DR. THINH PHU NGUYEN (M.D.) – Obstetrics & Gynecology Physician, NPI 1235392168

DR. THINH PHU NGUYEN (M.D.) is a healthcare provider. based in Lakeland, Florida. specializing in OBSTETRICS/GYNECOLOGY. They hold the professional credentials M.D.. They hold a License No. ME121589 (FL). The NPI Number for DR. THINH PHU NGUYEN (M.D.) is 1235392168

Main info

Male
21 Years Of Experience
Accepts Medicare Assignment
Name
DR. THINH PHU NGUYEN (M.D.)
NPI
1235392168
Phone
(407) 650-7000
Address
1324 Lakeland Hills Blvd
Enumeration Date
10 July 2008
Last Update Date
27 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF MIAMI, LM MILLER SCHOOL OF MEDICINE
Secondary Phone
8636036565
Graduation Year
2005 (21 years ago)
PAC ID
4183775372
Group Practice PAC ID
8325952914
Professional Enrollment ID
I20150831002676
Address ID
FL338051965LA3525XBLVD400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience63
Completeness75
Years active:17State licenses:1Digital endpointsOther names

2,538 OBSTETRICS/GYNECOLOGY in FL

Provider Addresses for DR. THINH PHU NGUYEN (M.D.)

  • 1324 Lakeland Hills Blvd

    Lakeland, FL 338054543

    Phone: (407) 650-7000

    Type: Location

  • 700 6th St S

    St Petersburg, FL 337014815

    Phone: (727) 893-6198

    Type: Location

  • 10140, Centurion Parkway North, Deerwood Park, Jacksonville, Duval County, Florida, 32256, United States

    JACKSONVILLE, FL 322560532

    Phone: (904) 697-4600

    Fax: (904) 697-5102

    Type: Mailing

  • Nemours Children's Hospital, 13535, Nemours Parkway, Medical City, Orlando, Orange County, Florida, 32827, United States

    ORLANDO, FL 328277402

    Phone: (407) 567-4600

    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: 2015-08-31

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
I20150831002676IObstetrics/GynecologyFLTBD

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 33805)

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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: 8325952914View full group profile

Reviews

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Frequently asked questions

Is there an official ID for DR. THINH PHU NGUYEN (M.D.) in U.S. healthcare records?
The official identifier for DR. THINH PHU NGUYEN (M.D.) is NPI 1235392168.
Is there an active status for DR. THINH PHU NGUYEN (M.D.)?
For scheduling context, DR. THINH PHU NGUYEN (M.D.) is shown as active in the registry.
How would a patient describe DR. THINH PHU NGUYEN (M.D.)'s focus?
For DR. THINH PHU NGUYEN (M.D.), the primary taxonomy reads as Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is DR. THINH PHU NGUYEN (M.D.) located near Lakeland?
DR. THINH PHU NGUYEN (M.D.) currently maps to Lakeland, Florida in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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