DR. LIEUKO NGUYEN (M.D.) – Pediatric Nephrology Physician, NPI 1235289364
Pediatric Nephrology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,404 NEPHROLOGY in CA
Provider Addresses for DR. LIEUKO NGUYEN (M.D.)
8001 Frost St
San Diego, CA 921232746
Phone: (858) 966-8052
Fax: (858) 966-7789
Type: Location
Rady Children's Hospital-San Diego, 3020, Children's Way, Birdland, Serra Mesa, San Diego, San Diego County, California, 92123, United States
MC 5003
SAN DIEGO, CA 921234223
Phone: (858) 309-6300
Fax: (858) 309-6301
Type: Mailing
8001, Frost Street, Serra Mesa, San Diego, San Diego County, California, 92123, United States
SAN DIEGO, CA 921232746
Phone: (858) 966-8052
Fax: (858) 966-7789
Type: Location
3181 SW SAM JACKSON PARK RD
PORTLAND, OR 972393011
Phone: (503) 494-7327
Fax: (503) 418-6718
Type: Mailing
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: 2026-02-26
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20210902000743 | I | Pediatric Medicine | NM | TBD |
| I20220628003598 | I | Pediatric Medicine | OH | TBD |
| I20230313002898 | I | Pediatric Medicine | OR | TBD |
| I20251118000612 | I | Nephrology | GA | TBD |
| I20260226002041 | I | Pediatric Medicine | NC | TBD |
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.
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 92123)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Endocrinology, Pediatric Medicine | OR | |
| Internal Medicine | OR | |
| Physician Assistant | OR | |
| - | OR | |
| Medical Genetics And Genomics | WA | |
| Nurse Practitioner | OR | |
| - | OR | |
| - | OR | |
| - | WA | |
| - | MN |
Reviews
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