Baoluan T Nguyen (NPI# 1861682247, PAC ID# 5092881318) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1861682247 |
| PAC ID by PECOS | 5092881318 |
| Professional Enrollment ID | I20080910000082 |
| Full Name | Baoluan T Nguyen |
| Organization Legal Name | ICT INTERNAL MEDICINE AND PAIN MANAGEMENT LLC |
| Address |
8710 W 13th St N Suite 102 Wichita KS 67212-6255 |
| Phone Number | 3162606363 |
| Gender | M |
| Graduation Year | 2004 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 3577848266 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170122 | VIA CHRISTI HOSPITAL-WICHITA |
| Address | Phone | Organization |
|---|---|---|
| 2424 N Woodlawn Blvd, 103 Select Physical Therapy 40755, Wichita, KS 67220-3957 | 3166879227 | SELECT PHYSICAL THERAPY HOLDINGS INC |
| 8710 W 13th St N, Suite 102, Wichita, KS 67212-6255 | 3162606363 | ICT INTERNAL MEDICINE AND PAIN MANAGEMENT LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_047_overall | Care Plan | 1% | |
| MIPS_EC_047_overall | Care Plan | 1% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_131_overall | Pain Assessment and Follow-Up | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_226_overall | Preventive Care and Screening: Tobacco Use: Screening and Cessation Intervention | 100% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 11% | |
| MIPS_EC_431_overall | Preventive Care and Screening: Unhealthy Alcohol Use: Screening & Brief Counseling | 11% |
| Organization Legal Name | ICT INTERNAL MEDICINE AND PAIN MANAGEMENT LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly D Freund | Physician Assistant | Ict Internal Medicine and Pain Management LLC | 8710 W 13th St N, Suite 102, Wichita, KS 67212-6255 |
| Street Address |
8710 W 13TH ST N SUITE 102 |
| City | WICHITA |
| State | KS |
| Zip | 67212-6255 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kelly D Freund | Physician Assistant | Ict Internal Medicine and Pain Management LLC | 8710 W 13th St N, Suite 102, Wichita, KS 67212-6255 |
| Emily Healy | Nurse Practitioner | Associates In Womens Health Pa | 8710 W 13th St N, Suite 100, Wichita, KS 67212-6221 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Michael C Scheve | Family Medicine | 2135 N Ridge Rd, Suite 400, Wichita, KS 67212-1404 | |
| Thuy Xuan Nguyen | Nurse Practitioner | New Market Health Care LLC | 2131 N Ridge Rd, Wichita, KS 67212-1570 |
| Neal Brian Secrist | Family Medicine | New Market Health Care LLC | 2131 N Ridge Rd, Wichita, KS 67212-1570 |
| Lisa M Harris | Physician Assistant | New Market Health Care LLC | 2131 N Ridge Rd, Wichita, KS 67212-1570 |
| Rebekah L Cates | Chiropractic | 4425 W Zoo Blvd, Suite 4, Wichita, KS 67212-1611 | |
| Todd H Eck | Chiropractic | 4510 W Central Ave, Suite B, Wichita, KS 67212-2204 | |
| Larry L Smith | Clinical Social Worker | 524 N Baehr St, Wichita, KS 67212-2220 | |
| Taylor Austin Wilbeck | Chiropractic | 5800 W Central Ave, Wilbeck Chiropractic, Wichita, KS 67212-2840 | |
| Curtis Allen Wheeler | Chiropractic | 5800 W Central Ave, Wichita, KS 67212-2840 | |
| Nathan E Holman | Chiropractic | 5800 W Central Ave, Wichita, KS 67212-2840 | |
| Find all physicians in zip 67212 | |||
| City | WICHITA |
| Zip Code | 67212 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | WICHITA + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Baoluan T Nguyen.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.