ANDREW NGUYEN MD
NPI 1669113841
Internal Medicine in Boise, ID

Q: What is Andrew Nguyen's NPI number?

The NPI number for Andrew Nguyen is 1669113841. It was assigned to this individual provider in the NPPES registry on April 5, 2022.

Q: What is Andrew Nguyen's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Nguyen was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.

Active since April 05, 2022PECOS EnrolledAccepts Medicare Assignment

4840 N CLOVERDALE RD, BOISE, ID 83713(208) 706-8000(208) 706-8001 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Aug 22, 2022, Apr 5, 2022 (2 updates tracked since 2022).

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About Andrew Nguyen Md NPPES

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

ANDREW NGUYEN MD (NPI 1669113841) is an individual internal medicine provider in Boise, Idaho, licensed in Idaho (9271173) and active in the NPI registry since April 2022. He is enrolled in Medicare PECOS, is affiliated with St Luke's Regional Medical Center, and is a graduate of University Of Washington School Of Medicine (2022).

NPPES Registry Identity

NPI1669113841

Entity TypeIndividualMale

Primary Taxonomy207R00000X

Provider Legal NameANDREW NGUYENCredential: MD

Location Address4840 N CLOVERDALE RDBoise, ID 83713-2423

Mailing Address190 E Bannock StBoise, ID 83712-6241

Phone(208) 706-8000

Fax(208) 706-8001

Sole ProprietorNo

Medical School CMSUniversity Of Washington School Of MedicineGraduated 2022

Enumeration DateApril 5, 2022

Last NPPES UpdateSeptember 24, 20252 updates tracked since enumeration

NPPES CertifiedSeptember 24, 2025

✔ NPI 1669113841 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207R00000X

License✔ Licensed in ID · 9271173

Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.

4840 N CLOVERDALE RD, Boise, ID 83713

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc..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

Andrew 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 ID7113417874

PECOS Enrollment IDI20251110003827

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.

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

St Luke's Regional Medical Center

Acute Care Hospitals · Boise, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130006

Location190 East Bannock StreetBoise, ID 83712 · Ada County

Emergency services Birthing friendly

St Luke's Nampa Medical Center

Acute Care Hospitals · Nampa, ID

5/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number130071

Location9850 West St Lukes DriveNampa, ID 83687 · Canyon County

Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 83713 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

$121.27 typical visit price

range $52.44 – $160.17

Typical copayment $30.31 (range $13.11 – $40.04)

Most-billed visit code 99204

Established Patient

$93.26 typical visit price

range $16.68 – $130.93

Typical copayment $23.31 (range $4.17 – $32.73)

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 13

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

ST LUKES REGIONAL MEDICAL CENTER

Clinic/Center (Medical Specialty)