Individual Healthcare Provider
Mimi Ngoc Nguyen, M.D.
Provider's NPPES record last updated: October 23, 2024
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1063754075
- Primary Specialty
- Family Medicine
- Practice Location
- Seatac, Washington
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 10:48 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Family Medicine
Allopathic & Osteopathic Physicians
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Taxonomy code 207Q00000X
Provider-Reported License Information
- Family Medicine (Washington)
- MD60586377
Practice Locations
Practice Location
4040 S 188th St Ste 201
Seatac, Washington 98188-5070
Phone: (425) 277-7200
Additional Practice Location
1401 Madison St
Ste. 100
Seattle, Washington 98104-1316
Phone: (206) 386-6197
Additional Practice Location
1200 12th Ave S
Seattle, Washington 98144-2712
Phone: (206) 326-2400
Fax: (206) 621-4434
Additional Practice Location
125 16th Ave E
Seattle, Washington 98112-5211
Phone: (206) 326-3000
Fax: (877) 515-2975
Record Information
- Enumeration Date
- March 18, 2013
- Provider's NPPES Record Last Updated
- October 23, 2024
- Certification Date
- October 23, 2024
- NPISignal NPPES Dataset
- August 2026
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