Individual provider Active NPI

Sandy Kim Ngan Nguy, D.O.

  • Family Medicine Physician
  • Wylie, TX
National Provider Identifier
1124473467
Registry record updated Apr 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10057435 Issued in TX
Practice address
2300 W FM 544 Ste 270
Wylie, TX 75098-4944
Phone
(469) 800-2100
NPI assigned
Apr 23, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 2, 2024

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 10057435 TX Primary

Addresses

Primary practice location

2300 W FM 544 Ste 270
Wylie, TX 75098-4944

Mailing address

7908 Graystone Dr
Sachse, TX 75048-3819
Phone (682) 472-4469

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
I20190822002278 TX Practitioner - Family Practice 6800188368 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Healthtexas Provider NetworkGroup PAC ID 1355254210, 2,535 clinicians

Practice addresses (Care Compare)

2300 W FM 544
270 Baylor Scott White Primary
Wylie, TX 75098-4944
Phone (972) 442-4888

Hospital & facility affiliations

  • Baylor Scott and White Medical Center Lake Pointe Hospital, Rowlett, TX, CCN 450742
  • Baylor Scott & White Medical Center Plano Hospital, Plano, TX, CCN 450890
  • Baylor Scott & White Institute for Rehabilitation Inpatient rehabilitation facility, Dallas, TX, CCN 453036

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
10057435TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Healthtexas Provider Network Family Medicine CurrentSince Jul 1, 2024 Accepting new patients
North Texas Village Health Partners, PA Family Medicine CurrentSince Sep 9, 2019 Accepting new patients
Healthtexas Provider Network Family Medicine Current Accepting new patients
Healthtexas Provider Network CurrentSince Jul 1, 2024 Accepting new patients

Locations

4001 Worth St
Dallas, TX 75246
Phone (214) 828-1745

4001 Worth St
#A
Dallas, TX 75246
Phone (214) 820-8665

7217 Telecom Pkwy
Ste 100
Garland, TX 75044
Phone (469) 669-0306

5425 W Spring Creek Pkwy
Plano, TX 75024
Phone (972) 599-9600

8080 Independence Pkwy
Ste 200
Plano, TX 75025
Phone (972) 596-9511

821 N Coleman St
Ste 100
Prosper, TX 75078
Phone (469) 800-5200

2300 W FM 544
Ste 270
Wylie, TX 75098
Phone (972) 442-4888

Interoperability endpoints

  • Direct secure messaging: snguy1315115@direct.sw.org

Organizations & group practices 4

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 3

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": "1461369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712016000000",
    "number": "1124473467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7908 GRAYSTONE DR",
            "city": "SACHSE",
            "state": "TX",
            "postal_code": "750483819",
            "telephone_number": "682-472-4469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 W FM 544 STE 270",
            "city": "WYLIE",
            "state": "TX",
            "postal_code": "750984944",
            "telephone_number": "469-800-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUY",
        "first_name": "SANDY",
        "middle_name": "KIM NGAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-04-23",
        "last_updated": "2024-04-02",
        "certification_date": "2024-04-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "10057435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wylie, TX

Sources for this page

Verify at the official NPI Registry.