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DR. TRAM NHAT BAO NGUYEN MD
NPI 1942705173
Internal Medicine - Critical Care Medicine in South Miami, FL

Active since March 29, 2018PECOS EnrolledAccepts Medicare Assignment
78.01/100
CMS Quality Rating
6200 SW 73RD ST, SOUTH MIAMI, FL 33143(059) 287-2493(305) 630-3632 Get Directions Write a Review

NPPES record last updated: July 7, 2023. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Jul 7, 2023, May 7, 2018, Mar 29, 2018 (3 updates tracked since 2018).

About Dr. Tram Nhat Bao Nguyen Md NPPES

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

DR. TRAM NHAT BAO NGUYEN MD (NPI 1942705173) is an individual critical care medicine provider in South Miami, Florida, licensed in Florida (ME161660) and active in the NPI registry since March 2018. She is enrolled in Medicare PECOS, is affiliated with Baptist Hospital Of Miami, and is a graduate of Other (2017).

NPPES Registry Identity

NPI1942705173
Entity TypeIndividualFemale
Primary Taxonomy207RC0200X
Provider Legal NameDR. TRAM NHAT BAO NGUYENCredential: MD
Location Address6200 SW 73RD STSouth Miami, FL 33143-4679
Mailing Address8600 Sw 92nd St Ste 204bMiami, FL 33156-7377 · (059) 287-2493 · Fax (305) 630-3632
Phone(059) 287-2493
Fax(305) 630-3632
Sole ProprietorNo
Medical School CMSOtherGraduated 2017
Enumeration DateMarch 29, 2018
Last NPPES UpdateJuly 7, 20233 updates tracked since enumeration
NPPES CertifiedJuly 7, 2023
✔ NPI 1942705173 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyInternal Medicine · Critical Care MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207RC0200X
License✔ Licensed in FL · ME161660
Definition
An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X · License 000000001 (FL)
6200 SW 73RD ST, South Miami, FL 33143
Open in Google Maps ↗

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Oscar Health, Oscar Health Maintenance Organization of Florida, Oscar Insurance Company.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

Dr. Tram Nhat Bao 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 ID9931463429
PECOS Enrollment IDI20230717000403
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.

Medicare Billing Reassignments

2

Medicare enrollment records show Tram Nguyen reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

South Florida Critical Care Services LLC
5.2 mi
Critical Care Medicine
8370 W FLAGLER ST STE 226
Miami, FL 33144
  • Reassigned Medicare billing, Florida enrollment
  • 234 clinicians in this Medicare group
NPI 1306354626 (305) 928-7249
Florida Hospital Medical Group Inc
207 mi
Family Medicine
1115 E RIDGEWOOD ST
Orlando, FL 32803
  • Reassigned Medicare billing, Florida enrollment
  • 3,005 clinicians in this Medicare group
NPI 1225034234 (407) 841-1100

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 4

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.

Critical care, first 30-74 minutes 99291
Critical care involves immediate and constant attention by a team of specially-trained health professionals. It's for patients with life-threatening conditions, requiring first 30-74 minutes of intense monitoring and treatment.
219 services152 patients
Critical care, each additional 30 minutes 99292
Critical care refers to special attention given to patients facing life-threatening conditions. Each additional 30 minutes indicates the extension of this specialized care. This might include close monitoring, medication adjustments, and immediate interventions as needed.
202 services86 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
47 services37 patients
Insertion of artery tube for blood sampling or infusion through skin 36620
This procedure involves placing a small tube into an artery, usually in the wrist or elbow, to collect blood samples or administer medication. It's done under local anesthesia and is a common, safe practice.
12 services12 patients

Hospital Affiliations CMS Care Compare 4

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Baptist Hospital Of Miami

Acute Care Hospitals · Miami, FL
4/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100008
Location8900 N Kendall DrMiami, FL 33176 · Miami-Dade County
Emergency services Birthing friendly

South Miami Hospital

Acute Care Hospitals · South Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100154
Location6200 SW 73rd StSouth Miami, FL 33143 · Miami-Dade County
Emergency services Birthing friendly

West Kendall Baptist Hospital

Acute Care Hospitals · Miami, FL
5/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number100314
Location9555 SW 162 AveMiami, FL 33196 · Miami-Dade County
Emergency services Birthing friendly

Mariners Hospital

Critical Access Hospitals · Tavernier, FL
OwnershipVoluntary non-profit - Private
CMS Certification Number101313
Location91500 Overseas HighwayTavernier, FL 33070 · Monroe County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 33143 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
$141.56 typical visit price
range $60.92 – $187.05
Typical copayment $35.39 (range $15.23 – $46.76)
Most-billed visit code 99204
Established Patient
$107.17 typical visit price
range $18.99 – $150.24
Typical copayment $26.79 (range $4.74 – $37.56)
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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

78.01/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality57.51
Promoting Interoperability100
Improvement Activities40
Cost69.18

Other Providers at the Same Location NPPES 20

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

BENJAMIN AND BLANK LLC
Internal Medicine (Pulmonary Disease)
6200 SW 73RD ST
SOUTH MIAMI, FL 33143
Miami-Dade County (786) 662-8400
CHRISTINE R MARAMBIO
Nurse Anesthetist, Certified Registered
6200 SW 73RD ST
SOUTH MIAMI, FL 33143
Miami-Dade County (786) 242-4575
JULIO DAVID DIAZ MORALES CRNA
Nurse Anesthetist, Certified Registered
6200 SW 73RD ST
SOUTH MIAMI, FL 33143
Miami-Dade County (305) 228-4993
DR. FRANCIA ELENA GUERRERO MD
Internal Medicine
6200 SW 73RD ST, BOX 69
SOUTH MIAMI, FL 33143
Miami-Dade County (786) 662-5465
KARINA ALTAGRACIA DIAZ MD
Hospitalist
6200 SW 73RD ST, SOUTH MIAMI HOSPITAL
SOUTH MIAMI, FL 33143
Miami-Dade County (786) 662-4000
MRS. STEPHANIE JONES PA-C
Physician Assistant
6200 SW 73RD ST
SOUTH MIAMI, FL 33143
Miami-Dade County (786) 662-4000
AMILCAR REY APRN
Nurse Practitioner (Primary Care)
6200 SW 73RD ST
SOUTH MIAMI, FL 33143
Miami-Dade County (786) 662-8194
HARRISON PHAN PHARMD
Pharmacist (Infectious Diseases)
6200 SW 73RD ST
SOUTH MIAMI, FL 33143
Miami-Dade County (786) 662-4000

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 Tram Nguyen's NPI number?

The NPI number for Tram Nguyen is 1942705173. It was assigned to this individual provider in the NPPES registry on March 29, 2018.

Where is Tram Nguyen located?

Tram Nguyen practices at 6200 SW 73rd St, South Miami, FL 33143. The listed phone number is (059) 287-2493.

What is Tram Nguyen's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Critical Care Medicine, with taxonomy code 207RC0200X.

Is Tram Nguyen enrolled in Medicare?

Yes. Tram 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 Tram Nguyen's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Tram Nguyen reassigns Medicare benefits to 2 organizations: South Florida Critical Care Services LLC (Miami, FL) and Florida Hospital Medical Group Inc (Orlando, FL). 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 Tram Nguyen's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Tram Nguyen accept?

Health plans from Oscar Health, Oscar Health Maintenance Organization of Florida and Oscar Insurance Company list Tram 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 Tram Nguyen affiliated with any hospitals?

According to CMS data, Tram Nguyen is affiliated with Baptist Hospital Of Miami, South Miami Hospital, West Kendall Baptist Hospital and Mariners Hospital.

When was this NPI record last updated?

The NPPES record for Tram Nguyen was last updated on July 7, 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.