DEREK NGUYEN (MD) – Family Medicine Physician, NPI 1790954931

DEREK NGUYEN (MD) is a healthcare provider. based in New britain, Connecticut. specializing in FAMILY PRACTICE, INTERNAL MEDICINE. They hold the professional credentials MD. They hold a License No. 049412 (CT). The NPI Number for DEREK NGUYEN (MD) is 1790954931

Main info

Male
20 Years Of Experience
Accepts Medicare Assignment
Name
DEREK NGUYEN (MD)
NPI
1790954931
Phone
(860) 224-3642
Address
1 WASHINGTON SQ
Enumeration Date
21 February 2008
Last Update Date
6 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8607385814
Graduation Year
2006 (20 years ago)
PAC ID
7416131685
Group Practice PAC ID
1355246950
Professional Enrollment ID
I20110413000040
Address ID
CT060981140WI115XXSTXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience60
Completeness75
Years active:18State licenses:1Digital endpointsOther names

822 FAMILY PRACTICE in CT

Provider Addresses for DEREK NGUYEN (MD)

  • 1 WASHINGTON SQ

    NEW BRITAIN, CT 060511848

    Phone: (860) 224-3642

    Fax: (860) 224-2760

    Type: Location

  • 635, Main Street, Middletown, Middlesex County, Connecticut, 06457, United States

    ATTN: CREDENTIALING DPT

    MIDDLETOWN, CT 064572718

    Phone: (860) 347-6971

    Fax: (860) 638-6601

    Type: Mailing

  • 631 S QUAKER LN

    WEST HARTFORD, CT 061101043

    Phone: (860) 233-5133

    Fax: (860) 233-5212

    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: 2011-04-13

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
I20110413000040IFamily PracticeCTTBD

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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes353138$0
99239Hospital discharge day management, more than 30 minutes160145$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes121112$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes3427$0
99222Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes3130$0
View full utilization report →

Insurance plans in this area (ZIP 06051)

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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: 1355246950View full group profile

Reviews

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Frequently asked questions

Where can patients find DEREK NGUYEN (MD)'s NPI?
You can confirm DEREK NGUYEN (MD) with NPI 1790954931; it appears in the national provider directory.
Is DEREK NGUYEN (MD) active in the national directory?
DEREK NGUYEN (MD)'s public NPI profile is in an active state.
What does DEREK NGUYEN (MD) treat or focus on?
Patients typically see DEREK NGUYEN (MD) under the specialty Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DEREK NGUYEN (MD)?
The page summarizes New Britain, Connecticut for DEREK NGUYEN (MD); expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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