DEREK NGUYEN MD
NPI 1790954931
Family Medicine in West Hartford, CT
About Derek Nguyen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DEREK NGUYEN MD (NPI 1790954931) is an individual family medicine provider in West Hartford, Connecticut, licensed in Connecticut (049412) and active in the NPI registry since February 2008. He is enrolled in Medicare PECOS and is a graduate of Other (2006).
NPPES Registry Identity
Specialties & Licenses
Other Identifiers 1
Accepted 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
Derek 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.
Medicare Billing Reassignment
Medicare enrollment records show Derek Nguyen reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Farmington, CT 06032
- Reassigned Medicare billing, Connecticut enrollment
- 496 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims
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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 06110 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
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.
Reported Quality Measures
Other Providers at the Same Location NPPES 7
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Derek Nguyen's NPI number?
The NPI number for Derek Nguyen is 1790954931. It was assigned to this individual provider in the NPPES registry on February 21, 2008.
Where is Derek Nguyen located?
Derek Nguyen practices at 631 S Quaker Ln, West Hartford, CT 06110. The listed phone number is (860) 233-5133.
What is Derek Nguyen's specialty?
The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.
Is Derek Nguyen enrolled in Medicare?
Yes. Derek 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 Derek Nguyen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Derek Nguyen reassigns Medicare benefits to Prohealth Physicians PC (Farmington, CT). 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 Derek Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Derek Nguyen accept?
Health plans from Anthem Blue Cross and Blue Shield list Derek 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 Derek Nguyen was last updated on February 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.
# Derek Nguyen, MD · NPI 1790954931
Family Medicine physician in West Hartford, Connecticut. Individual provider, active in the CMS NPPES registry since February 21, 2008.
## Identity
- **NPI:** 1790954931 (Entity type: Individual)
- **Enumerated:** February 21, 2008
- **Primary specialty:** Family Medicine · taxonomy 207Q00000X
- **State license:** 049412 (Connecticut)
- **Sole proprietor:** No
## Practice location
- **Address:** 631 S QUAKER LN, West Hartford, CT 06110-1043
- **Phone:** (860) 233-5133 · **Fax:** (860) 233-5211
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** Prohealth Physicians PC (NPI 1720194053, Farmington, CT), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2006
## Record status
- **NPPES last updated:** February 6, 2025
- **Other identifiers:** Medicaid 004236346 (CT)
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Source: [NPI Profile](https://npiprofile.com/npi/1790954931) · Data from the CMS NPPES public registry.