THANH M NGUYEN MD
NPI 1831296656
Pediatrics - Pediatric Endocrinology in Jacksonville, FL

Active since September 20, 2006PECOS EnrolledAccepts Medicare Assignment
12086 FORT CAROLINE RD, STE 401, JACKSONVILLE, FL 32225(904) 565-1271 Get Directions Write a Review

NPPES record last updated: November 6, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Thanh M Nguyen Md NPPES

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

THANH M NGUYEN MD (NPI 1831296656) is an individual pediatric endocrinology provider in Jacksonville, Florida, licensed in Florida (ME101652) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2002).

NPPES Registry Identity

NPI1831296656
Entity TypeIndividualMale
Primary Taxonomy2080P0205X
Provider Legal NameTHANH M NGUYENCredential: MD
Location Address12086 FORT CAROLINE RD, STE 401Jacksonville, FL 32225-2687
Mailing AddressPo Box 3123St Augustine, FL 32085-3123 · (904) 824-4990
Sole ProprietorNo
Medical School CMSOhio State University College Of MedicineGraduated 2002
Enumeration DateSeptember 20, 2006
Last NPPES UpdateNovember 6, 2015
NPI 1831296656 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPediatrics · Pediatric EndocrinologyAllopathic & Osteopathic Physicians
Taxonomy Code2080P0205X
License Licensed in FL · ME101652
Definition
A pediatrician who provides expert care to infants, children and adolescents who have diseases that result from an abnormality in the endocrine glands (glands which secrete hormones). These diseases include diabetes mellitus, growth failure, unusual size for age, early or late pubertal development, birth defects, the genital region and disorders of the thyroid, the adrenal and pituitary glands.
Also ListedPediatricsTaxonomy 208000000X · License ME101652 (FL)
12086 FORT CAROLINE RD, Jacksonville, FL 32225

Other Identifiers 3

Other41503FL · Bcbs / Florida Blue
Medicaid000031000FL
Medicare PINDE637YFL

Accepted 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

Thanh M 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 ID8921139338
PECOS Enrollment IDI20100629000659
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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 32225 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
$130.04 typical visit price
range $56.00 – $171.84
Typical copayment $32.51 (range $14.00 – $42.96)
Most-billed visit code 99204
Established Patient
$99.16 typical visit price
range $17.57 – $139.16
Typical copayment $24.79 (range $4.39 – $34.79)
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Supply allowance for therapeutic continuous glucose monitor (cgm), includes all supplies and accessories, 1 month supply = 1 unit of service K0553
DME-Other DME · category DE017N
2 suppliers17 claims17 services$193.77 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 15

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

Family Medicine
12086 FORT CAROLINE RD, STE 401
JACKSONVILLE, FL 32225
Behavior Technician
12086 FORT CAROLINE RD
JACKSONVILLE, FL 32225
Behavior Technician
12086 FORT CAROLINE RD
JACKSONVILLE, FL 32225
Physician Assistant (Medical)
12086 FORT CAROLINE RD, STE # 401
JACKSONVILLE, FL 32225
Behavior Technician
12086 FORT CAROLINE RD
JACKSONVILLE, FL 32225
Dentist (General Practice)
12086 FORT CAROLINE RD, SUITE 105
JACKSONVILLE, FL 32225
Chiropractor
12086 FORT CAROLINE RD, SUITE 302
JACKSONVILLE, FL 32225
Dentist
12086 FORT CAROLINE RD, SUITE 105
JACKSONVILLE, FL 32225

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 Thanh Nguyen's NPI number?

The NPI number for Thanh Nguyen is 1831296656. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Thanh Nguyen located?

Thanh Nguyen practices at 12086 Fort Caroline Rd Ste 401, Jacksonville, FL 32225. The listed phone number is (904) 565-1271.

What is Thanh Nguyen's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Endocrinology, with taxonomy code 2080P0205X.

Is Thanh Nguyen enrolled in Medicare?

Yes. Thanh 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.

What insurance does Thanh Nguyen accept?

Health plans from Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company) and UnitedHealthcare list Thanh 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 Thanh Nguyen was last updated on November 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.