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KIM THI NGUYEN M.D.
NPI 1609262344
Psychiatry & Neurology - Child & Adolescent Psychiatry in Kailua, HI

Active since April 09, 2015Opted out of Medicare · through Dec 14, 2026
111 HEKILI ST # A239, KAILUA, HI 96734(808) 792-0988(970) 230-6414 Get Directions Write a Review

NPPES record last updated: July 24, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 24, 2021, Oct 13, 2020, Jun 26, 2020 (3 updates tracked since 2020).

About Kim Thi Nguyen M.d. NPPES

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

KIM THI NGUYEN M.D. (NPI 1609262344) is an individual child & adolescent psychiatry provider in Kailua, Hawaii, licensed in Colorado (DR.0063717) and active in the NPI registry since April 2015. She has opted out of Medicare through December 14, 2026 and maintains a secondary practice location in Avon.

NPPES Registry Identity

NPI1609262344
Entity TypeIndividualFemale
Primary Taxonomy2084P0804X
Provider Legal NameKIM THI NGUYENCredential: M.D.
Location Address111 HEKILI ST # A239Kailua, HI 96734-2800
Mailing Address2855 East Manoa Rd., Ste 105 Pmb 171Honolulu, HI 96822-1854 · (808) 792-0988 · Fax (970) 230-6414
Phone(808) 792-0988
Fax(970) 230-6414
Sole ProprietorNo
Enumeration DateApril 9, 2015
Last NPPES UpdateJuly 24, 20213 updates tracked since enumeration
NPPES CertifiedJuly 24, 2021
✔ NPI 1609262344 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPsychiatry & Neurology · Child & Adolescent PsychiatryAllopathic & Osteopathic Physicians
Taxonomy Code2084P0804X
License✔ Licensed in CO · DR.0063717
Definition
Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence.
Also ListedPsychiatry & Neurology · PsychiatryTaxonomy 2084P0800X · License MD-21584 (HI), DR.0063717 (CO)
111 HEKILI ST # A239, Kailua, HI 96734
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Secondary Practice Location 1

Location 1100 West Beaver Creek Blvd., Suite 208Avon, CO 81620 · Phone (970) 340-8159 · Fax (970) 230-6414

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Kim Thi Nguyen M.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 14, 2020 through December 14, 2026.

Opt-Out Effective DateDecember 14, 2020
Opt-Out In Effect ThroughDecember 14, 2026Opt-out affidavits renew automatically every two years unless cancelled

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 1609262344. It was assigned to this individual provider in the NPPES registry on April 9, 2015.

Where is Kim Nguyen located?

Kim Nguyen practices at 111 Hekili St # A239, Kailua, HI 96734. The listed phone number is (808) 792-0988.

What is Kim Nguyen's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Child & Adolescent Psychiatry, with taxonomy code 2084P0804X.

Is Kim Nguyen enrolled in Medicare?

No. Kim Nguyen has opted out of Medicare through December 14, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Kim Nguyen was last updated on July 24, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.