DR. KHANH DUY NGUYEN (MD) – Diagnostic Radiology Physician, NPI 1093770869

DR. KHANH DUY NGUYEN (MD) is a healthcare provider. based in Lowell, Arkansas. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials MD. They hold a License No. J0857 (TX). The NPI Number for DR. KHANH DUY NGUYEN (MD) is 1093770869

Main info

Male
36 Years Of Experience
Name
DR. KHANH DUY NGUYEN (MD)
NPI
1093770869
Phone
(855) 381-9178
Address
PO BOX 2030
Enumeration Date
17 April 2006
Last Update Date
19 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
61421018851403
Graduation Year
1990 (36 years ago)
PAC ID
1759295041
Group Practice PAC ID
2264436120
Professional Enrollment ID
I20040802000906
Address ID
TX787303464AU4104XYORK400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Digital endpointsOther names

3,303 DIAGNOSTIC RADIOLOGY in TX

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Provider Addresses for DR. KHANH DUY NGUYEN (MD)

  • Lowell Post Office, 155, Father Morissette Boulevard, City Hall Historic District, The Acre, Lowell, Middlesex County, Massachusetts, 01852, United States

    LOWELL, AR 727452030

    Phone: (855) 381-9178

    Fax: (913) 234-1116

    Type: Mailing

  • Providence Memorial Hospital, 2001, North Oregon Street, El Paso, El Paso County, Texas, 79902, United States

    EL PASO, TX 799023320

    Phone: (915) 577-6011

    Fax: (915) 577-7068

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $41.

Total Amount is formed as General ($41) + Research ($0) + Ownership ($0) = $41.

Last reported payment date: 2024-11-29 • Largest payer in this snapshot: SI-BONE, INC. ($23).

Total Amount

$41

General + Research + Ownership

Payments

2

Total payment records

General Amount

$41

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-11-29

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-11-25

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20040802000906IDiagnostic RadiologyTXTBD
I20210324002450IDiagnostic RadiologyNYTBD
I20240708001432IDiagnostic RadiologyCOTBD
I20241113002999IDiagnostic RadiologyFLTBD
I20251125003356IDiagnostic RadiologyMITBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
71045X-ray of chest, 1 view2,1812,063$0
70450Ct scan head or brain without contrast785764$0
74176Ct scan of abdomen and pelvis without contrast481476$0
74177Ct scan of abdomen and pelvis with contrast425421$0
71250Ct scan of chest without contrast424421$0
View full utilization report →

Insurance plans in this area (ZIP 72745)

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Provider's Procedures

DR. KHANH DUY NGUYEN (MD) performs procedures in DIAGNOSTIC RADIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
DIAGNOSTIC RADIOLOGYTX71010X-ray of chest, 1 view, front4340
DIAGNOSTIC RADIOLOGYTX73110X-ray of wrist, minimum of 3 views2221
DIAGNOSTIC RADIOLOGYTX73630X-ray of foot, minimum of 3 views2222
DIAGNOSTIC RADIOLOGYTX74177CT scan of abdomen and pelvis with contrast126125
DIAGNOSTIC RADIOLOGYTX93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers9191

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264436120View full group profile
NameSpecialtyState
Diagnostic RadiologyTX
Diagnostic RadiologyIL
Interventional Radiology, Diagnostic RadiologyPA
Diagnostic RadiologyTX
Diagnostic RadiologyCA
-KY
-FL
Diagnostic RadiologyFL
Nurse PractitionerKY
-KY

Reviews

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Frequently asked questions

Can I cross-check DR. KHANH DUY NGUYEN (MD) using NPI 1093770869?
NPI 1093770869 belongs to DR. KHANH DUY NGUYEN (MD); compare other details if you need extra assurance.
Is there an active status for DR. KHANH DUY NGUYEN (MD)?
For scheduling context, DR. KHANH DUY NGUYEN (MD) is shown as active in the registry.
What clinical focus is listed for DR. KHANH DUY NGUYEN (MD)?
At a glance, DR. KHANH DUY NGUYEN (MD) is tied to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
Is DR. KHANH DUY NGUYEN (MD) associated with Lowell?
Public fields place DR. KHANH DUY NGUYEN (MD) around Lowell, Arkansas. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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