Individual provider Active NPI

Tien Ngoc Nguyen, MD

  • Rheumatology Physician
  • Humble, TX
National Provider Identifier
1073190468
Registry record updated Jul 8, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
License
W4912 Issued in TX
Practice address
19411 McKay Dr Ste 250
Humble, TX 77338-5713
Phone
(281) 712-8360
Fax
(281) 717-4136
NPI assigned
Mar 24, 2021
Last updated
Jul 8, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X W4912 TX Primary

Addresses

Primary practice location

19411 McKay Dr Ste 250
Humble, TX 77338-5713

Mailing address

2630 N Mason Rd Ste A2
Katy, TX 77449-3059
Phone (281) 712-8360

Other practice location 1

2630 N Mason Rd Ste A2
Katy, TX 77449-3059
Phone (281) 712-8360

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241003003111 OH Practitioner - Internal Medicine 8729497557 Reassigns benefits to 1 organization
I20260529003727 TX Practitioner - Internal Medicine 8729497557 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Dayton Acute Care Consultants, IncGroup PAC ID 3577452465, 116 clinicians

Practice addresses (Care Compare)

33 W Rahn Rd
Dayton, OH 45429-2219
Phone (937) 433-8990

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
91.82 of 100Reported as group
Quality
79.31
Promoting interoperability
94
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
35151217OHMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arthritis Clinic of Cypress and Katy PA Rheumatology CurrentSince Apr 20, 2026 Accepting new patients
South Dayton Acute Care Consultants, Inc Internal Medicine CurrentSince Sep 1, 2024 Accepting new patients

Locations

33 W Rahn Rd
#101
Dayton, OH 45429
Phone 9374338990102

33 W Rahn Rd
Kettering, OH 45429
Phone 9374338990 ext. 102

27160 Highway 290
Ste 205
Cypress, TX 77433
Phone (281) 712-8360

9816 Memorial Blvd
Ste 209
Humble, TX 77338
Phone (281) 712-8360

2630 N Mason Rd
Ste A2
Katy, TX 77449
Phone (281) 712-8360

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/AIJJCA

Organizations & group practices 3

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.

Hospital & facility affiliations 2

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": "1616544000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783468800000",
    "number": "1073190468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2630 N MASON RD STE A2",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774493059",
            "telephone_number": "281-712-8360",
            "fax_number": "281-717-4136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19411 MCKAY DR STE 250",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773385713",
            "telephone_number": "281-712-8360",
            "fax_number": "281-717-4136"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2630 N Mason Rd Ste A2",
            "address_purpose": "LOCATION",
            "city": "Katy",
            "state": "TX",
            "postal_code": "774493059",
            "country_code": "US",
            "telephone_number": "281-712-8360",
            "fax_number": "281-717-4136",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TIEN",
        "middle_name": "NGOC",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-24",
        "last_updated": "2026-07-08",
        "certification_date": "2026-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "TX",
            "license": "W4912",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

Verify at the official NPI Registry.