KHOI A NGUYEN M.D.
NPI 1578820841
Internal Medicine in Suffolk, VA

Active since April 11, 2012PECOS EnrolledAccepts Medicare Assignment
94.07/100
CMS Quality Rating
2800 GODWIN BLVD FL 1, SUFFOLK, VA 23434(757) 934-4821(757) 934-4276 Get Directions Write a Review

NPPES record last updated: October 3, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 3, 2022, May 20, 2022, Aug 4, 2021 (3 updates tracked since 2021).

About Khoi A Nguyen M.d. NPPES

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

KHOI A NGUYEN M.D. (NPI 1578820841) is an individual internal medicine provider in Suffolk, Virginia, licensed in Virginia (0101258252) and active in the NPI registry since April 2012. He is enrolled in Medicare PECOS, is affiliated with Northern Light Eastern Maine Medical Center, and is a graduate of Other (2012).

NPPES Registry Identity

NPI1578820841
Entity TypeIndividualMale
Primary Taxonomy207R00000X
Provider Legal NameKHOI A NGUYENCredential: M.D.
Location Address2800 GODWIN BLVD FL 1Suffolk, VA 23434-8038
Mailing Address2800 Godwin Blvd Fl 1Suffolk, VA 23434-8038 · (757) 934-4821 · Fax (757) 934-4276
Fax(757) 934-4276
Sole ProprietorYes
Medical School CMSOtherGraduated 2012
Enumeration DateApril 11, 2012
Last NPPES UpdateOctober 3, 20223 updates tracked since enumeration
NPPES CertifiedOctober 3, 2022
NPI 1578820841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in VA · 0101258252
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 ListedHospitalistTaxonomy 208M00000X · License 0101258252 (VA)
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 63226 (NY)
2800 GODWIN BLVD FL 1, Suffolk, VA 23434

Other Names 1

Other Name (5)Khoi An Tho Nguyen

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

Khoi A 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 ID4587970744
PECOS Enrollment IDI20150902001664, I20240411000808
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 10

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 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
290 services143 patients
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.
283 services160 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
128 services127 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
128 services97 patients
Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes 99305
An initial nursing facility visit per day is a service where a healthcare professional spends about 35 minutes assessing a patient's health status. This includes reviewing medical history, conducting a physical exam, and developing a care plan based on the patient's needs.
53 services48 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
42 services42 patients

Hospital Affiliations CMS Care Compare 5

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

Northern Light Eastern Maine Medical Center

Acute Care Hospitals · Bangor, ME
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number200033
Location489 State StreetBangor, ME 04401 · Penobscot County
Emergency services Birthing friendly

Sentara Norfolk General Hospital

Acute Care Hospitals · Norfolk, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490007
Location600 Gresham DrNorfolk, VA 23507 · Norfolk City County
Emergency services Birthing friendly

Centra Health - Lynchburg Gen Hospital

Acute Care Hospitals · Lynchburg, VA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number490021
Location1901 Tate Springs RoadLynchburg, VA 24501 · Lynchburg City County
Emergency services Birthing friendly

Sentara Leigh Hospital

Acute Care Hospitals · Norfolk, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490046
Location830 Kempsville RoadNorfolk, VA 23502 · Norfolk City County
Birthing friendly

Centra Southside Community Hospital, Inc

Acute Care Hospitals · Farmville, VA
4/5 CMS rating
OwnershipVoluntary non-profit - Other
CMS Certification Number490090
Location800 Oak StreetFarmville, VA 23901 · Prince Edward County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 23434 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
$129.04 typical visit price
range $56.19 – $170.30
Typical copayment $32.26 (range $14.04 – $42.57)
Most-billed visit code 99204
Established Patient
$99.13 typical visit price
range $18.07 – $138.91
Typical copayment $24.78 (range $4.51 – $34.72)
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.

94.07/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality86.44
Promoting Interoperability94
Improvement Activities40

Referred Medical Equipment & Supplies CMS DME claims 2

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
2 suppliers19 claims19 services$14.14 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 suppliers21 claims21 services$77.27 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 18

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

Family Medicine
2800 GODWIN BLVD FL 1
SUFFOLK, VA 23434
Nurse Practitioner (Gerontology)
2800 GODWIN BLVD FL 1
SUFFOLK, VA 23434
Internal Medicine
2800 GODWIN BLVD FL 1
SUFFOLK, VA 23434
Nurse Practitioner (Acute Care)
2800 GODWIN BLVD FL 1
SUFFOLK, VA 23434
Internal Medicine
2800 GODWIN BLVD FL 1
SUFFOLK, VA 23434
Internal Medicine
2800 GODWIN BLVD FL 1
SUFFOLK, VA 23434
Internal Medicine
2800 GODWIN BLVD FL 1
SUFFOLK, VA 23434
Internal Medicine
2800 GODWIN BLVD FL 1
SUFFOLK, VA 23434

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 Khoi Nguyen's NPI number?

The NPI number for Khoi Nguyen is 1578820841. It was assigned to this individual provider in the NPPES registry on April 11, 2012. The provider is also known as Khoi An Tho Nguyen.

Where is Khoi Nguyen located?

Khoi Nguyen practices at 2800 Godwin Blvd Fl 1, Suffolk, VA 23434. The listed phone number is (757) 934-4821.

What is Khoi Nguyen's specialty?

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

Is Khoi Nguyen enrolled in Medicare?

Yes. Khoi 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 Khoi Nguyen accept?

Health plans from Providence Health Plan list Khoi 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 Khoi Nguyen affiliated with any hospitals?

According to CMS data, Khoi Nguyen is affiliated with Northern Light Eastern Maine Medical Center, Sentara Norfolk General Hospital, Centra Health - Lynchburg Gen Hospital, Sentara Leigh Hospital and Centra Southside Community Hospital, Inc.

When was this NPI record last updated?

The NPPES record for Khoi Nguyen was last updated on October 3, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.