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

About THANH M NGUYEN MD

Thanh Nguyen is a pediatrician established in Jacksonville, Florida and his medical specialization is Pediatrics with a focus in pediatric endocrinology with more than 21 years of experience. He graduated from Ohio State University College Of Medicine in 2002. The NPI number of Thanh Nguyen is 1831296656 and was assigned on September 2006. The practitioner's primary taxonomy code is 2080P0205X with license number ME101652 (FL). The provider is registered as an individual and his NPI record was last updated 7 years ago.

NPI
1831296656
Provider Name THANH M NGUYEN MD
Location Address12086 FORT CAROLINE RD STE 401 JACKSONVILLE, FL 32225
Location Phone(904) 565-1271
Mailing AddressPO BOX 3123 ST AUGUSTINE, FL 32085
GenderMale
NPI Entity TypeIndividual
Medical School NameOHIO STATE UNIVERSITY COLLEGE OF MEDICINE
Graduation Year2002
Is Sole Proprietor?No
Enumeration Date09-20-2006
Last Update Date11-06-2015

A pediatrician like Thanh M Nguyen Md is a physician who has completed a pediatric residency and is board-certified or board-eligible in a pediatric specialty. Pediatric care providers are trained to care for newborns, infants, children and adolescents. A pediatrician could perform physical exams, manage vaccinations, monitor development milestones, diagnose illnesses, infections, injuries or other health problems, etc.Thanh Nguyen is enrolled in PECOS and is eligible to order or refer health care 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.

Thanh 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.

The typical physician office visit costs for Medicare beneficiaries in this area are: $33.81 for a new patient copayment and $25.94 for an established patient copayment.



Primary Taxonomy

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.

Taxonomy Code2080P0205X
ClassificationPediatrics
TypeAllopathic & Osteopathic Physicians
SpecializationPediatric Endocrinology
License No.ME101652
License StateFL
Taxonomy DescriptionA 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.

Accepted Insurance

The NPI profile data indicates this provider might be enrolled and accepting insurance plans from the following companies or healthcare programs:

  • Blue Cross Blue Shield
  • Medicaid
  • Medicare

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Business Address

THANH M NGUYEN MD
12086 FORT CAROLINE RD
STE 401
JACKSONVILLE, FL
ZIP 32225
Phone: (904) 565-1271

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Mailing Address

THANH M NGUYEN MD
PO BOX 3123
ST AUGUSTINE, FL
ZIP 32085
Phone: (904) 824-4990


Location Map

PECOS Enrollment and Medicare Participation Status

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.

Registered in PECOS? Yes
PECOS PAC ID8921139338
PECOS Enrollment IDI20100629000659
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

Physician Office Visit Costs

The provider accepts as payment the Medicare approved amount. Medicare beneficiaries should not be billed for more than the Medicare deductible and coinsurance amounts. Medicare pricing is usually a reference point for private insurance covered patients. The prices below reflect the costs for new and established patients in the 32225 ZIP code area.

New Patients Office Visits Costs *
Most Utilized Procedure Code for new patients office visits: 99204
Minimum New Patient Pricing Maximum New Patient Pricing Typical New Patient Pricing
$58.4 $178.79 $135.26
Minimum New Patient Copayment Maximum New Patient Copayment Typical New Patient Copayment
$14.6 $44.69 $33.81
Established Patients Office Visits Costs *
Most Utilized Procedure Code for established patients office visits: 99214
Minimum Established Patient Pricing Maximum Established Patient Pricing Typical Established Patient Pricing
$17.74 $145.28 $103.76
Minimum Established Patient Copayment Maximum Established Patient Copayment Typical Established Patient Copayment
$4.43 $36.32 $25.94

* The physician office visit costs information is obtained by Medicare's statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.

Secondary Taxonomies


The secondary taxonomy codes define the provider type, classification, and specialization. For individual NPIs the license data is associated to each taxonomy code.

No. Taxonomy Code Type Classification Specialization License No. State Primary
1208000000XAllopathic & Osteopathic PhysiciansPediatricsME101652FLNo

Taxonomy Description: a pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Additional Identifiers


Additional identifier(s) currently or formerly used as an identifier for the provider. The codes may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
41503OTHER (01)FLBCBS / FLORIDA BLUE
000031000MEDICAID (05)FL
DE637YMEDICARE PIN (08)FL

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1831296656
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
28614912610
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 8 + 6 + 1 + 4 + 9 + 1 + 2 + 6 + 1 + 0 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1831296656 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1992847511DR. AMY DAY SESSIONS D.C.
Individual
Chiropractor12086 FORT CAROLINE RD SUITE 302
JACKSONVILLE, FL 32225
(904) 564-2500
1851587323FT CAROLINE CHIROPRACTIC CLINIC PA
Organization
Chiropractor12086 FORT CAROLINE RD SUITE 302
JACKSONVILLE, FL 32225
(904) 564-2500
1225212319DR. GARTH CLIVE TRINDER-SMITH D.C.
Individual
Chiropractor12086 FORT CAROLINE RD UNIT 504
JACKSONVILLE, FL 32225
(904) 646-1108
1710162433ATLAS CHIROPRACTIC CLINIC INC
Organization
Clinic/Center12086 FORT CAROLINE RD UNIT 504
JACKSONVILLE, FL 32225
(904) 646-1108
1467778761DR. BLAKE MOSER D.C.
Individual
Chiropractor12086 FORT CAROLINE RD SUITE 302
JACKSONVILLE, FL 32225
(904) 564-2500
1962704866FT CAROLINE CHIROPRACTIC CLINIC
Organization
Chiropractor12086 FORT CAROLINE RD SUITE 302
JACKSONVILLE, FL 32225
(904) 564-2500
1407101033DR. IRIVELISSE STEVENS PORTER DMD
Individual
Dentist (General Practice)12086 FORT CAROLINE RD SUITE 105
JACKSONVILLE, FL 32225
(904) 807-9127
1508110602DR. PAUL SCHLOTH DMD
Individual
Dentist12086 FORT CAROLINE RD SUITE 105
JACKSONVILLE, FL 32225
(904) 807-9127
1356693881 WILLIAM DEWEY LEE III PA
Individual
Physician Assistant (Medical)12086 FORT CAROLINE RD STE # 401
JACKSONVILLE, FL 32225
(904) 565-1271
1750476065ALL ABOUT KIDS AND FAMILY MEDICAL CENTER INC
Organization
Pediatrics12086 FORT CAROLINE RD SUITE 401
JACKSONVILLE, FL 32225
(904) 565-1271
1730584673 MEGAN FINCK PA-C
Individual
Physician Assistant12086 FORT CAROLINE RD SUITE #401
JACKSONVILLE, FL 32225
(904) 565-1271
1518275254 KAITLIN RAY ARNP
Individual
Nurse Practitioner (Pediatrics)12086 FORT CAROLINE RD 401
JACKSONVILLE, FL 32225
(904) 565-1271
1184602583DR. KIA MICHON MITCHELL M.D.
Individual
Family Medicine12086 FORT CAROLINE RD STE 401
JACKSONVILLE, FL 32225
(904) 565-1271
1619329075DR. RYAN ADAM LOREN SR. DC
Individual
Chiropractor12086 FORT CAROLINE RD STE 302
JACKSONVILLE, FL 32225
(407) 532-8895

Frequently Asked Questions

What is Thanh Nguyen MD NPI number?

The NPI number assigned to Thanh Nguyen MD is 1831296656, registered as an "individual" on September 20, 2006

Where is Thanh Nguyen MD located?

The provider is located at 12086 Fort Caroline Rd Ste 401 Jacksonville, Fl 32225 and the phone number is (904) 565-1271

Which is Thanh Nguyen MD specialty?

The provider's speciality is Pediatrics with a focus in Pediatric Endocrinology

How many years of experience does Thanh Nguyen MD have?

The provider has more than 21 years of experience. He graduated from Ohio State University College Of Medicine in 2002.

What insurance does Thanh Nguyen MD accept?

The provider might be accepting Blue Cross Blue Shield, Medicaid and Medicare. Please consult your insurance carrier or call the provider to make sure your insurance plan is currently accepted.

Is Thanh Nguyen MD registered in PECOS?

Yes, as of November 14, 2022 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a Medicare beneficiary 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.

How much is a visit to Thanh Nguyen MD?

Medicare beneficiaries should expect a typical cost of $135.26 with an average copayment of $33.81 for new patient appointments. Established patients should expect a typical charge of $103.76 and an average copayment of 25.94. Please review your insurance plan or contact the provider directly to determine your specific costs.

How do I update my NPI information?

The NPI record of Thanh Nguyen MD was last updated on September 20, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected]
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us at: [email protected]