Individual provider Active NPI

Keith Anh Huynh, M.D.

  • Internal Medicine Physician
  • Houston, TX
National Provider Identifier
1164471702
Registry record updated Jul 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
J5997 Issued in TX
Practice address
10425 Huffmeister Rd Ste 250
Houston, TX 77065-3430
Phone
(281) 469-3221
Fax
(281) 970-6577
NPI assigned
May 10, 2006
Last updated
Jul 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X J5997 TX Primary

Addresses

Primary practice location

10425 Huffmeister Rd Ste 250
Houston, TX 77065-3430

Mailing address

10425 Huffmeister Rd Ste 250
Houston, TX 77065-3430
Phone (281) 469-3221

Other identifiers 2

IdentifierTypeStateIssuer
0033CFOtherTXBLUECROSS BLUESHIELD
122019601MedicaidTX

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address keith.huynh@nco1.eclinicaldirect.com

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
I20100722000754 TX Practitioner - Internal Medicine 4183637812 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Texas Tech University Health Science Center School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Cypress Medical Partners IncGroup PAC ID 3678889755, 5 clinicians

Practice addresses (Care Compare)

21216 Northwest Fwy
Suite 260
Cypress, TX 77429-4695
Phone (281) 949-5201

21216 Northwest Fwy
Suite 610
Cypress, TX 77429-4699

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
J5997TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
North Cypress Medical Partners, Inc Internal Medicine CurrentSince May 6, 2017 Accepting new patients

Locations

21216 Northwest Fwy
Ste 260
Cypress, TX 77429
Phone (281) 477-0525

21216 Northwest Fwy
Ste 460
Cypress, TX 77429
Phone (281) 807-5300

21216 Northwest Fwy
Ste 670
Cypress, TX 77429
Phone (281) 807-6554

10425 Huffmeister Rd
Ste 250
Houston, TX 77065
Phone (281) 517-0060

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657756800000",
    "number": "1164471702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10425 HUFFMEISTER RD STE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653430",
            "telephone_number": "281-469-3221",
            "fax_number": "819-706-5772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10425 HUFFMEISTER RD STE 250",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770653430",
            "telephone_number": "281-469-3221",
            "fax_number": "281-970-6577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUYNH",
        "first_name": "KEITH",
        "middle_name": "ANH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-10",
        "last_updated": "2022-07-14",
        "certification_date": "2022-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "J5997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSS BLUESHIELD",
            "identifier": "0033CF",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "122019601",
            "state": "TX"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "keith.huynh@nco1.eclinicaldirect.com",
            "affiliation": "N",
            "address_1": "10425 Huffmeister Rd Ste 250",
            "city": "Houston",
            "state": "TX",
            "country_code": "US",
            "postal_code": "770653430",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.