THAIDUC NGUYEN (DO) – Pain Medicine (Anesthesiology) Physician, NPI 1912092107

THAIDUC NGUYEN (DO) is a healthcare provider. based in Merritt island, Florida. specializing in ANESTHESIOLOGY, PAIN MANAGEMENT. They hold the professional credentials DO. They hold a License No. 34 008818 (OH). The NPI Number for THAIDUC NGUYEN (DO) is 1912092107

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
THAIDUC NGUYEN (DO)
NPI
1912092107
Phone
(321) 784-8211
Address
595 N COURTENAY PKWY STE 101
Enumeration Date
4 October 2006
Last Update Date
15 August 2019

Doctor Profile

Medical School Name
ARIZONA COLLEGE OF OSTEOPATHIC MEDICINE MID WESTERN UNIVERSITY
Secondary Phone
3217848211
Graduation Year
2001 (25 years ago)
PAC ID
6305843616
Group Practice PAC ID
6002715158
Professional Enrollment ID
I20160910000007
Address ID
FL329534852ME595XXPKWY401
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:19State licenses:3Digital endpointsOther names

3,340 ANESTHESIOLOGY in FL

Provider Addresses for THAIDUC NGUYEN (DO)

  • 595 N COURTENAY PKWY STE 101

    MERRITT ISLAND, FL 329534852

    Phone: (321) 784-8211

    Fax: (321) 394-9425

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 71 Open Payments records for all available years, with a total value of $3,858.

Total Amount is formed as General ($3,858) + Research ($0) + Ownership ($0) = $3,858.

Last reported payment date: 2024-12-17 • Largest payer in this snapshot: Spinal Simplicity, LLC ($1,115).

Total Amount

$3,858

General + Research + Ownership

Payments

71

Total payment records

General Amount

$3,858

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-17

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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: 2016-09-10

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
I20160910000007IAnesthesiologyFLTBD

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
J1100Injection, dexamethasone sodium phosphate, 1 mg1,42759$0
99214Established patient office or other outpatient visit, 30-39 minutes644252$0
J2250Injection, midazolam hydrochloride, per 1 mg22743$0
99213Established patient office or other outpatient visit, 20-29 minutes225157$0
J3301Injection, triamcinolone acetonide, not otherwise specified, 10 mg10017$0
View full utilization report →

Insurance plans in this area (ZIP 32953)

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Provider's Procedures

THAIDUC NGUYEN (DO) performs procedures in ANESTHESIOLOGY. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYOH62311Injections of substances into lower or sacral spine5931

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: 6002715158View full group profile
NameSpecialtyState
Nurse PractitionerFL
Nurse PractitionerFL
-FL
-FL
Nurse PractitionerFL
-FL
Nurse PractitionerFL
Physician AssistantFL
Interventional Pain Management, AnesthesiologyFL
Nurse PractitionerFL

Reviews

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Frequently asked questions

Can I use this page to confirm THAIDUC NGUYEN (DO)'s NPI?
Yes. THAIDUC NGUYEN (DO) is listed with NPI 1912092107 in the public NPI dataset.
Does the file indicate THAIDUC NGUYEN (DO) is practicing under active NPI?
Directory data currently reports THAIDUC NGUYEN (DO) as active.
What is THAIDUC NGUYEN (DO) best known for clinically?
Directory data describes THAIDUC NGUYEN (DO) with Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
Where should I expect THAIDUC NGUYEN (DO) on a map?
Expect Merritt Island, Florida as a primary anchor for THAIDUC NGUYEN (DO) unless the record lists multiple sites.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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