PHITHAO J NGUYEN DO FAAFP NPI 1740261585

Internal Medicine (Gastroenterology) in South Barrington, IL

NPI 1740261585 Individual Female Years of Experience 24 Internal Medicine Gastroenterology PECOS Enrolled Accepts Medicare Approved Payment

About PHITHAO NGUYEN

Phithao Nguyen is an internal medicine provider established in South Barrington, Illinois and her medical specialization is internal medicine (gastroenterology) with more than 24 years of experience. The NPI number of Phithao Nguyen is 1740261585 and was assigned on November 2005. The practitioner's primary taxonomy code is 207RG0100X with license number 036110939 (IL). The provider is registered as an individual and her NPI record was last updated one year ago.

An internist like Phithao J Nguyen Do Faafp is a physician who has completed an internal medicine residency and is board-certified or board-eligible in an internist specialty. Internists are trained to care for adults of all ages for many different medical conditions. An internist typically monitors chronic physical conditions, identifies acute diseases, provides family planning, provides counseling about wellness and disease prevention, etc.

Phithao Nguyen is enrolled in PECOS and is eligible to order or refer healthcare services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices

Phithao Nguyen is registered with Medicare and accepts claims assignment, this means the provider accepts Medicare's approved amount for the cost of rendered services as full payment. Participating providers may not charge Medicare beneficiaries more than Medicare's approved amount for their services. Medicare beneficiaries still have to pay a coinsurance or copayment amount for a visit or service. According to Medicare claims data she has hospital affiliations with Alexian Brothers Medical Center, St Alexius Medical Center, Adventist Glenoaks and Northwest Community Hospital 1.

NPI

1740261585

Provider Name PHITHAO J NGUYEN DO FAAFP
Provider Location Address33 W HIGGINS RD SUITE 820 SOUTH BARRINGTON, IL 60010
Provider Mailing Address33 W HIGGINS RD SUITE 820 SOUTH BARRINGTON, IL 60010
GenderFemale
NPI Entity TypeIndividual
Medical School NameOTHER
Graduation Year1998
Is Sole Proprietor?No
Is Organization Subpart?N/A
Enumeration Date11-09-2005
Last Update Date04-07-2021


Primary Taxonomy

Taxonomy Code207RG0100X
ClassificationInternal Medicine
TypeAllopathic & Osteopathic Physicians
SpecializationGastroenterology
License No.036110939
License StateIL
Taxonomy DescriptionAn internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs.

Business Address

PHITHAO J NGUYEN DO FAAFP
33 W HIGGINS RD
SUITE 820
SOUTH BARRINGTON, IL
ZIP 60010
Phone: (847) 426-4355
Fax: (847) 426-0047

Get Directions


Mailing Address

PHITHAO J NGUYEN DO FAAFP
33 W HIGGINS RD
SUITE 820
SOUTH BARRINGTON, IL
ZIP 60010
Phone: (847) 426-4355
Fax: (847) 426-0047



Secondary Locations

1555 Barrington Rd Ste 310
Hoffman Estates, IL 60169
(224) 273-3590

Medicare Participation

Registered in PECOS? Yes What is PECOS?
PECOS is the Medicare Provider, Enrollment, Chain and Ownership System. PECOS is Medicare's enrollment and revalidation system and it is the primary source of information about verified Medicare professionals. A NPI number is necessary to register in PECOS. Providers must enroll in PECOS to avoid denied claims.
PECOS PAC ID3678537537
PECOS Enrollment IDI20041119000197
Accepts Medicare Assignment? Yes "What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.
Eligible order / refer Part B Clinical Laboratory and ImagingYes
Eligible order / refer Durable Medical EquipmentYes
Eligible order / refer Home Health Agency (HHA)Yes
Eligible order / refer Power Mobility DevicesYes

Clinician Utilization

The following Healthcare Common Procedure Coding System (HCPCS) codes were publicly reported as the top services rendered by this provider under the Medicare program for the year 2017. The reported codes are based on the top 5 codes for each available Medicare specialty, excluding evaluation and management codes.

  • 92Biopsy of the esophagus, stomach, and/or upper small bowel using an endoscope (HCPCS:43239)
  • 71Removal of polyps or growths of large bowel using an endoscope (HCPCS:45385)
  • 29Diagnostic examination of large bowel using an endoscope (HCPCS:45378)
  • 26Biopsy of large bowel using an endoscope (HCPCS:45380)

Hospital Affiliations

Medicare hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the Medicare claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Phithao Nguyen is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type CMS Certification Number (CCN) Overall Rating
ALEXIAN BROTHERS MEDICAL CENTER800 W BIESTERFIELD RD
ELK GROVE VILLAGE, IL 60007
(847) 437-5500Acute Care Hospitals140258
ST ALEXIUS MEDICAL CENTER1555 N BARRINGTON RD
HOFFMAN ESTATES, IL 60169
(847) 843-2000Acute Care Hospitals140290
ADVENTIST GLENOAKS701 WINTHROP AVENUE
GLENDALE HEIGHTS, IL 60139
(630) 545-8000Acute Care Hospitals140292
NORTHWEST COMMUNITY HOSPITAL 1800 W CENTRAL ROAD
ARLINGTON HEIGHTS, IL 60005
(847) 618-1000Acute Care Hospitals140252

Other Providers at the same location


The following 16 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1023090354 MARY GLORIA KANE MD
Individual
Internal Medicine (Gastroenterology)33 W HIGGINS RD SUITE 820
SOUTH BARRINGTON, IL 60010
(847) 426-4355
1184635906DR. ALADIN M MARIANO M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)33 W HIGGINS RD SUITE 5030
SOUTH BARRINGTON, IL 60010
(847) 836-5322
1730229246DR. MARTHA C. LINN D.C.
Individual
Chiropractor33 W HIGGINS RD SUITE 5020
SOUTH BARRINGTON, IL 60010
(847) 428-2228
1437376282DR. STEVEN J SHANDLEY D.D.S.
Individual
Dentist (General Practice)33 W HIGGINS RD SUITE 800
SOUTH BARRINGTON, IL 60010
(847) 428-4646
1184841959DR. M. ELIZABETH KANE D.D.S.
Individual
Dentist (General Practice)33 W HIGGINS RD SUITE 800
SOUTH BARRINGTON, IL 60010
(847) 428-4646
1003022187DR. KIMBERLY GIBAS DC
Individual
Chiropractor33 W HIGGINS RD SUITE 620
SOUTH BARRINGTON, IL 60010
(847) 426-7008
1487834123CARELINK HOME HEALTH, LLC
Organization
Home Health33 W HIGGINS RD SUITE 5020
SOUTH BARRINGTON, IL 60010
(847) 426-0300
1255665493DR. HELEN ZARCZYNSKI DDS
Individual
Dentist (General Practice)33 W HIGGINS RD SUITE 4080
SOUTH BARRINGTON, IL 60010
(847) 836-8080
1699943944NEW BEGINNINGS CHIROPRACTIC LTD
Organization
Chiropractor33 W HIGGINS RD SUITE 620
SOUTH BARRINGTON, IL 60010
(847) 426-7008
1114144060STEVEN J SHANDLEY DDS AND M ELIZABETH KANE DDS PC
Organization
Dentist (General Practice)33 W HIGGINS RD SUITE 800
SOUTH BARRINGTON, IL 60010
(847) 428-4646
1053537605DRS. KANE, MISAWA AND NGUYEN, LLC
Organization
Specialist33 W HIGGINS RD SUITE 820
SOUTH BARRINGTON, IL 60010
(847) 426-4355
1134164247ARA-SOUTH BARRINGTON DIALYSIS LLC
Organization
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)33 W HIGGINS RD SUITES 920-945
SOUTH BARRINGTON, IL 60010
(847) 783-4700
1508877424ASSOCIATES IN CARDIAC, THORACIC & VASCULAR SURGERY, S.C.
Organization
Thoracic Surgery (Cardiothoracic Vascular Surgery)33 W HIGGINS RD SUITE 5030
SOUTH BARRINGTON, IL 60010
(847) 836-5322
1396884060RADIANT HEALTH, INC.
Organization
Chiropractor33 W HIGGINS RD SUITE 5020
SOUTH BARRINGTON, IL 60010
(847) 428-2228
1912988759 KYOKO MISAWA MD
Individual
Internal Medicine (Gastroenterology)33 W HIGGINS RD STE 820
SOUTH BARRINGTON, IL 60010
(847) 426-4355
1619917523 KHURSHEED AHMED
Individual
Hospitalist33 W HIGGINS RD #5100
SOUTH BARRINGTON, IL 60010
(847) 783-4800

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.