Individual provider Active NPI

Kim Anh Vu, PA-C

  • Physician Assistant
  • Spring, TX
National Provider Identifier
1033524327
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA08991 Issued in TX
Practice address
2103 FM 2920 Rd
Spring, TX 77388-3412
Phone
(713) 461-2915
Fax
(713) 461-5307
NPI assigned
Jun 25, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA08991 TX
Physician Assistant 363A00000X PA08991 TX Primary

Addresses

Primary practice location

2103 FM 2920 Rd
Spring, TX 77388-3412

Mailing address

PO Box 392929
Pittsburgh, PA 15251-9900
Phone (713) 461-2915

Other practice location 1

5037B Fm 2920 Rd
Spring, TX 77388-3114
Phone (281) 453-7232

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address kim.vu.1@13711.direct.athenahealth.com

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
I20170517002712 TX Practitioner - Physician Assistant 0941577225 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Villagemd of Southeast Texas PAGroup PAC ID 4587947346, 217 clinicians
Trumen Physician and Associates Post Acute PLLCGroup PAC ID 5496236788, 127 clinicians

Practice addresses (Care Compare)

2103 FM 2920 Rd
Spring, TX 77388-3412
Phone (346) 646-3429

2626 S Loop W
Suite 265
Houston, TX 77054-5636
Phone (713) 796-9955

4650 Westway Park Blvd
Houston, TX 77041-2006
Phone (713) 461-2915

9055 Katy Fwy
Suite 100
Houston, TX 77024-1617
Phone (346) 646-4954

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Village Family Practice, L.L.P CurrentSince Jun 1, 2024 Accepting new patients
Villagemd of Southeast Texas, PA Physician Assistant CurrentSince Jul 21, 2024 Accepting new patients

Locations

9055 Katy Fwy
Ste 100
Houston, TX 77024
Phone (346) 646-4954

2103 FM 2920 Rd
Spring, TX 77388
Phone (281) 288-9008

Interoperability endpoints

  • Direct secure messaging: kim.anh.vu.1@13711.direct.athenahealth.com

Organizations & group practices 5

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": "1403654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1033524327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 392929",
            "city": "PITTSBURGH",
            "state": "PA",
            "postal_code": "152519900",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2103 FM 2920 RD",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773883412",
            "telephone_number": "713-461-2915",
            "fax_number": "713-461-5307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5037B Fm 2920 Rd",
            "address_purpose": "LOCATION",
            "city": "Spring",
            "state": "TX",
            "postal_code": "773883114",
            "country_code": "US",
            "telephone_number": "281-453-7232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "VU",
        "first_name": "KIM ANH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-25",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA08991",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA08991",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kim.vu.1@13711.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2103 Fm 2920 Rd",
            "city": "Spring",
            "state": "TX",
            "country_code": "US",
            "postal_code": "773883412",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.