DR. MITCHELL NGUYEN (MD) – Urology Physician, NPI 1053871582
Urology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
66 UROLOGY in ME
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Provider Addresses for DR. MITCHELL NGUYEN (MD)
Maine Medical Center, 22, Bramhall Street, West End, Portland, Cumberland County, Maine, 04102, United States
PORTLAND, ME 041023134
Phone: (207) 662-0111
Type: Location
3232 SQUALICUM PKWY
BELLINGHAM, WA 982251932
Phone: (360) 733-7687
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 25 Open Payments records for all available years, with a total value of $676.
Total Amount is formed as General ($676) + Research ($0) + Ownership ($0) = $676.
Last reported payment date: 2024-12-30 • Largest payer in this snapshot: Medtronic, Inc. ($323).
Total Amount
$676
General + Research + Ownership
Payments
25
Total payment records
General Amount
$676
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Medtronic, Inc. | $323 |
| Dendreon Pharmaceuticals LLC | $80 |
| Janssen Biotech, Inc. | $54 |
| ACCORD HEALTHCARE, INC. | $46 |
| Sumitomo Pharma America, Inc. | $28 |
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: 2024-10-07
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 |
|---|---|---|---|---|
| I20241007002574 | I | Urology | WA | 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 04102)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| U R O L O G Y | WA | |
| Nurse Practitioner | NY | |
| Physician Assistant | WA | |
| U R O L O G Y | WA | |
| U R O L O G Y | CA | |
| U R O L O G Y | WA | |
| Physician Assistant | CA | |
| - | WA |
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