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DR. JONATHAN TOAN NGUYEN D.O.
NPI 1609215631
Family Medicine in Scranton, PA

Active since June 24, 2013PECOS EnrolledAccepts Medicare Assignment
501 MADISON AVE, SCRANTON, PA 18510(570) 991-8563 Get Directions Write a Review

NPPES record last updated: June 24, 2013. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Dr. Jonathan Toan Nguyen D.o. NPPES

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

DR. JONATHAN TOAN NGUYEN D.O. (NPI 1609215631) is an individual family medicine provider in Scranton, Pennsylvania, licensed in Pennsylvania (OT015467) and active in the NPI registry since June 2013. He is enrolled in Medicare PECOS and is a graduate of Other (2013).

NPPES Registry Identity

NPI1609215631
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. JONATHAN TOAN NGUYENCredential: D.O.
Location Address501 MADISON AVEScranton, PA 18510-2401
Mailing Address501 Madison AveScranton, PA 18510-2401 · (503) 935-9249
Phone(570) 991-8563
Sole ProprietorYes
Medical School CMSOtherGraduated 2013
Enumeration DateJune 24, 2013
✔ NPI 1609215631 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · OT015467
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
501 MADISON AVE, Scranton, PA 18510
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Other Names 1

Other Name (5)Dr. Jonathan Toan Ngoc Nguyen D.o.

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. Jonathan Toan Nguyen D.o. 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 ID3375846843
PECOS Enrollment IDI20171130001010
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 Reassignment

Medicare enrollment records show Jonathan Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Sapphire At Gresham Rehab, LLC
2,336 mi
Skilled Nursing Facility
405 NE 5TH ST
Gresham, OR 97030
  • Reassigned Medicare billing, Oregon and Washington enrollments
  • Medicare enrollment name: Kaiser Foundation Health Plan Of The Northwest
  • Also billed through NPI 1609171081 (Washington)
  • 3,207 clinicians in this Medicare group
NPI 1033740899 (503) 666-5600

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

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18510 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
$84.88 typical visit price
range $54.64 – $166.87
Typical copayment $21.22 (range $13.66 – $41.71)
Most-billed visit code 99203
Established Patient
$96.82 typical visit price
range $17.33 – $135.84
Typical copayment $24.20 (range $4.33 – $33.96)
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.

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.

MEHARCHAND N OAD D.O.
Student in an Organized Health Care Education/Training Program
501 MADISON AVE
SCRANTON, PA 18510
Lackawanna County (570) 343-2383
DIPTI SAMIR PANCHOLY M.D.
Internal Medicine
501 MADISON AVE
SCRANTON, PA 18510
Lackawanna County (570) 343-2383
DR. QUIDEST SHERIFF D.O.
Student in an Organized Health Care Education/Training Program
501 MADISON AVE
SCRANTON, PA 18510
Lackawanna County (570) 343-2383
BRITTANY ANN KOZA
Student in an Organized Health Care Education/Training Program
501 MADISON AVE
SCRANTON, PA 18510
Lackawanna County (570) 343-2383
DR. AL JONATHAN LEE D.O.
Internal Medicine
501 MADISON AVE
SCRANTON, PA 18510
Lackawanna County (570) 343-2383
DR. GAGANDEEP SINGH DHILLON M.D
Internal Medicine
501 MADISON AVE
SCRANTON, PA 18510
Lackawanna County (570) 343-2383
MICHAEL ALAN BRENNER DO
Student in an Organized Health Care Education/Training Program
501 MADISON AVE
SCRANTON, PA 18510
Lackawanna County (210) 219-4509
DR. UPINDER KHAIRA
Internal Medicine
501 MADISON AVE
SCRANTON, PA 18510
Lackawanna County (570) 343-2383

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 Jonathan Nguyen's NPI number?

The NPI number for Jonathan Nguyen is 1609215631. It was assigned to this individual provider in the NPPES registry on June 24, 2013. The provider is also known as Dr. Jonathan Toan Ngoc Nguyen D.O..

Where is Jonathan Nguyen located?

Jonathan Nguyen practices at 501 Madison Ave, Scranton, PA 18510. The listed phone number is (570) 991-8563.

What is Jonathan Nguyen's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Jonathan Nguyen enrolled in Medicare?

Yes. Jonathan 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 organization bills Medicare for Jonathan Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jonathan Nguyen reassigns Medicare benefits to Sapphire At Gresham Rehab, LLC (Gresham, OR). The 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 Jonathan Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jonathan Nguyen was last updated on June 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.