DR. TUAN D NGUYEN (DO) – Nephrology Physician, NPI 1164959185

DR. TUAN D NGUYEN (DO) is a healthcare provider. based in San antonio, Texas. specializing in INTERNAL MEDICINE, NEPHROLOGY. They hold the professional credentials DO. They hold a License No. S4200 (TX). The NPI Number for DR. TUAN D NGUYEN (DO) is 1164959185

Main info

Male
9 Years Of Experience
Accepts Medicare Assignment
Name
DR. TUAN D NGUYEN (DO)
NPI
1164959185
Phone
(210) 358-3555
Address
4502 MEDICAL DR
Enumeration Date
22 May 2017
Last Update Date
22 August 2024

Doctor Profile

Medical School Name
NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY
Secondary Phone
6265739003
Graduation Year
2017 (9 years ago)
PAC ID
5496023624
Group Practice PAC ID
2365705266
Professional Enrollment ID
I20220523002402
Address ID
CA917701987RO9126XBLVD302
Telehealth
Yes

Contacts

SOAP Endpoint
https://careepicwest.kp.org:14430/Interconnect-prodcalgateway/wcf/epic.community.hie/xcpdrespondinggatewaysync.svc/ncalceq
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience61
Completeness85
Years active:9State licenses:2Other namesUpdated within 12 months

13,290 INTERNAL MEDICINE in TX

Provider Addresses for DR. TUAN D NGUYEN (DO)

  • 4502 MEDICAL DR

    SAN ANTONIO, TX 782294402

    Phone: (210) 358-3555

    Type: Location

  • 4502 Medical Dr

    San Antonio, TX 782294402

    Phone: (210) 358-3555

    Type: Location

  • 9126 VALLEY BLVD STE B

    ROSEMEAD, CA 917701987

    Phone: (626) 573-9003

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 4 Open Payments records for all available years, with a total value of $107.

Total Amount is formed as General ($107) + Research ($0) + Ownership ($0) = $107.

Last reported payment date: 2024-10-31 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($48).

Total Amount

$107

General + Research + Ownership

Payments

4

Total payment records

General Amount

$107

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-31

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: 2022-05-23

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
I20220523002402IInternal MedicineCATBD

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 78229)

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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: 2365705266View full group profile
NameSpecialtyState
Nurse PractitionerCA
Internal Medicine, Dermatology, RheumatologyMI

Reviews

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Frequently asked questions

How do I look up DR. TUAN D NGUYEN (DO) by NPI?
Use NPI 1164959185 when you need to reference DR. TUAN D NGUYEN (DO) in forms, claims, or directories.
Is DR. TUAN D NGUYEN (DO)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Can you summarize DR. TUAN D NGUYEN (DO)'s specialty in plain language?
Clinically, the directory lists DR. TUAN D NGUYEN (DO) with Nephrology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for DR. TUAN D NGUYEN (DO)?
The page summarizes San Antonio, Texas for DR. TUAN D NGUYEN (DO); expand the address list for detail.
How can I contact DR. TUAN D NGUYEN (DO)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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