1. Home
  2. Directory
  3. Idaho
  4. Boise
  5. Internal Medicine
  6. NPI Profile

ANDREW NGUYEN MD
NPI 1669113841
Internal Medicine in Boise, ID

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: October 25, 2026.

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

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
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and more.Insurance ›

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

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.

Medicare Billing Reassignment

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

St Lukes Clinic-Treasure Valley LLC
7.6 mi
Family Medicine
190 E BANNOCK ST
Boise, ID 83712
  • Reassigned Medicare billing, Idaho enrollment
  • 1,312 clinicians in this Medicare group
NPI 1326336058 (208) 381-2222

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

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)
4840 N CLOVERDALE RD
BOISE, ID 83713
Ada County (208) 706-8000
DR. CRISTINA GABUTTI
Internal Medicine
4840 N CLOVERDALE RD
BOISE, ID 83713
Ada County (208) 706-8000
SHANNON MOSKITIS LCSW
Social Worker (Clinical)
4840 N CLOVERDALE RD
BOISE, ID 83713
Ada County (208) 706-8000
JESSICA MOORE ALLEN NP
Nurse Practitioner
4840 N CLOVERDALE RD
BOISE, ID 83713
Ada County (208) 706-8000
MARK L HOLBROOK M.D.
Internal Medicine
4840 N CLOVERDALE RD
BOISE, ID 83713
Ada County (208) 706-8000
MARIA K EWINGS MD
Internal Medicine
4840 N CLOVERDALE RD
BOISE, ID 83713
Ada County (208) 706-8000
ESTER PETERS DO
Internal Medicine
4840 N CLOVERDALE RD
BOISE, ID 83713
Ada County (208) 706-8000
DR. SUSAN ELIZABETH BAXTER MD
Internal Medicine
4840 N CLOVERDALE RD
BOISE, ID 83713
Ada County (208) 706-8000

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 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.

Where is Andrew Nguyen located?

Andrew Nguyen practices at 4840 N Cloverdale Rd, Boise, ID 83713. The listed phone number is (208) 706-8000.

What is Andrew Nguyen's specialty?

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

Is Andrew Nguyen enrolled in Medicare?

Yes. Andrew 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 Andrew Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Andrew Nguyen reassigns Medicare benefits to St Lukes Clinic-Treasure Valley LLC (Boise, ID). 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 Andrew Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Andrew Nguyen accept?

Health plans from Moda Health Plan, Inc., PacificSource Health Plans, Providence Health Plan and Select Health list Andrew 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.

Is Andrew Nguyen affiliated with any hospitals?

According to CMS data, Andrew Nguyen is affiliated with St Luke's Regional Medical Center and St Luke's Nampa Medical Center.

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 13 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.