) 833-4596
DR. MARK E. BRADO D.O.
Family Medicine
7452 FULTON DR NW
MASSILLON, OH 44646
Stark County (330) 830-6110
LINDSAY YOKUM PT
Physical Therapist
7452 FULTON DR NW
MASSILLON, OH 44646
Stark County (330) 833-4596
FRANK D LAZZERINI MD LLC
Family Medicine
7452 FULTON DR NW
MASSILLON, OH 44646
Stark County (330) 830-6211
RITA R. KAZLAUSKAS M.D.
Pediatrics
7452 FULTON DR NW, STE. B
MASSILLON, OH 44646
Stark County (330) 833-4596

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 Hoai Nghia Nguyen's NPI number?

The NPI number for Hoai Nghia Nguyen is 1508815929. It was assigned to this individual provider in the NPPES registry on May 10, 2006.

Where is Hoai Nghia Nguyen located?

Hoai Nghia Nguyen practices at 7452 Fulton Dr NW, Massillon, OH 44646. The listed phone number is (330) 837-9249.

What is Hoai Nghia Nguyen's specialty?

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

Is Hoai Nghia Nguyen enrolled in Medicare?

Yes. Hoai Nghia 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 organizations bill Medicare for Hoai Nghia Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Hoai Nghia Nguyen reassigns Medicare benefits to 3 organizations: Cleveland Clinic Mercy Hospital (Canton, OH), Mercy Professional Care, LLC (Canton, OH) and The Cleveland Clinic Foundation (Cleveland, OH). Each 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 Hoai Nghia Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Hoai Nghia Nguyen accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, Anthem Blue Cross and Blue Shield and CareSource and 2 other insurers list Hoai Nghia 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.

Is Hoai Nghia Nguyen affiliated with any hospitals?

According to CMS data, Hoai Nghia Nguyen is affiliated with Akron General Medical Center, Mercy Medical Center and Cleveland Clinic.

When was this NPI record last updated?

The NPPES record for Hoai Nghia Nguyen was last updated on November 6, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.