Individual provider Active NPI

Chelsea Truong

  • Medical Physician Assistant
  • Katy, TX
National Provider Identifier
1104621911
Registry record updated Jun 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA20039 Issued in TX
Practice address
25230 Kingsland Blvd Ste 102
Katy, TX 77494-2097
Phone
(281) 869-3009
Fax
(832) 437-5182
NPI assigned
Feb 17, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA20039 TX Primary

Addresses

Primary practice location

25230 Kingsland Blvd Ste 102
Katy, TX 77494-2097

Mailing address

25230 Kingsland Blvd Ste 102
Katy, TX 77494-2097
Phone (281) 869-3009

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
I20260324002385 TX Practitioner - Physician Assistant 7416431887 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Regional Gastroenterology Institute PLLCGroup PAC ID 9436417672, 37 clinicians

Practice addresses (Care Compare)

25230 Kingsland Blvd
Suite 102
Katy, TX 77494-2097
Phone (281) 869-3009

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PA20039TXMDMedical Physician Assistant

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.

NPI Registry JSON

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

{
    "created_epoch": "1739750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780617600000",
    "number": "1104621911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25230 KINGSLAND BLVD STE 102",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942097",
            "telephone_number": "281-869-3009",
            "fax_number": "832-437-5182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25230 KINGSLAND BLVD STE 102",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774942097",
            "telephone_number": "281-869-3009",
            "fax_number": "832-437-5182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUONG",
        "first_name": "CHELSEA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-17",
        "last_updated": "2026-06-05",
        "certification_date": "2026-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA20039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Katy, TX

Sources for this page

Verify at the official NPI Registry.