Active NPI
Khanh PC Nguyen, MD
- Internal Medicine Physician
- Houston, TX
National Provider Identifier
1003803974
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- M1976
- Practice address
- 10701 Vintage Preserve
Houston, TX 77070 - Phone
- (713) 442-0000
- NPI assigned
- Oct 5, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | M1976 | TX | Primary |
Addresses
Primary practice location
10701 Vintage Preserve
Houston, TX 77070
Mailing address
10701 Vintage Preserve
Houston, TX 77070
Phone (713) 442-0000
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 176943201 | Medicaid | TX | |
| 176943202 | Medicaid | TX |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Texas Medical Branch at Galveston, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
10839 Bellaire Blvd
Suite C
Houston, TX 77072-2735
Phone (281) 530-0300
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| M1976 | TX | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Harmony Physicians Associates, PA | Internal Medicine | Current | Accepting new patients |
| Memorial Hermann Neighborhood Health Centers, PLLC | Internal Medicine | Past | Accepting new patients |
| Summit Eye Associates, P.a. | Past | Accepting new patients | |
| Village Chiropractic and Wellness P.L.L.C. | Past | Accepting new patients |
Locations
10839 Bellaire Blvd
Ste C
Houston, TX 77072
Phone (281) 530-0300
Networks
- TX HMO D-SNP
- TX HMO
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.
-
- Internal Medicine Physician
- Houston, TX
- NPI 1144493859
-
- Hospitalist Physician
- Houston, TX
- NPI 1043266299
Internal Medicine
-
- Ophthalmology Physician
- Houston, TX
- NPI 1144390808
-
- Chiropractor
- League City, TX
- NPI 1972750719
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Katy, TX
- NPI 1376705004
-
- General Acute Care Hospital
- Houston, TX
- NPI 1730132234
-
- Home Health Agency
- Houston, TX
- NPI 1467594994
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210204800000",
"number": "1003803974",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10701 VINTAGE PRESERVE",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77070",
"telephone_number": "713-442-0000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10701 VINTAGE PRESERVE",
"city": "HOUSTON",
"state": "TX",
"postal_code": "77070",
"telephone_number": "713-442-0000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NGUYEN",
"first_name": "KHANH",
"middle_name": "PC",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-05",
"last_updated": "2008-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TX",
"license": "M1976",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "176943201",
"state": "TX"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "176943202",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Houston, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.