Individual provider Active NPI

Elizabeth A Coon-Nguyen, MD

  • Family Medicine Physician
  • Kingwood, TX
National Provider Identifier
1104856723
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
L6015 Issued in TX
Practice address
19701 Kingwood Drive
BLDG. 10, Ste. C
Kingwood, TX 77339
Phone
(281) 547-4050
NPI assigned
Jul 3, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X L6015 TX Primary

Addresses

Primary practice location

19701 Kingwood Drive
BLDG. 10, Ste. C
Kingwood, TX 77339

Mailing address

19701 Kingwood Drive
BLDG. 10, Ste. C
Kingwood, TX 77339
Phone (281) 547-4050

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
I20041221000734 TX Practitioner - Family Practice 6406814532 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
David P Ellent PLLCGroup PAC ID 7012290885, 57 clinicians

Practice addresses (Care Compare)

2255 E Mossy Oaks Rd
Suite 500
Spring, TX 77389-1813
Phone (281) 440-5300

22751 Professional Dr
Suite 140
Kingwood, TX 77339-6024
Phone (281) 440-5300

Hospital & facility affiliations

  • Signature Health Services Home health agency, Baytown, TX, CCN 678499
  • Vitalcaring Group Home health agency, Kingwood, TX, CCN 679720
  • Blue Star Hospice, Inc. Hospice, Katy, TX, CCN 741560
  • HCA Houston Healthcare Kingwood Hospital, Kingwood, TX, CCN 450775
  • Memorial Hermann Northeast Hospital Hospital, Humble, TX, CCN 450684
  • Houston Methodist the Woodlands Hospital Hospital, The Woodlands, TX, CCN 670122

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L6015TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
David P Ellent PLLC CurrentSince Jan 1, 2018 Accepting new patients
KHS Geriatrics Inc CurrentSince Nov 6, 2023 Accepting new patients
David P Ellent PLLC CurrentSince Jan 1, 2018 Accepting new patients
Millennium Physicians Association, PLLC Past Accepting new patients
Steven C. Spencer, MD, PA Family Medicine Past Accepting new patients
Cardiovascular Care Providers, Inc. Past Accepting new patients
Texas Elite Hospice, LLC Family Medicine PastSince Oct 17, 2022 Accepting new patients

Locations

130 Medical Center Pkwy
Ste 9
Huntsville, TX 77340
Phone (936) 439-0111

22751 Professional Dr
Ste 270
Kingwood, TX 77339
Phone (281) 358-0171

19701 Kingwood Dr
Bldg 10
Kingwood, TX 77339
Phone (281) 547-4050

22751 Professional Dr
Ste 140
Kingwood, TX 77339
Phone (281) 319-8380

9303 Pinecroft Dr
Ste 340
The Woodlands, TX 77380
Phone (281) 681-0616

24727 State Highway 249
Ste 120
Tomball, TX 77375

26940 Kuykendahl Rd
Ste 200
Tomball, TX 77375
Phone (281) 357-5515

Interoperability endpoints

  • Direct secure messaging: elizabeth.coon-nguyen.1@19704.direct.athenahealth.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Blue Star Hospice, IncKaty, TX, CCN 741560 Hospice Corporate Director Mar 16, 2017

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 7

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 6

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": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1104856723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "19701 KINGWOOD DRIVE",
            "address_2": "BLDG. 10, STE. C",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-547-4050"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19701 KINGWOOD DRIVE",
            "address_2": "BLDG. 10, STE. C",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "77339",
            "telephone_number": "281-547-4050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COON-NGUYEN",
        "first_name": "ELIZABETH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "L6015",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingwood, TX

Sources for this page

Verify at the official NPI Registry.