CAROLINE NGUYEN (MD) – Emergency Medicine Physician, NPI 1104934256

CAROLINE NGUYEN (MD) is a healthcare provider. based in Emeryville, California. specializing in EMERGENCY MEDICINE. They hold the professional credentials MD. They hold a License No. A77132 (CA). The NPI Number for CAROLINE NGUYEN (MD) is 1104934256

Main info

Female
28 Years Of Experience
Accepts Medicare Assignment
Name
CAROLINE NGUYEN (MD)
NPI
1104934256
Phone
(510) 350-2842
Address
2100 POWELL ST
Enumeration Date
28 August 2006
Last Update Date
19 July 2016

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9168870000
Graduation Year
1998 (28 years ago)
PAC ID
5698816957
Group Practice PAC ID
5991178998
Professional Enrollment ID
I20100108000240
Address ID
CA958166039SA2825XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

5,791 EMERGENCY MEDICINE in CA

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Provider Addresses for CAROLINE NGUYEN (MD)

  • 2100 Powell Street, Bay Trail, Emeryville, Alameda County, California, 94608, United States

    STE 900

    EMERYVILLE, CA 946081844

    Phone: (510) 350-2842

    Fax: (510) 879-9128

    Type: Mailing

  • 2801, L Street, Midtown, Sacramento, Sacramento County, California, 95816, United States

    SACRAMENTO, CA 95816

    Phone: (916) 733-3003

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

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: 2010-01-08

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

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
I20100108000240IEmergency MedicineCATBD

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
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only233200$0
99285Emergency department visit with high level of medical decision making217212$0
99291Critical care, first 30-74 minutes9393$0
99284Emergency department visit with moderate level of medical decision making5855$0
99292Critical care, each additional 30 minutes1313$0
View full utilization report →

Insurance plans in this area (ZIP 94608)

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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: 5991178998View full group profile
NameSpecialtyState
Physician AssistantCA
Internal MedicineCA
Physician AssistantCA
Physician AssistantCA
Emergency MedicineCA
Physician AssistantCA
Physician AssistantCA
Physician AssistantCA
Emergency MedicineIL
H O S P I T A L I S TIL

Reviews

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Frequently asked questions

Can I verify CAROLINE NGUYEN (MD) with an NPI only?
You can start verification with NPI 1104934256 for CAROLINE NGUYEN (MD), then check state licensing separately.
Does the file indicate CAROLINE NGUYEN (MD) is practicing under active NPI?
Directory data currently reports CAROLINE NGUYEN (MD) as active.
What is CAROLINE NGUYEN (MD)'s primary classification?
Emergency Medicine Physician is the headline specialty for CAROLINE NGUYEN (MD) here. Clinical services aligned with this taxonomy classification.
What address line appears for CAROLINE NGUYEN (MD)?
CAROLINE NGUYEN (MD)'s geographic hint is Emeryville, California in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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