Individual provider Active NPI

Jonathon Thai Ngo, PA-C

  • Medical Physician Assistant
  • Sugar Land, TX
National Provider Identifier
1003568452
Registry record updated May 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
4660 Sweetwater Blvd Ste 190
Sugar Land, TX 77479-3164
Phone
(713) 777-4785
NPI assigned
Jan 26, 2022
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 363AM0700X TX Primary

Addresses

Primary practice location

4660 Sweetwater Blvd Ste 190
Sugar Land, TX 77479-3164

Mailing address

11111 Nexus Ave Apt 1116
Stafford, TX 77477-1559
Phone (832) 541-4359

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220411002415 TX Practitioner - Physician Assistant 2365838703 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Minivasive Pain Specialists,PLLCGroup PAC ID 7113278896, 29 clinicians

Practice addresses (Care Compare)

11925 Southwest Fwy
1 C
Stafford, TX 77477-2300
Phone (346) 800-6001

4660 Sweetwater Blvd
Suite 190
Sugar Land, TX 77479-3164
Phone (346) 800-6001

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Houston Kidney Specialists Center PLLC Single Specialty Past Accepting new patients
Inspire Health PLLC Single Specialty PastSince Feb 1, 2022 Accepting new patients
Texas Joint Institute, PLLC Single Specialty Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/19285/brand/4/csg/1/fhir/r4

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1643155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747785600000",
    "number": "1003568452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11111 NEXUS AVE APT 1116",
            "city": "STAFFORD",
            "state": "TX",
            "postal_code": "774771559",
            "telephone_number": "832-541-4359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4660 SWEETWATER BLVD STE 190",
            "city": "SUGAR LAND",
            "state": "TX",
            "postal_code": "774793164",
            "telephone_number": "713-777-4785"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGO",
        "first_name": "JONATHON",
        "middle_name": "THAI",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-26",
        "last_updated": "2025-05-21",
        "certification_date": "2025-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sugar Land, TX

Sources for this page

Verify at the official NPI Registry.