TONY KIM NGUYEN MD
NPI 1598939175
Orthopaedic Surgery - Sports Medicine in Phoenix, AZ

Active since April 15, 2008PECOS EnrolledAccepts Medicare Assignment
82.49/100
CMS Quality Rating
18444 N 25TH AVE, STE 210, PHOENIX, AZ 85023(623) 537-5600(866) 939-2673 Get Directions Write a Review

NPPES record last updated: April 23, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tony Kim Nguyen Md NPPES

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

TONY KIM NGUYEN MD (NPI 1598939175) is an individual sports medicine provider in Phoenix, Arizona, licensed in Arizona (43267) and active in the NPI registry since April 2008. He is enrolled in Medicare PECOS and is a graduate of George Washington University School Of Medicine (2004).

NPPES Registry Identity

NPI1598939175
Entity TypeIndividualMale
Primary Taxonomy207XX0005X
Provider Legal NameTONY KIM NGUYENCredential: MD
Location Address18444 N 25TH AVE, STE 210Phoenix, AZ 85023-1264
Mailing Address18444 N 25th Ave, Ste 310Phoenix, AZ 85023-1266 · (623) 537-5600 · Fax (866) 939-2673
Fax(866) 939-2673
Sole ProprietorNo
Medical School CMSGeorge Washington University School Of MedicineGraduated 2004
Enumeration DateApril 15, 2008
Last NPPES UpdateApril 23, 2024
NPPES CertifiedApril 23, 2024
NPI 1598939175 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyOrthopaedic Surgery · Sports MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207XX0005X
License Licensed in AZ · 43267
Definition

An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries.

Also ListedOrthopaedic SurgeryTaxonomy 207X00000X · License 57.012467 (OH), 43267 (AZ)
Also ListedOrthopaedic Surgery · Adult Reconstructive Orthopaedic SurgeryTaxonomy 207XS0114X · License 43267 (AZ)
18444 N 25TH AVE, Phoenix, AZ 85023

Other Identifiers 1

Medicaid523031AZ

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

Tony Kim 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 ID42334419
PECOS Enrollment IDI20100908000282
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 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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301
Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.
228 services39 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.
71 services54 patients
X-ray of shoulder, minimum of 2 views 73030
An X-ray of the shoulder, with a minimum of 2 views, is a non-invasive imaging test. It uses a small amount of radiation to produce images of your shoulder bones. This helps in diagnosing conditions like fractures, arthritis, or other abnormalities. The procedure is quick and painless.
53 services43 patients
Aspiration and/or injection of fluid from large joint 20610
This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.
48 services43 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.
34 services34 patients
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.
28 services21 patients

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.

82.49/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality73.09
Promoting Interoperability100
Improvement Activities40
Cost68.54

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.

Physical Therapist
18444 N 25TH AVE, SUITE 220
PHOENIX, AZ 85023
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
18444 N 25TH AVE, SUITE 420-712
PHOENIX, AZ 85023
Physician Assistant
18444 N 25TH AVE, STE 210
PHOENIX, AZ 85023
Orthopaedic Surgery
18444 N 25TH AVE, STE 210
PHOENIX, AZ 85023
Pain Medicine (Interventional Pain Medicine)
18444 N 25TH AVE, STE 210
PHOENIX, AZ 85023
Home Health
18444 N 25TH AVE
PHOENIX, AZ 85023
Physical Therapist
18444 N 25TH AVE, SUITE 220
PHOENIX, AZ 85023
Physician Assistant (Surgical)
18444 N 25TH AVE, SUITE 210
PHOENIX, AZ 85023

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 Tony Nguyen's NPI number?

The NPI number for Tony Nguyen is 1598939175. It was assigned to this individual provider in the NPPES registry on April 15, 2008.

Where is Tony Nguyen located?

Tony Nguyen practices at 18444 N 25th Ave Ste 210, Phoenix, AZ 85023. The listed phone number is (623) 537-5600.

What is Tony Nguyen's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery, specializing in Sports Medicine, with taxonomy code 207XX0005X.

Is Tony Nguyen enrolled in Medicare?

Yes. Tony 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 Tony Nguyen accept?

Health plans from Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc., Oscar Health Plan, Inc. and UnitedHealthcare list Tony 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.

When was this NPI record last updated?

The NPPES record for Tony Nguyen was last updated on April 23, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.