Individual provider Active NPI

Minh V. Nguyen, DO

  • Emergency Medicine Physician
  • Midlothian, TX
National Provider Identifier
1184882573
Registry record updated Dec 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
N3209 Issued in TX
Practice address
1669 S 9TH St Ste 100
Midlothian, TX 76065-3754
Phone
(817) 473-9473
NPI assigned
Jun 2, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X N3209 TX Primary

Addresses

Primary practice location

1669 S 9TH St Ste 100
Midlothian, TX 76065-3754

Mailing address

1669 S 9TH St Ste 100
Midlothian, TX 76065-3754
Phone (817) 473-9473

Other identifiers 6

IdentifierTypeStateIssuer
204091701MedicaidTX
P00740650OtherTXRAILROAD MCARE THRU AEMA
204091704MedicaidTX
05-0540914OtherILTAX-ID
204091702MedicaidTX
036119785OtherILIL LICENSE

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
I20090709000131 TX Practitioner - Emergency Medicine 4880746627 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
University of North Texas HSC, College of Osteopathic Med, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Texas Urgent Care, P.a.Group PAC ID 2163695107, 8 clinicians

Practice addresses (Care Compare)

1601 N Hwy 77
Waxahachie, TX 75165-7812
Phone (817) 473-9473

1805 N Collins St
Suite 101
Arlington, TX 76011-4307
Phone (682) 204-0042

2200 E Broad St
Suite 100
Mansfield, TX 76063-6597
Phone (817) 473-9473

5170 Lake Ridge Pkwy
Suite 130
Grand Prairie, TX 75052-3026
Phone 68220400423

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Physician Resources, LLP Emergency Medicine CurrentSince Sep 23, 2013 Accepting new patients
Specialty Physicians of Illinois, LLC Past Accepting new patients
Specialty Physicians of Illinois, LLC Past Accepting new patients
North Texas Urgent Care, P.a. PastSince Sep 22, 2011 Accepting new patients
North Texas Urgent Care, P.a. PastSince Sep 22, 2011 Accepting new patients
North Texas Urgent Care, P.a. PastSince Sep 22, 2011 Accepting new patients

Locations

1441 N Beckley Ave
Dallas, TX 75203
Phone (214) 712-2429

2700 E Broad St
Mansfield, TX 76063
Phone (682) 242-2000

Organizations & group practices 8

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": "1212364800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735257600000",
    "number": "1184882573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1669 S 9TH ST STE 100",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760653754",
            "telephone_number": "817-473-9473",
            "fax_number": "214-504-2435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1669 S 9TH ST STE 100",
            "city": "MIDLOTHIAN",
            "state": "TX",
            "postal_code": "760653754",
            "telephone_number": "817-473-9473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "MINH",
        "middle_name": "V.",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-02",
        "last_updated": "2024-12-27",
        "certification_date": "2024-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "N3209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204091701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MCARE THRU AEMA",
            "identifier": "P00740650",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204091704",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX-ID",
            "identifier": "05-0540914",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "204091702",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IL LICENSE",
            "identifier": "036119785",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Midlothian, TX

Sources for this page

Verify at the official NPI Registry.