KHANH KIM NGUYEN M.D.
NPI 1770585044
Internal Medicine - Gastroenterology in San Jose, CA

Active since June 01, 2005PECOS EnrolledAccepts Medicare Assignment
100/100
CMS Quality Rating
2331 MONTPELIER DR STE B, SAN JOSE, CA 95116(408) 347-9001(408) 347-9004 Get Directions Write a Review

NPPES record last updated: November 7, 2023. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 7, 2023, Mar 9, 2020 (2 updates tracked since 2020).

About Khanh Kim Nguyen M.d. NPPES

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

KHANH KIM NGUYEN M.D. (NPI 1770585044) is an individual gastroenterology provider in San Jose, California, licensed in California (A61955) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS and is a graduate of University Of Southern California Keck School Of Medicine (1995).

NPPES Registry Identity

NPI1770585044
Entity TypeIndividualMale
Primary Taxonomy207RG0100X
Provider Legal NameKHANH KIM NGUYENCredential: M.D.
Location Address2331 MONTPELIER DR STE BSan Jose, CA 95116-1673
Mailing Address2331 Montpelier Dr Ste BSan Jose, CA 95116-1673 · (408) 347-9001 · Fax (408) 347-9004
Fax(408) 347-9004
Sole ProprietorNo
Medical School CMSUniversity Of Southern California Keck School Of MedicineGraduated 1995
Enumeration DateJune 1, 2005
Last NPPES UpdateNovember 7, 20232 updates tracked since enumeration
NPPES CertifiedNovember 7, 2023
NPI 1770585044 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · GastroenterologyAllopathic & Osteopathic Physicians
Taxonomy Code207RG0100X
License Licensed in CA · A61955
Definition
An 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.
2331 MONTPELIER DR STE B, San Jose, CA 95116

Other Identifiers 1

Medicaid00A619550CA

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

Khanh Kim Nguyen M.d. 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 ID4587620737
PECOS Enrollment IDI20041208001174
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.

Areas of Expertise CMS Part B claims 12

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Pathology examination of tissue using a microscope, intermediate complexity 88305
A 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.
244 services119 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
130 services127 patients
Moderate sedation services provided by the same physician or other qualified health care professional performing a gastrointestinal endoscopic service that sedation supports, requiring the presence of an independent trained observer to assist in the monito G0500
Moderate sedation is a method where a physician uses medication to help you relax during a gastrointestinal endoscopy. An independent trained observer will be present to monitor your vital signs and ensure your safety throughout the procedure. It's a common and safe practice.
99 services98 patients
New patient office or other outpatient visit with moderate level of medical decision making, if using time, 45 minutes or more 99204
This is a first-time office or outpatient visit lasting between 45-59 minutes. The healthcare provider evaluates your health, discusses your medical history, and may suggest further tests or treatments. It's an opportunity to ask questions and understand your health better.
94 services94 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
62 services62 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
57 services55 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 95116 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
$156.67 typical visit price
range $70.37 – $206.04
Typical copayment $39.16 (range $17.59 – $51.51)
Most-billed visit code 99204
Established Patient
$121.77 typical visit price
range $23.96 – $169.60
Typical copayment $30.44 (range $5.99 – $42.40)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Individually scored
Quality95
Improvement Activities40

Reported Quality Measures

Age Appropriate Screening Colonoscopy
Lower rates are better for this measure.
0%896 patients
Appropriate Follow-Up Interval for Normal Colonoscopy in Average Risk Patients
100%194 patients
Colonoscopy Interval for Patients with a History of Adenomatous Polyps - Avoidance of Inappropriate Use
100%159 patients
Colorectal Cancer Screening
100%1,084 patients5/55-star benchmark: 100%
Documentation of Current Medications in the Medical Record
100%1,308 patients5/55-star benchmark: 100%
Preventive Care and Screening: Body Mass Index (BMI) Screening and Follow-Up Plan
100%1,287 patients5/55-star benchmark: 100%
Providers report different measures because they deliver different services; reporting more or less information is not a reflection of quality. Star ratings appear only where CMS assigned them.

Other Providers at the Same Location NPPES 10

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

Internal Medicine (Gastroenterology)
2331 MONTPELIER DR STE B
SAN JOSE, CA 95116
Internal Medicine (Gastroenterology)
2331 MONTPELIER DR STE B
SAN JOSE, CA 95116
Internal Medicine (Gastroenterology)
2331 MONTPELIER DR STE B
SAN JOSE, CA 95116
Internal Medicine (Gastroenterology)
2331 MONTPELIER DR STE B
SAN JOSE, CA 95116
Internal Medicine (Gastroenterology)
2331 MONTPELIER DR STE B
SAN JOSE, CA 95116
Physician Assistant
2331 MONTPELIER DR STE B
SAN JOSE, CA 95116
Internal Medicine (Gastroenterology)
2331 MONTPELIER DR STE B
SAN JOSE, CA 95116
Nurse Practitioner (Adult Health)
2331 MONTPELIER DR STE B
SAN JOSE, CA 95116

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 Khanh Nguyen's NPI number?

The NPI number for Khanh Nguyen is 1770585044. It was assigned to this individual provider in the NPPES registry on June 1, 2005.

Where is Khanh Nguyen located?

Khanh Nguyen practices at 2331 Montpelier Dr Ste B, San Jose, CA 95116. The listed phone number is (408) 347-9001.

What is Khanh Nguyen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Gastroenterology, with taxonomy code 207RG0100X.

Is Khanh Nguyen enrolled in Medicare?

Yes. Khanh 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.

When was this NPI record last updated?

The NPPES record for Khanh Nguyen was last updated on November 7, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.