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DR. KIM NGUYEN MD
NPI 1548792203
Pediatrics - Pediatric Allergy/Immunology in Philadelphia, PA

Active since March 31, 2017PECOS Enrolled
3401 CIVIC CENTER BLVD, DIVISION OF ALLERGY & IMMUNOLOGY, PHILADELPHIA, PA 19104(215) 590-1997 Get Directions Write a Review

NPPES record last updated: June 26, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jun 26, 2020, Jun 27, 2017, Mar 31, 2017 (3 updates tracked since 2017).

About Dr. Kim Nguyen Md NPPES

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

DR. KIM NGUYEN MD (NPI 1548792203) is an individual pediatric allergy/immunology provider in Philadelphia, Pennsylvania, licensed in Pennsylvania (MT213508) and active in the NPI registry since March 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548792203
Entity TypeIndividualFemale
Primary Taxonomy2080P0201X
Provider Legal NameDR. KIM NGUYENCredential: MD
Location Address3401 CIVIC CENTER BLVD, DIVISION OF ALLERGY & IMMUNOLOGYPhiladelphia, PA 19104
Mailing Address3401 Civic Center Blvd, Division Of Allergy & ImmunologyPhiladelphia, PA 19104 · (215) 590-1997
Phone(215) 590-1997
Sole ProprietorNo
Enumeration DateMarch 31, 2017
Last NPPES UpdateJune 26, 20203 updates tracked since enumeration
NPPES CertifiedJune 26, 2020
✔ NPI 1548792203 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Allergy/ImmunologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0201X
License✔ Licensed in PA · MT213508
Definition
A pediatrician who specializes in the diagnosis and treatment of allergies, allergic reactions, and immunologic diseases in children.
Also ListedPediatricsTaxonomy 208000000X · License MT213508 (PA)
3401 CIVIC CENTER BLVD, Philadelphia, PA 19104
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

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

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.

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.

AARON DORFMAN M.D.
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - CARDIOLOGY
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-4040
MS. NICOLE MARIE KOEPKE CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - EMERGENCY MED
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1944
DR. CASSANDRA ALYS LIGH MD
Surgery (Plastic and Reconstructive Surgery)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-2208
DR. PREETI SOI
Psychiatry & Neurology (Child & Adolescent Psychiatry)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-7555
ROSALIND USHER M.D.
Pediatrics (Developmental - Behavioral Pediatrics)
3401 CIVIC CENTER BLVD, DIVISION OF DEVELOPMENTAL AND BEHAVIORAL PEDIATRICS
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-6336
DR. MATTHEW DAVID SCHREIER MD
Pediatrics (Pediatric Cardiology)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
DR. TERRENCE CALDWELL JR. PHARMD
Pharmacist (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000
ALYSSA STIEFEL CRNP
Nurse Practitioner (Pediatrics)
3401 CIVIC CENTER BLVD
PHILADELPHIA, PA 19104
Philadelphia County (215) 590-1000

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 Kim Nguyen's NPI number?

The NPI number for Kim Nguyen is 1548792203. It was assigned to this individual provider in the NPPES registry on March 31, 2017.

Where is Kim Nguyen located?

Kim Nguyen practices at 3401 Civic Center Blvd Division Of Allergy & Immunology, Philadelphia, PA 19104. The listed phone number is (215) 590-1997.

What is Kim Nguyen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Allergy/Immunology, with taxonomy code 2080P0201X.

Is Kim Nguyen enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Kim Nguyen was last updated on June 26, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.