DAN PHUONG NGUYEN MD
NPI 1851895098
Physical Medicine & Rehabilitation in Martinsburg, WV
About Dan Phuong Nguyen Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
DAN PHUONG NGUYEN MD (NPI 1851895098) is an individual physical medicine & rehabilitation provider in Martinsburg, West Virginia, licensed in Virginia (0101275001) and active in the NPI registry since March 2018. He is enrolled in Medicare PECOS, is affiliated with Berkeley Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
Dan Phuong 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 Reassignments
2Medicare enrollment records show Dan Nguyen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Falling Waters, WV 25419
- Reassigned Medicare billing, West Virginia enrollment
- Medicare enrollment name: West Virginia University Medical Corporation
- 2,471 clinicians in this Medicare group
Ranson, WV 25438
- Reassigned Medicare billing, West Virginia enrollment
- 110 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 6
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.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
Berkeley Medical Center
Acute Care Hospitals · Martinsburg, WVJefferson Medical Center
Critical Access Hospitals · Ranson, WVFrequently 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 Dan Nguyen's NPI number?
The NPI number for Dan Nguyen is 1851895098. It was assigned to this individual provider in the NPPES registry on March 21, 2018.
Where is Dan Nguyen located?
Dan Nguyen practices at Spring Mills Medical Office 61 Campus Dr Ste 300, Martinsburg, WV 25404. The listed phone number is (304) 596-5160.
What is Dan Nguyen's specialty?
The primary specialty registered for this NPI is Physical Medicine & Rehabilitation with taxonomy code 208100000X.
Is Dan Nguyen enrolled in Medicare?
Yes. Dan 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 organizations bill Medicare for Dan Nguyen's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Dan Nguyen reassigns Medicare benefits to 2 organizations: Spring Mills Medical Center (Falling Waters, WV) and Jefferson Memorial Hospital (Ranson, WV). Each 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 Dan Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Dan Nguyen accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and Highmark Blue Cross Blue Shield West Virginia and 1 other insurer list Dan 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.
Is Dan Nguyen affiliated with any hospitals?
According to CMS data, Dan Nguyen is affiliated with Berkeley Medical Center and Jefferson Medical Center.
When was this NPI record last updated?
The NPPES record for Dan Nguyen was last updated on July 16, 2024. 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.