Organization Active NPI

Thang Hoang, M.D., P.a.

Doing business as VitalCare Medical

  • Internal Medicine Physician
  • Pearland, TX
National Provider Identifier
1073675468
Registry record updated Jan 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
K7167 Issued in TX
Legal business name
THANG HOANG, M.D., P.A.
Doing business as
VitalCare Medical
Practice address
1816 Broadway St
Ste 110
Pearland, TX 77581-5664
Phone
(281) 482-9994
Fax
(281) 482-2231
NPI assigned
Dec 14, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2022

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

Authorized official

Name
Dr. Thang Hoang, M.D.NPI 1932101268
Title
President
Phone
(281) 482-9994

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207R00000X K7167 TX Primary
Pediatrics PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208000000X K7167 TX
General Practice PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 208D00000X K7167 TX

Addresses

Primary practice location

1816 Broadway St
Ste 110
Pearland, TX 77581-5664

Mailing address

1816 Broadway St
Ste 110
Pearland, TX 77581-5664
Phone (281) 482-9994

Other identifiers 2

IdentifierTypeStateIssuer
167045701MedicaidTX
167045702MedicaidTX

Other names 1

  • VitalCare Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040708000213 TX Part B Supplier - Clinic/Group Practice 5799763751 Receives reassigned benefits from 1 practitioner
Practice locations: Pearland, TX

National Provider Directory

National Provider Directory

Locations

1816 Broadway St
Ste 110
Pearland, TX 77581
Phone (281) 482-9994

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1642636800000",
    "number": "1073675468",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1816 BROADWAY ST",
            "address_2": "STE 110",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815664",
            "telephone_number": "281-482-9994",
            "fax_number": "281-482-2231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1816 BROADWAY ST",
            "address_2": "STE 110",
            "city": "PEARLAND",
            "state": "TX",
            "postal_code": "775815664",
            "telephone_number": "281-482-9994",
            "fax_number": "281-482-2231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THANG HOANG, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A",
        "authorized_official_last_name": "HOANG",
        "authorized_official_first_name": "THANG",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "281-482-9994",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "K7167",
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "K7167",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "General Practice",
            "state": "TX",
            "license": "K7167",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167045701",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "167045702",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "VitalCare Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pearland, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.