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PHUONG HOAI NGUYEN
NPI 1831907740
Physician Assistant in Fairfax, VA

Active since December 23, 2024PECOS EnrolledAccepts Medicare Assignment
2812 OLD LEE HWY STE 210A, FAIRFAX, VA 22031(703) 642-6633 Get Directions Write a Review

NPPES record last updated: March 5, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Mar 5, 2025, Dec 26, 2024 (2 updates tracked since 2024).

About Phuong Hoai Nguyen NPPES

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

PHUONG HOAI NGUYEN (NPI 1831907740) is an individual physician assistant in Fairfax, Virginia, licensed in Virginia (0110010452) and active in the NPI registry since December 2024. He is enrolled in Medicare PECOS, maintains a secondary practice location in Annandale, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1831907740
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NamePHUONG HOAI NGUYEN
Location Address2812 OLD LEE HWY STE 210AFairfax, VA 22031-4367
Mailing Address2812 Old Lee Hwy Ste 210aFairfax, VA 22031-4367 · (703) 642-6633
Phone(703) 642-6633
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateDecember 23, 2024
Last NPPES UpdateMarch 5, 20252 updates tracked since enumeration
NPPES CertifiedMarch 5, 2025
✔ NPI 1831907740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in VA · 0110010452
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
2812 OLD LEE HWY STE 210A, Fairfax, VA 22031
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Secondary Practice Location 1

Location 14208 Evergreen Ln Ste 214Annandale, VA 22003-3254 · Phone (703) 642-6633

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

Phuong Hoai Nguyen 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 ID1355863960
PECOS Enrollment IDI20250324000842
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 22031 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
$100.31 typical visit price
range $65.18 – $194.86
Typical copayment $25.07 (range $16.29 – $48.71)
Most-billed visit code 99203
Established Patient
$80.66 typical visit price
range $21.40 – $158.88
Typical copayment $20.16 (range $5.35 – $39.72)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES

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

DR. JULIE A WHITEHOUSE MD
Family Medicine
2812 OLD LEE HWY STE 210A
FAIRFAX, VA 22031
Fairfax County (703) 642-6633

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 Phuong Nguyen's NPI number?

The NPI number for Phuong Nguyen is 1831907740. It was assigned to this individual provider in the NPPES registry on December 23, 2024.

Where is Phuong Nguyen located?

Phuong Nguyen practices at 2812 Old Lee Hwy Ste 210A, Fairfax, VA 22031. The listed phone number is (703) 642-6633.

What is Phuong Nguyen's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Phuong Nguyen enrolled in Medicare?

Yes. Phuong 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 Phuong Nguyen was last updated on March 5, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.