Individual provider Active NPI

Huy Le Nguyen, MD

  • Internal Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1023012002
Registry record updated Mar 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K3357 Issued in TX
Practice address
7355 N Beach St
Suite 153
Fort Worth, TX 76137-1897
Phone
(817) 984-7100
Fax
(817) 984-7099
NPI assigned
Jun 8, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X K3357 TX Primary
Pediatrics Physician 208000000X K3357 TX

Addresses

Primary practice location

7355 N Beach St
Suite 153
Fort Worth, TX 76137-1897

Mailing address

7355 N Beach St
Suite 153
Fort Worth, TX 76137-1897
Phone (817) 984-7100

Other identifiers 1

IdentifierTypeStateIssuer
103718603MedicaidTX

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
I20101029000864 TX Practitioner - Internal MedicinePractitioner - Pediatric Medicine 4880888288 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Louisiana State University School of Medicine in New Orleans, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tarrant Internal Medicine and Pediatrics, PLLCGroup PAC ID 2062694789, 2 clinicians

Practice addresses (Care Compare)

7520 N Beach St
Suite 108
Fort Worth, TX 76137-1507
Phone (817) 984-7100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Tarrant Internal Medicine & Pediatrics, PLLC Internal Medicine CurrentSince Feb 7, 2011 Accepting new patients
Terrebonne Parish Hospital Service District #1 Internal Medicine Past Accepting new patients

Locations

7355 N Beach St
Ste 153
Fort Worth, TX 76137
Phone (817) 881-9534

7520 N Beach St
Ste 108
Ft Worth, TX 76137
Phone (682) 463-0400

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CDGBBA/Endpoint/CDGBBA
  • Direct secure messaging: huy.nguyen@txtimp.eclinicaldirectplus.com

Organizations & group practices 2

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": "1118188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1299283200000",
    "number": "1023012002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7355 N BEACH ST",
            "address_2": "SUITE 153",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371897",
            "telephone_number": "817-984-7100",
            "fax_number": "817-984-7099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7355 N BEACH ST",
            "address_2": "SUITE 153",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761371897",
            "telephone_number": "817-984-7100",
            "fax_number": "817-984-7099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "HUY",
        "middle_name": "LE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-08",
        "last_updated": "2011-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K3357",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K3357",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "103718603",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.