KHANH NGUYEN (D.O.) – Diagnostic Radiology Physician, NPI 1821521576

KHANH NGUYEN (D.O.) is a healthcare provider. based in Oklahoma city, Oklahoma. specializing in DIAGNOSTIC RADIOLOGY. They hold the professional credentials D.O.. They hold a License No. 91425 (GA). The NPI Number for KHANH NGUYEN (D.O.) is 1821521576

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
KHANH NGUYEN (D.O.)
NPI
1821521576
Phone
(405) 271-5125
Address
1200 Everett Dr
Enumeration Date
10 April 2017
Last Update Date
6 August 2024

Doctor Profile

Medical School Name
OKLAHOMA STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Secondary Phone
9187438838
Graduation Year
2017 (9 years ago)
PAC ID
8729350285
Group Practice PAC ID
0648269324
Professional Enrollment ID
I20230517003486
Address ID
OK741355631TU5801XSTXX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience70
Completeness75
Years active:9State licenses:3Digital endpointsOther names

384 DIAGNOSTIC RADIOLOGY in OK

Provider Addresses for KHANH NGUYEN (D.O.)

  • 1200 Everett Dr

    Oklahoma City, OK 73104

    Phone: (405) 271-5125

    Type: Location

  • Everett Drive, Oklahoma City, Oklahoma County, Oklahoma, 73013, United States

    OKLAHOMA CITY, OK 73104

    Phone: (405) 271-5125

    Type: Location

  • 12901, Burlingame Avenue, Oklahoma City, Oklahoma County, Oklahoma, 73120, United States

    OKLAHOMA CITY, OK 731208702

    Phone: (405) 326-1153

    Type: Mailing

  • 1364 CLIFTON RD NE

    ATLANTA, GA 303221059

    Phone: (405) 326-1153

    Type: Location

  • 5801 E 41ST ST STE 900

    TULSA, OK 741355631

    Phone: (918) 743-8838

    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: 2023-05-17

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
I20230517003486IDiagnostic RadiologyOKTBD

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
71045X-ray of chest, 1 view704591$0
70450Ct scan head or brain without contrast252245$0
74177Ct scan of abdomen and pelvis with contrast214206$0
71046X-ray of chest, 2 views195193$0
71260Ct scan of chest with contrast9592$0
View full utilization report →

Insurance plans in this area (ZIP 73104)

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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: 0648269324View full group profile
NameSpecialtyState
-OK
Diagnostic RadiologyOK
Diagnostic RadiologyOK
Physician AssistantOK
-OK
Diagnostic RadiologyOK
Diagnostic RadiologyOK
Diagnostic RadiologyOK
Diagnostic RadiologyTN
-OK

Reviews

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Frequently asked questions

What is the 10-digit NPI for KHANH NGUYEN (D.O.)?
KHANH NGUYEN (D.O.) — NPI 1821521576 — is the standard way to identify this listing.
Is KHANH NGUYEN (D.O.) listed as active for patients and plans?
The listing shows KHANH NGUYEN (D.O.) as active in the NPI system.
What taxonomy line describes KHANH NGUYEN (D.O.)?
For research purposes, treat KHANH NGUYEN (D.O.) as Diagnostic Radiology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Where should I expect KHANH NGUYEN (D.O.) on a map?
Expect Oklahoma City, Oklahoma as a primary anchor for KHANH NGUYEN (D.O.) unless the record lists multiple sites.
Why does KHANH NGUYEN (D.O.) have multiple addresses?
6 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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