Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Kevin Quynh Nguyen, MD

Individual provider Diagnostic Radiology Physician · NPI 1407090632

Dr. Kevin Quynh Nguyen, MD is a Diagnostic Radiology in Roseville, Minnesota. Graduated from Rush Medical College of Rush University in 2009, 17 years ago. Practices with Grand Itasca Clinic and Hospital, a 325-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
17
Trained at
Rush Medical College of Rush University
Licensed in
MN
In the registry since
2009
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

2355 Highway 36 W Ste 100
Roseville, MN 55113-3905
Phone: (651) 292-2000
Fax: (651) 292-2136
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Vascular & Interventional Radiology Physician (primary) Taxonomy 2085R0204X · Licence 59767 (MN)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 59767 (MN)

Record details

NPI number1407090632
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 1, 2009
Last updated in NPPESJuly 20, 2021
Certification dateJuly 20, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolRUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Graduated 2009 (17 years in practice)
Group practice Grand Itasca Clinic And Hospital — 325 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations13 on file with Medicare

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