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DR. KIM NGUYEN, DO
NPI 1871164855
Surgery in Las Vegas, NV

Active since July 09, 2021
5920 S RAINBOW BLVD STE 5, LAS VEGAS, NV 89118(702) 763-2002(877) 414-2638 Get Directions Write a Review

NPPES record last updated: March 28, 2023. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 28, 2023, Aug 23, 2021, Aug 18, 2021 and 2 more (5 updates tracked since 2021).

About Dr. Kim Nguyen, Do NPPES

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

DR. KIM NGUYEN, DO (NPI 1871164855) is a healthcare organization registered as a surgery in Las Vegas, Nevada and active in the NPI registry since July 2021. The organization maintains a secondary practice location in Henderson and lists Kim Anh Nguyen, Medical Director/owner, as its authorized official.

NPPES Registry Identity

NPI1871164855
Entity TypeOrganization
Primary Taxonomy208600000X
Legal Business NameDR KIM ANH NGUYEN LLC
Location Address5920 S RAINBOW BLVD STE 5Las Vegas, NV 89118-4209
Mailing Address5920 S Rainbow Blvd Ste 5Las Vegas, NV 89118-4209 · (702) 763-2002 · Fax (877) 414-2638
Phone(702) 763-2002
Fax(877) 414-2638
Organization SubpartNo
Authorized OfficialKim Anh NguyenMedical Director/owner · (702) 763-2002
Enumeration DateJuly 9, 2021
Last NPPES UpdateMarch 28, 20235 updates tracked since enumeration
NPPES CertifiedMarch 28, 2023
✔ NPI 1871164855 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySurgeryAllopathic & Osteopathic Physicians
Taxonomy Code208600000X
Definition
A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
5920 S RAINBOW BLVD STE 5, Las Vegas, NV 89118
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Other Names 1

Doing Business AsDr. Kim Nguyen, Do

Secondary Practice Location 1

Location 1825 N Gibson Rd Ste 301Henderson, NV 89011-1708 · Phone (702) 763-2002 · Fax (877) 414-2638

Other Identifiers 3

Medicaid1871164855NV
Medicaid1700030954NV
OtherDO2258NV · Medical License

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Ambetter Health, Molina Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Kim Nguyen, Do is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Dr. Kim Nguyen, Do, which bills Medicare for the services this clinician delivers.

Clinician (1)

Kim Nguyen, D.O.
General Surgery
NPI 1700030954
5920 S RAINBOW BLVD STE 5
Las Vegas, NV 89118
(702) 763-2002
✔ PECOS✔ Accepts MedicareSame address

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Dr Kim Anh Nguyen LLC's NPI number?

The NPI number for Dr Kim Anh Nguyen LLC is 1871164855. It was assigned to this organization in the NPPES registry on July 9, 2021. The provider is doing business as Dr. Kim Nguyen, Do.

Where is Dr Kim Anh Nguyen LLC located?

Dr Kim Anh Nguyen LLC is located at 5920 S Rainbow Blvd Ste 5, Las Vegas, NV 89118. The listed phone number is (702) 763-2002.

What is Dr Kim Anh Nguyen LLC's specialty?

The primary specialty registered for this NPI is Surgery with taxonomy code 208600000X.

Is Dr Kim Anh Nguyen LLC enrolled in Medicare?

Yes. Dr Kim Anh Nguyen LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Dr Kim Anh Nguyen LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (General Surgery) reassigns their Medicare billing to Dr Kim Anh Nguyen LLC. A 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 the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does Dr Kim Anh Nguyen LLC accept?

Health plans from Ambetter Health, Ambetter from Arizona Complete Health and Molina Healthcare list Dr Kim Anh Nguyen LLC 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 Dr Kim Anh Nguyen LLC was last updated on March 28, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.