Individual provider Active NPI

Tram T Nguyen, D.O.

  • Pediatrics Physician
  • Arlington, TX
National Provider Identifier
1063404440
Registry record updated Aug 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
J9766 Issued in TX
Practice address
912 E Park Row Dr
Arlington, TX 76010-4507
Phone
(817) 277-2977
Fax
(817) 277-4750
NPI assigned
Aug 22, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 6, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X J9766 TX Primary

Addresses

Primary practice location

912 E Park Row Dr
Arlington, TX 76010-4507

Mailing address

912 E Park Row Dr
Arlington, TX 76010-4507
Phone (817) 277-2977

Other identifiers 1

IdentifierTypeStateIssuer
029395302MedicaidTX

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
I20130905000600 TX Practitioner - Pediatric Medicine 2567605827 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J9766TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arlington Minor Emergency Clinic PA CurrentSince Mar 16, 2013 Accepting new patients
Arlington Minor Emergency Clinic, PA Past Accepting new patients

Locations

912 E Park Row Dr
Arlington, TX 76010
Phone (817) 277-2977

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": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1407283200000",
    "number": "1063404440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "912 E PARK ROW DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760104507",
            "telephone_number": "817-277-2977",
            "fax_number": "817-277-4750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "912 E PARK ROW DR",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760104507",
            "telephone_number": "817-277-2977",
            "fax_number": "817-277-4750"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRAM",
        "middle_name": "T",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-22",
        "last_updated": "2014-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "J9766",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "029395302",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

Verify at the official NPI Registry.