Individual provider Active NPI

Bao-Tram Xuan Nguyen, MD

  • Neuroradiology Physician
  • Plano, TX
National Provider Identifier
1013991447
Registry record updated Oct 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuroradiology PhysicianTaxonomy code 2085N0700X
License
M4393 Issued in TX
Practice address
3901 W 15TH St
Plano, TX 75075-7738
Phone
(972) 596-6800
NPI assigned
Nov 30, 2005
Last updated
Oct 18, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 18, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuroradiology Physician 2085N0700X M4393 TX Primary
Diagnostic Radiology Physician 2085R0202X 212931 MA

Addresses

Primary practice location

3901 W 15TH St
Plano, TX 75075-7738

Mailing address

1820 Preston Park Blvd
Ste 1825
Plano, TX 75093-3656
Phone (972) 867-7862

Other practice location 1

4815 Alameda Ave
El Paso, TX 79905-2705
Phone (915) 215-6000

Other identifiers 3

IdentifierTypeStateIssuer
469348OtherMATUFTS HEALTH PLAN
J27632OtherMABCBS MA
2069440MedicaidMA

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061121000464 TX Practitioner - Diagnostic RadiologyPractitioner - Other (Physician) 3173593720 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Boston University School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Radiology Associates LLPGroup PAC ID 3779578000, 154 clinicians

Practice addresses (Care Compare)

401 W Campbell Rd
Richardson Regional Medical Center
Richardson, TX 75080-3416
Phone (972) 231-1441

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.4 of 100Reported as group
Quality
100
Improvement activities
40
Cost
71.34

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
M4393TXMDNeuroradiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 15, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 15, 2023 Accepting new patients
Texas Tech University Health Sciences Center CurrentSince Dec 1, 2022 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 15, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 15, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 15, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 15, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 15, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 15, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 15, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 15, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 15, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 15, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 15, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 15, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 15, 2023 Accepting new patients
Texas Radiology Associates LLP Diagnostic Radiology CurrentSince Sep 2, 2006 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 15, 2023 Accepting new patients
Texas Tech University Health Sciences Center El Paso CurrentSince Dec 1, 2022 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 15, 2023 Accepting new patients
Health Imaging Partners, LLC CurrentSince Jul 9, 2024 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 15, 2023 Accepting new patients
Texas Tech University Health Sciences Center El Paso Current Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 15, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 15, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince May 15, 2023 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 15, 2023 Accepting new patients
Health Imaging Partners, LLC CurrentSince Oct 17, 2024 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince May 15, 2023 Accepting new patients
Health Imaging Partners LLC Diagnostic Radiology CurrentSince Nov 13, 2023 Accepting new patients
Health Imaging Partners, LLC CurrentSince Jul 24, 2023 Accepting new patients
Massachusetts General Physicians Organization Inc Diagnostic Radiology Past Accepting new patients

Locations

3535 S Interstate 35 E
Denton, TX 76210
Phone (940) 384-3013

4801 Alberta Ave
El Paso, TX 79905
Phone (915) 215-5200

4815 Alameda Ave
El Paso, TX 79905
Phone (915) 215-6000

1820 Preston Park Blvd
Ste 1825
Plano, TX 75093

1820 Preston Park Blvd
Ste 2400
Plano, TX 75093

3901 W 15th St
Plano, TX 75075
Phone (972) 519-1115

401 W Campbell Rd
Richardson, TX 75080
Phone (940) 384-3535

Organizations & group practices 32

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

View all 32

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1133308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1666051200000",
    "number": "1013991447",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1820 PRESTON PARK BLVD",
            "address_2": "STE 1825",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750933656",
            "telephone_number": "972-867-7862"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3901 W 15TH ST",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750757738",
            "telephone_number": "972-596-6800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4815 Alameda Ave",
            "address_purpose": "LOCATION",
            "city": "El Paso",
            "state": "TX",
            "postal_code": "799052705",
            "country_code": "US",
            "telephone_number": "915-215-6000",
            "fax_number": "915-545-6607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "BAO-TRAM",
        "middle_name": "XUAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-30",
        "last_updated": "2022-10-18",
        "certification_date": "2022-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0700X",
            "taxonomy_group": "",
            "desc": "Radiology, Neuroradiology",
            "state": "TX",
            "license": "M4393",
            "primary": true
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "MA",
            "license": "212931",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TUFTS HEALTH PLAN",
            "identifier": "469348",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "J27632",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2069440",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.