Individual provider Active NPI

Anson Nguyen, M.D.

  • Plastic Surgery Physician
  • Tomball, TX
National Provider Identifier
1104184274
Registry record updated May 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Plastic Surgery PhysicianTaxonomy code 208200000X
License
R9823 Issued in TX
Practice address
455 School St Ste 49
Tomball, TX 77375-4688
Phone
(281) 351-9823
Fax
(254) 724-4650
NPI assigned
Apr 26, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 6, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Plastic Surgery Physician 208200000X R9823 TX Primary
Plastic Surgery Physician 208200000X 14202574-1235 UT

Addresses

Primary practice location

455 School St Ste 49
Tomball, TX 77375-4688

Mailing address

6 Bayou Shadows St
Houston, TX 77024-6227
Phone (281) 704-6086

Other practice location 1

7400 Fannin St Ste 1280
Houston, TX 77054-1932
Phone (713) 980-1880

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
I20190916002695 TX Practitioner - Plastic and Reconstructive Surgery 9739469164 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Plastic and Reconstructive Surgery
Education
University of Texas Medical Branch at Galveston, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Derm-Plastic PAGroup PAC ID 2567596356, 3 clinicians

Practice addresses (Care Compare)

455 School St
Suite 49
Tomball, TX 77375-4688
Phone (281) 351-9823

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions48
Skin biopsy14

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
14202574-1235UTMDPlastic Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Derm-Plastic, P.a. Plastic Surgery CurrentSince Sep 1, 2019 Accepting new patients

Locations

455 School St
Ste 49
Tomball, TX 77375
Phone (281) 351-9823

Organizations & group practices 1

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.

Hospital & facility affiliations 1

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": "1335398400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778025600000",
    "number": "1104184274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 BAYOU SHADOWS ST",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770246227",
            "telephone_number": "281-704-6086"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 SCHOOL ST STE 49",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773754688",
            "telephone_number": "281-351-9823",
            "fax_number": "254-724-4650"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7400 Fannin St Ste 1280",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770541932",
            "country_code": "US",
            "telephone_number": "713-980-1880",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "ANSON",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-04-26",
        "last_updated": "2026-05-06",
        "certification_date": "2026-05-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "R9823",
            "primary": true
        },
        {
            "code": "208200000X",
            "taxonomy_group": "",
            "desc": "Plastic Surgery",
            "state": "UT",
            "license": "14202574-1235",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tomball, TX

Sources for this page

Verify at the official NPI Registry.