KHANH M NGUYEN (PA) – Medical Physician Assistant, NPI 1235118365

KHANH M NGUYEN (PA) is a healthcare provider. based in Winchester, Virginia. specializing in PHYSICIAN ASSISTANT. They hold the professional credentials PA. They hold a License No. 0110001395 (VA). The NPI Number for KHANH M NGUYEN (PA) is 1235118365

Main info

Male
25 Years Of Experience
Accepts Medicare Assignment
Name
KHANH M NGUYEN (PA)
NPI
1235118365
Phone
(540) 678-2800
Address
104 SELMA DR
Enumeration Date
17 January 2006
Last Update Date
11 March 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3042571026
Graduation Year
2001 (25 years ago)
PAC ID
5092883413
Group Practice PAC ID
4183082712
Professional Enrollment ID
I20200824003320
Address ID
WV268479566PE117XXDRXX300

Contacts

Secure Messaging
knguyen124202@soc.inova.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

4,429 PHYSICIAN ASSISTANT in VA

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Provider Addresses for KHANH M NGUYEN (PA)

  • 104, Selma Drive, Winchester, Frederick County, Virginia, 22601, United States

    WINCHESTER, VA 226013834

    Phone: (540) 678-2800

    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 2 Open Payments records for all available years, with a total value of $127.

Total Amount is formed as General ($127) + Research ($0) + Ownership ($0) = $127.

Last reported payment date: 2024-05-16 • Largest payer in this snapshot: E.R. Squibb & Sons, L.L.C. ($109).

Total Amount

$127

General + Research + Ownership

Payments

2

Total payment records

General Amount

$127

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-16

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: 2020-08-24

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20081010000729IPhysician AssistantVATBD
I20200824003320IPhysician AssistantWVTBD

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
99284Emergency department visit with moderate level of medical decision making136122$0
99285Emergency department visit with high level of medical decision making116114$0
99283Emergency department visit with low level of medical decision making5149$0
93010Routine electrocardiogram (ecg) using at least 12 leads with interpretation and report only3433$0
99291Critical care, first 30-74 minutes1717$0
View full utilization report →

Insurance plans in this area (ZIP 22601)

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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: 4183082712View full group profile
NameSpecialtyState
Nurse PractitionerWV
Physician AssistantWV
Nurse PractitionerWV
Internal MedicineWV
Nurse PractitionerVA
P O D I A T R YOH
Physician AssistantVA
Emergency MedicineWV
Nurse PractitionerWV
Internal MedicineWV

Reviews

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Frequently asked questions

What identifier follows KHANH M NGUYEN (PA) across health systems?
The NPI 1235118365 uniquely identifies KHANH M NGUYEN (PA) in U.S. healthcare data.
Should I treat KHANH M NGUYEN (PA) as an active provider?
Patients and plans typically see KHANH M NGUYEN (PA) as active in the national extract.
What type of care does KHANH M NGUYEN (PA) provide?
KHANH M NGUYEN (PA)'s profile centers on Medical Physician Assistant. Clinical services aligned with this taxonomy classification.
Can patients visit KHANH M NGUYEN (PA) in Winchester, Virginia?
For routing, start with Winchester, Virginia for KHANH M NGUYEN (PA), then verify phone and hours locally.
Can I export KHANH M NGUYEN (PA)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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