DIEM-PHUC TRAN NGUYEN (MD) – Family Medicine Physician, NPI 1063099281
Family Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
6,723 FAMILY PRACTICE in FL
Provider Addresses for DIEM-PHUC TRAN NGUYEN (MD)
2001 KINGSLEY AVE
ORANGE PARK, FL 320735148
Phone: (904) 639-2000
Fax: (904) 639-2015
Type: Mailing
PO BOX 746638
ATLANTA, GA 303746638
Phone: (904) 202-1032
Fax: (904) 376-4107
Type: Mailing
2839 HENLEY RD
GREEN COVE SPRINGS, FL 320439535
Phone: (904) 376-4950
Fax: (904) 618-2183
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $203.
Total Amount is formed as General ($203) + Research ($0) + Ownership ($0) = $203.
Last reported payment date: 2024-11-18 • Largest payer in this snapshot: AstraZeneca Pharmaceuticals LP ($123).
Total Amount
$203
General + Research + Ownership
Payments
7
Total payment records
General Amount
$203
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| AstraZeneca Pharmaceuticals LP | $123 |
| ABBVIE INC. | $49 |
| Novo Nordisk Inc | $16 |
| Amgen Inc. | $15 |
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: 2024-08-07
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20240807000052 | I | Family Practice | FL | 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 32073)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| H O S P I T A L I S T | UT | |
| - | UT | |
| Hospitalist, Internal Medicine | VA | |
| Internal Medicine | GA | |
| Hospitalist, Internal Medicine | FL | |
| R H E U M A T O L O G Y | UT | |
| Hospitalist, Internal Medicine | FL | |
| Hospitalist, Family Practice | FL | |
| Physician Assistant | UT | |
| Internal Medicine, Hospitalist | FL |
Reviews
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