PHUONG L NGUYEN M.D.
NPI 1619954922
Pathology - Hematology in Rochester, MN
NPI Status: Active since December 28, 2005
Contact Information
200 1ST ST SW
ROCHESTER, MN
ZIP 55905
Phone: (507) 284-2511
- Individual
- Female
- Pathology
- Hematology
- Accepts Insurance
- PECOS Enrolled
About PHUONG NGUYEN
This page provides the complete NPI Profile along with additional information for Phuong Nguyen, a provider established in Rochester, Minnesota with a medical specialization in Pathology, focusing in hematology . The healthcare provider is registered in the NPI registry with number 1619954922 assigned on December 2005. The practitioner's primary taxonomy code is 207ZH0000X with license number 33440 (MN). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1619954922
- Provider Name
- PHUONG L NGUYEN M.D.
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 200 1ST ST SW ROCHESTER, MN 55905
- Location Phone
- (507) 284-2511
- Mailing Address
- 200 1ST ST SW ROCHESTER, MN 55905
- Mailing Phone
- (507) 284-2511
- Is Sole Proprietor?
- No
- Enumeration Date
- 12-28-2005
- Last Update Date
- 04-05-2024
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pathology Hematology
- Taxonomy Code
- 207ZH0000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 33440
- License State
- MN
- Taxonomy Description
- A hematopathologist is expert in diseases that affect blood cells, blood clotting mechanisms, bone marrow and lymph nodes. This physician has the knowledge and technical skills essential for the laboratory diagnosis of anemias, leukemias, lymphomas, bleeding disorders and blood clotting disorders.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207ZP0101X | Allopathic & Osteopathic Physicians | Pathology | 33440 (MN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Engage by Medica Bronze HSA - EPO
- Engage by Medica Bronze Share - EPO
- Engage by Medica Expanded Bronze Standard - EPO
- Engage by Medica Gold $0 Copay PCP Visits - EPO
- Engage by Medica Gold Share - EPO
- Engage by Medica Gold Standard - EPO
- Engage by Medica Silver $0 Copay PCP Visits - EPO
- Engage by Medica Silver Share - EPO
- Engage by Medica Silver Standard - EPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Phuong Nguyen is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Durable Medical Equipment (DME) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: No
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): No
Eligible to Order or Refer Power Mobility Devices: Yes
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Blood smear interpretation by physician with written report
Bone marrow, smear interpretation
Flow cytometry technique for dna or cell analysis
Flow cytometry technique for dna or cell analysis, 16 or more markers
Flow cytometry technique for dna or cell analysis, 2 to 8 markers
Flow cytometry technique for dna or cell analysis, 9 to 15 markers
Pathology examination of tissue using a microscope, intermediate complexity
Preparation of tissue for examination by removing any calcium present
Special stained specimen slides to examine tissue including interpretation and report
Surgical pathology consultation and report, comprehensive
Blood smear interpretation is a lab test where your doctor examines a sample of your blood under a microscope. They look for abnormalities in your blood cells which can help diagnose various conditions. You'll receive a written report of the findings.
This service was performed 13 times for 13 patientsBone marrow smear interpretation is a procedure where a small sample of your bone marrow is taken and examined under a microscope. This helps doctors identify any abnormal cells or signs of diseases such as anemia, leukemia, or infections. It's a crucial step in diagnosing various blood disorders.
This service was performed 25 times for 25 patientsFlow cytometry is a technique used to measure physical and chemical characteristics of cells or particles. It's like a microscopic traffic camera, capturing each cell's size, shape, and structure. This information helps in understanding cell health and function, aiding in disease diagnosis and treatment.
This service was performed 14 times for 14 patientsFlow cytometry is a method used to measure and analyze cells. It uses a beam of light to detect up to 16 or more markers on cells, helping to identify their type, function, or abnormalities. This technique aids in diagnosing various health conditions.
This service was performed 16 times for 16 patientsFlow cytometry is a technique that helps analyze your cells and DNA. It uses lasers to identify and sort cells based on their properties, marked by up to 8 different markers. This helps in diagnosing and monitoring various health conditions.
This service was performed 54 times for 49 patientsFlow cytometry is a technique used to measure physical and chemical characteristics of cells or particles. It can analyze multiple markers (9 to 15) on a cell, helping to identify its type and function. This process can also examine DNA within cells for any abnormalities.
This service was performed 16 times for 16 patientsA pathology examination of tissue with intermediate complexity involves studying a small sample of your body tissue under a microscope. This helps in identifying any abnormal cells or signs of disease. It's a detailed process requiring expert analysis to ensure accurate results.
This service was performed 26 times for 26 patientsThis procedure involves treating tissue samples to remove any calcium, which can interfere with the examination. The tissue is soaked in a special solution that safely dissolves the calcium, leaving the tissue intact for accurate analysis. This helps in making precise diagnoses.
This service was performed 26 times for 26 patientsSpecial stained specimen slides are used to examine tissue samples. This involves applying special dyes to the tissue, which helps to highlight certain features under a microscope. The findings are then interpreted and a report is provided. This can aid in diagnosing various health conditions.
This service was performed 22 times for 15 patientsA comprehensive surgical pathology consultation and report involves the detailed examination of tissue removed during surgery. This process aids in diagnosing diseases, assessing the extent of illness, and planning appropriate treatments. The findings are then compiled into a report for your doctor.
This service was performed 17 times for 17 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 55905 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $127.61
- Minimum New Patient Price $56
- Maximum New Patient Price $168.28
- Average New Patient Copayment $31.9
- Minimum New Patient Copayment $14
- Maximum New Patient Copayment $42.07
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $98.61
- Minimum Established Patient Price $18.32
- Maximum Established Patient Price $138.04
- Average Established Patient Copayment $24.65
- Minimum Established Patient Copayment $4.58
- Maximum Established Patient Copayment $34.51
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1619954922, we treat the final digit (2) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 78. The final step is to find the difference between that total and the next multiple of ten (80 - 78 = 2).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 78 is 80. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ROCHESTER, MN 55905
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1619954922, enumerated as an "individual" on December 28, 2005.
The provider is located at 200 1ST ST SW ROCHESTER, MN 55905 and the phone number is (507) 284-2511.
Pathology with taxonomy code 207ZH0000X and a focus in Hematology.
The provider might be accepting Accepts: Medica. Please consult your insurance carrier or call the provider to verify.