Individual provider Active NPI

Diana Nguyen, PA-C

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1154978047
Registry record updated Nov 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA15122 Issued in TX
Practice address
800 Peakwood Dr Ste 5E
Houston, TX 77090-2903
Phone
(904) 465-0966
NPI assigned
Aug 24, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA15122 TX Primary

Addresses

Primary practice location

800 Peakwood Dr Ste 5E
Houston, TX 77090-2903

Mailing address

501 David Ave
Panama City, FL 32404-6017

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
I20211116002385 TX Practitioner - Physician Assistant 0042609893 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Houston Northwest Radiology AssnGroup PAC ID 5092799775, 31 clinicians

Practice addresses (Care Compare)

800 Peakwood Dr
Suite 5E
Houston, TX 77090-2903
Phone (281) 440-5158

Hospital & facility affiliations

  • HCA Houston Healthcare Northwest Hospital, Houston, TX, CCN 450638

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA15122TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cardiovascular Care Providers, Inc. PastSince Nov 16, 2021 Accepting new patients

Organizations & group practices 2

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": "1566604800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636329600000",
    "number": "1154978047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 DAVID AVE",
            "city": "PANAMA CITY",
            "state": "FL",
            "postal_code": "324046017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PEAKWOOD DR STE 5E",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770902903",
            "telephone_number": "904-465-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "DIANA",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-24",
        "last_updated": "2021-11-08",
        "certification_date": "2021-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA15122",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.