1. Home
  2. Directory
  3. North Carolina
  4. Cary
  5. Pediatrics
  6. NPI Profile

DR. PHILLIP NAM NGUYEN MD
NPI 1649790635
Pediatrics in Cary, NC

Active since June 21, 2017PECOS Enrolled
1515 SW CARY PKWY STE 200, CARY, NC 27511(919) 387-3160(919) 387-3165 Get Directions Write a Review

NPPES record last updated: August 7, 2021. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Aug 7, 2021, Jun 23, 2020, Jan 11, 2020 and 1 more (4 updates tracked since 2017).

About Dr. Phillip Nam Nguyen Md NPPES

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

DR. PHILLIP NAM NGUYEN MD (NPI 1649790635) is an individual pediatrics provider in Cary, North Carolina, licensed in North Carolina (244249) and active in the NPI registry since June 2017. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649790635
Entity TypeIndividualMale
Primary Taxonomy208000000X
Provider Legal NameDR. PHILLIP NAM NGUYENCredential: MD
Location Address1515 SW CARY PKWY STE 200Cary, NC 27511-6224
Mailing Address2000 Perimeter Park Dr Ste 200Morrisville, NC 27560-8442
Phone(919) 387-3160
Fax(919) 387-3165
Sole ProprietorNo
Enumeration DateJune 21, 2017
Last NPPES UpdateAugust 7, 20214 updates tracked since enumeration
NPPES CertifiedAugust 7, 2021
✔ NPI 1649790635 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
Licenses✔ Licensed in NC · 244249✔ Licensed in MO · 2017017610
Definition
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
1515 SW CARY PKWY STE 200, Cary, NC 27511
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC, UnitedHealthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Phillip Nam Nguyen Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 Phillip Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Unc Physicians Network, LLC
Same address
Family Medicine
1515 SW CARY PKWY, SUITE 200
Cary, NC 27511
  • Reassigned Medicare billing, North Carolina enrollment
  • 1,337 clinicians in this Medicare group
NPI 1265723597 (919) 387-3176

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 27511 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
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$95.94 typical visit price
range $17.21 – $134.61
Typical copayment $23.98 (range $4.30 – $33.65)
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 6

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

KAREN A MOLNAR RD, LDN
Dietitian, Registered
1515 SW CARY PKWY STE 200
CARY, NC 27511
Wake County (919) 387-3176
SUFIA SIDDIQUE M. D.
Family Medicine
1515 SW CARY PKWY STE 200
CARY, NC 27511
Wake County (919) 387-3176
MRS. EMMA SPURR TOMA AGNP
Nurse Practitioner (Gerontology)
1515 SW CARY PKWY STE 200
CARY, NC 27511
Wake County (919) 387-3176
YESSUNI DEL ROCIO MARTINEZ UTRERA PA-C
Physician Assistant
1515 SW CARY PKWY STE 200
CARY, NC 27511
Wake County (919) 387-3176
MR. DUSTIN CODY MERVA NP-C
Nurse Practitioner (Family)
1515 SW CARY PKWY STE 200
CARY, NC 27511
Wake County (919) 387-3176
ANTWAN JAMAL CRUELL FNP
Nurse Practitioner (Family)
1515 SW CARY PKWY STE 200
CARY, NC 27511
Wake County (919) 387-3176

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 Phillip Nguyen's NPI number?

The NPI number for Phillip Nguyen is 1649790635. It was assigned to this individual provider in the NPPES registry on June 21, 2017.

Where is Phillip Nguyen located?

Phillip Nguyen practices at 1515 SW Cary Pkwy Ste 200, Cary, NC 27511. The listed phone number is (919) 387-3160.

What is Phillip Nguyen's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Is Phillip Nguyen enrolled in Medicare?

Yes. Phillip Nguyen is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Phillip Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Phillip Nguyen reassigns Medicare benefits to Unc Physicians Network, LLC (Cary, NC). 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 Phillip Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Phillip Nguyen accept?

Health plans from Blue Cross and Blue Shield of NC and UnitedHealthcare list Phillip 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 Phillip Nguyen was last updated on August 7, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.