LOAN NGUYEN MD
NPI 1528352739
Internal Medicine - Pulmonary Disease in Oklahoma City, OK

Active since June 06, 2011PECOS EnrolledAccepts Medicare Assignment
99.15/100
CMS Quality Rating
4050 W MEMORIAL RD FL 3, OKLAHOMA CITY, OK 73120(405) 608-3800(405) 972-7565 Get Directions Write a Review

NPPES record last updated: June 6, 2022. Verified against the NPPES registry weekly; last sync: October 04, 2026.

Record update history: Jun 6, 2022, Nov 6, 2020, Sep 14, 2020 and 2 more (5 updates tracked since 2017).

About Loan Nguyen Md NPPES

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

LOAN NGUYEN MD (NPI 1528352739) is an individual pulmonary disease provider in Oklahoma City, Oklahoma, licensed in Oklahoma (28536) and active in the NPI registry since June 2011. She is enrolled in Medicare PECOS, is affiliated with Mercy Hospital Oklahoma City, Inc, and maintains a secondary practice location in Oklahoma City.

NPPES Registry Identity

NPI1528352739
Entity TypeIndividualFemale
Primary Taxonomy207RP1001X
Provider Legal NameLOAN NGUYENCredential: MD
Location Address4050 W MEMORIAL RD FL 3Oklahoma City, OK 73120-8382
Mailing Address7800 Nw 85th TerOklahoma City, OK 73132-3385
Fax(405) 972-7565
Sole ProprietorNo
Medical School CMSUniversity Of Oklahoma College Of MedicineGraduated 2011
Enumeration DateJune 6, 2011
Last NPPES UpdateJune 6, 20225 updates tracked since enumeration
NPPES CertifiedJune 6, 2022
✔ NPI 1528352739 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RP1001X
License✔ Licensed in OK · 28536
Definition
An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.
Also ListedInternal MedicineTaxonomy 207R00000X · License 28536 (OK)
4050 W MEMORIAL RD FL 3, Oklahoma City, OK 73120

Secondary Practice Location 1

Location 1920 Sl Young BlvdOklahoma City, OK 73104-5036 · Phone (405) 271-5635

Accepted Insurance

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

Loan Nguyen Md 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 ID6002124526
PECOS Enrollment IDI20151002001932
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.

Areas of Expertise CMS Part B claims 14

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
710 services293 patients
Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
191 services182 patients
Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
162 services67 patients
Ultrasound scan of chest 76604
An ultrasound scan of the chest is a non-invasive imaging procedure that uses sound waves to create pictures of the structures within your chest, such as your heart and lungs. It's a safe, painless method that helps doctors diagnose and monitor various conditions.
86 services78 patients
Test to examine how well the lungs exchange gases 94729
This is a test called a pulmonary function test, which helps understand the efficiency of your lungs. It measures how much air your lungs can hold, how quickly you can move air in and out of your lungs, and how well your lungs put oxygen into and remove carbon dioxide from your blood.
73 services72 patients
Test to measure expiratory airflow and volume 94010
This test, known as spirometry, assesses how well your lungs work. It measures how much air you can inhale, how much you can exhale and how quickly you can exhale. It's non-invasive and helps diagnose conditions like asthma or COPD.
40 services40 patients

Hospital Affiliations CMS Care Compare 4

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

Mercy Hospital Oklahoma City, Inc

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipVoluntary non-profit - Church
CMS Certification Number370013
Location4300 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County
Emergency services Birthing friendly

Mercy Hospital Ada

Acute Care Hospitals · Ada, OK
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number370020
Location430 North Monte VistaAda, OK 74820 · Pontotoc County
Emergency services Birthing friendly

Oklahoma Heart Hospital, LLC

Acute Care Hospitals · Oklahoma City, OK
4/5 CMS rating
OwnershipPhysician
CMS Certification Number370215
Location4050 West Memorial RoadOklahoma City, OK 73120 · Oklahoma County
Emergency services

Oklahoma Heart Hospital South, LLC

Acute Care Hospitals · Oklahoma City, OK
5/5 CMS rating
OwnershipPhysician
CMS Certification Number370234
Location5200 East I-240 Service RoadOklahoma City, OK 73135 · Oklahoma County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 73120 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
$123.06 typical visit price
range $53.00 – $162.61
Typical copayment $30.76 (range $13.25 – $40.65)
Most-billed visit code 99204
Established Patient
$94.27 typical visit price
range $16.68 – $132.40
Typical copayment $23.56 (range $4.17 – $33.10)
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.

99.15/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Promoting Interoperability99
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 33

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

Tubing with integrated heating element for use with positive airway pressure device A4604
DME-Other DME · category DE001N
23 suppliers428 claims428 services$34.85 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, disposable A7003
DME-Other DME · category DE000N
9 suppliers45 claims84 services$1.58 avg. paid by Medicare
Administration set, with small volume nonfiltered pneumatic nebulizer, non-disposable A7005
DME-Other DME · category DE000N
6 suppliers15 claims15 services$13.08 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
30 suppliers268 claims268 services$79.40 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
24 suppliers281 claims699 services$30.01 avg. paid by Medicare
Cushion for use on nasal mask interface, replacement only, each A7032
DME-Other DME · category DE001N
18 suppliers195 claims1,052 services$16.87 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 20

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

Internal Medicine (Cardiovascular Disease)
4050 W MEMORIAL RD FL 3
OKLAHOMA CITY, OK 73120
Internal Medicine (Interventional Cardiology)
4050 W MEMORIAL RD FL 3
OKLAHOMA CITY, OK 73120
Thoracic Surgery (Cardiothoracic Vascular Surgery)
4050 W MEMORIAL RD FL 3
OKLAHOMA CITY, OK 73120
Internal Medicine (Clinical Cardiac Electrophysiology)
4050 W MEMORIAL RD FL 3
OKLAHOMA CITY, OK 73120
Internal Medicine (Interventional Cardiology)
4050 W MEMORIAL RD FL 3
OKLAHOMA CITY, OK 73120
Nurse Practitioner (Family)
4050 W MEMORIAL RD FL 3
OKLAHOMA CITY, OK 73120
Physician Assistant
4050 W MEMORIAL RD FL 3
OKLAHOMA CITY, OK 73120
Nurse Practitioner (Acute Care)
4050 W MEMORIAL RD FL 3
OKLAHOMA CITY, OK 73120

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 Loan Nguyen's NPI number?

The NPI number for Loan Nguyen is 1528352739. It was assigned to this individual provider in the NPPES registry on June 6, 2011.

Where is Loan Nguyen located?

Loan Nguyen practices at 4050 W Memorial Rd Fl 3, Oklahoma City, OK 73120. The listed phone number is (405) 608-3800.

What is Loan Nguyen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Is Loan Nguyen enrolled in Medicare?

Yes. Loan 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.

What insurance does Loan Nguyen accept?

Health plans from Ambetter from Arkansas Health & Wellness, Ambetter from Home State Health, Ambetter from Sunflower Health Plan, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 4 other insurers list Loan 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 Loan Nguyen affiliated with any hospitals?

According to CMS data, Loan Nguyen is affiliated with Mercy Hospital Oklahoma City, Inc, Mercy Hospital Ada, Oklahoma Heart Hospital, LLC and Oklahoma Heart Hospital South, LLC.

When was this NPI record last updated?

The NPPES record for Loan Nguyen was last updated on June 6, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.