Individual provider Active NPI

Tam Nhat Cung, DO

  • Family Medicine Physician
  • McKinney, TX
National Provider Identifier
1194012161
Registry record updated May 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
Q5993 Issued in TX
Practice address
1402 S Custer Rd Ste 401
McKinney, TX 75072-1452
Phone
(469) 714-0057
NPI assigned
Jun 29, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 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 Q5993 TX Primary

Addresses

Primary practice location

1402 S Custer Rd Ste 401
McKinney, TX 75072-1452

Mailing address

1402 S Custer Rd Ste 401
McKinney, TX 75072-1452
Phone (469) 714-0057

Other practice location 1

12400 Preston Rd
Dallas, TX 75230-1866
Phone (469) 714-0057

Other practice location 2

6410 Old Orchard Dr
Plano, TX 75023-4130
Phone (214) 714-0057

Other practice location 3

2000 W Spring Creek Pkwy
Plano, TX 75023-4205
Phone (469) 714-0057

Other practice location 4

650 S Greenville Ave
Allen, TX 75002-3037
Phone (469) 714-0057

Other practice location 5

3325 W Plano Pkwy
Plano, TX 75075-8010
Phone (469) 714-0057

Other practice location 6

1525 Pleasant Valley Rd
Garland, TX 75040-4327
Phone (469) 714-0057

Other practice location 7

3505 S Buckner Blvd Bldg 4
Dallas, TX 75227-5451
Phone (469) 714-0057

Other practice location 8

7502 Greenville Ave
Dallas, TX 75231-3802
Phone (469) 714-0057

Other practice location 9

7904 Chiesa Rd
Rowlett, TX 75089-4562
Phone (469) 714-0057

Other practice location 10

3505 S Buckner Blvd
Dallas, TX 75227-5451
Phone (469) 714-0057

Other practice location 11

2022 Orchard Trl
Garland, TX 75040-4458
Phone (469) 714-0057

Other practice location 12

1451 S Greenville Ave
Allen, TX 75002-4186
Phone (469) 714-0057

Other practice location 13

1940 W Spring Creek Pkwy
Plano, TX 75023-4265
Phone (214) 714-0057

Other practice location 14

3400 Miles Rd
Sachse, TX 75048-4619
Phone (469) 714-0057

Other practice location 15

2828 Nature Way
Frisco, TX 75033-3286
Phone (469) 714-0057

Other practice location 16

4045 W 15th St
Plano, TX 75093-5891
Phone (469) 714-0057

Other practice location 17

720 Creek Valley Ct
Allen, TX 75002-5294
Phone (469) 714-0057

Other practice location 18

711 Matador Ln
Mesquite, TX 75149-8830
Phone (469) 714-0057

Other identifiers 1

IdentifierTypeStateIssuer
360740002MedicaidTX

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
I20160801002096 TX Practitioner - Family Practice 1951694710 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Texas HSC, College of Osteopathic Med, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Powerback Rehabilitation LLCGroup PAC ID 2365359932, shared by 106 NPIs, 600 clinicians
Legacy Healthcare Services IncGroup PAC ID 2163339722, 3,431 clinicians

Practice addresses (Care Compare)

12400 Preston Rd
Dallas, TX 75230-1866
Phone (469) 714-0057

1451 S Greenville Ave
Allen, TX 75002-4186
Phone (469) 714-0057

1940 W Spring Creek Pkwy
Plano, TX 75023-4265
Phone (469) 714-0057

2000 W Spring Creek Pkwy
Plano, TX 75023-4205
Phone (469) 714-0057

3400 Miles Rd
Sachse, TX 75048-4619
Phone (469) 714-0057

3951 Alma Rd
Suite 402
McKinney, TX 75070-2464
Phone (469) 714-0057

5701 Virginia Pkwy
McKinney, TX 75071-5652
Phone (214) 592-0212

6410 Old Orchard Dr
Plano, TX 75023-4130
Phone (469) 714-0057

720 Creek Valley CT
Allen, TX 75002-5294
Phone (469) 717-0057

7904 Chiesa Rd
Rowlett, TX 75089-4562
Phone (469) 714-0057

800 College Pkwy
Lewisville, TX 75077-3503
Phone (972) 420-8543

Hospital & facility affiliations

  • Grace Home Health Inc Home health agency, Plano, TX, CCN 679309
  • Intuitive Care Home Health Agency, LLC Home health agency, McKinney, TX, CCN 748098
  • Paradigm Homecare Home health agency, Plano, TX, CCN 747818
  • Allstar Healthcare Inc Home health agency, Arlington, TX, CCN 679001
  • Vitas Healthcare of Texas LP Hospice, Dallas, TX, CCN 451504
  • Millenia Hospice Hospice, Dallas, TX, CCN 971742
  • The Parks at Garland Healthcare and Rehab Nursing home, Garland, TX, CCN 676039
  • Pleasant Valley Healthcare and Rehabilitation Cent Nursing home, Garland, TX, CCN 675305
  • Brentwood Place One Nursing home, Dallas, TX, CCN 675680
  • Vista Ridge Nursing & Rehabilitation Center Nursing home, Lewisville, TX, CCN 676036
  • Brentwood Place Four Nursing home, Dallas, TX, CCN 676270

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Jabari Healthcare LLC CurrentSince Dec 1, 2021 Accepting new patients
Aria Medical, PLLC CurrentSince Jul 1, 2022 Accepting new patients
Anh Healthcare PA CurrentSince Apr 30, 2019 Accepting new patients
Dallas County Hospital District Past Accepting new patients
Eastland Memorial Hospital District Past Accepting new patients
Coryell County Memorial Hospital Authority Past Accepting new patients
Dallas County Hospital District Past Accepting new patients

Locations

720 Creek Valley Ct
Allen, TX 75002
Phone (469) 717-0057

7502 Greenville Ave
Dallas, TX 75231
Phone (469) 221-6000

12200 Park Central Dr
Ste 110
Dallas, TX 75251
Phone (817) 717-9371

12200 Park Central Dr
Dallas, TX 75251
Phone (972) 331-9500

3505 S Buckner Blvd
Bldg 4
Dallas, TX 75227
Phone (214) 381-1815

3951 Alma Rd
Ste 402
McKinney, TX 75070
Phone (469) 678-8204

1402 S Custer Rd
Ste 401
McKinney, TX 75072
Phone (469) 768-9944

3325 W Plano Pkwy
Plano, TX 75075
Phone (972) 379-0000

2000 W Spring Creek Pkwy
Plano, TX 75023
Phone (972) 312-2012

7904 Chiesa Rd
Rowlett, TX 75089
Phone (469) 559-6601

3400 Miles Rd
Sachse, TX 75048
Phone (469) 535-7250

Ownership & related parties

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Brentwood Place OneDallas, TX, CCN 675680 Skilled nursing facility Adp of the SNF Oct 1, 2023
Meta HospiceMesquite, TX, CCN 111222 Hospice W-2 Managing Employee May 12, 2025

Owned or controlled facilities with NPI records 2

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

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.

Hospital & facility affiliations 11

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": "1309305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716854400000",
    "number": "1194012161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1402 S CUSTER RD STE 401",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750721452",
            "telephone_number": "469-714-0057",
            "fax_number": "469-757-2388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1402 S CUSTER RD STE 401",
            "city": "MCKINNEY",
            "state": "TX",
            "postal_code": "750721452",
            "telephone_number": "469-714-0057"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "12400 Preston Rd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752301866",
            "country_code": "US",
            "telephone_number": "469-714-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6410 Old Orchard Dr",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750234130",
            "country_code": "US",
            "telephone_number": "214-714-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 W Spring Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750234205",
            "country_code": "US",
            "telephone_number": "469-714-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "650 S Greenville Ave",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750023037",
            "country_code": "US",
            "telephone_number": "469-714-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3325 W Plano Pkwy",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750758010",
            "country_code": "US",
            "telephone_number": "469-714-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1525 Pleasant Valley Rd",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750404327",
            "country_code": "US",
            "telephone_number": "469-714-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3505 S Buckner Blvd Bldg 4",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752275451",
            "country_code": "US",
            "telephone_number": "469-714-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7502 Greenville Ave",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752313802",
            "country_code": "US",
            "telephone_number": "469-714-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7904 Chiesa Rd",
            "address_purpose": "LOCATION",
            "city": "Rowlett",
            "state": "TX",
            "postal_code": "750894562",
            "country_code": "US",
            "telephone_number": "469-714-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3505 S Buckner Blvd",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "752275451",
            "country_code": "US",
            "telephone_number": "469-714-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2022 Orchard Trl",
            "address_purpose": "LOCATION",
            "city": "Garland",
            "state": "TX",
            "postal_code": "750404458",
            "country_code": "US",
            "telephone_number": "469-714-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1451 S Greenville Ave",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750024186",
            "country_code": "US",
            "telephone_number": "469-714-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1940 W Spring Creek Pkwy",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750234265",
            "country_code": "US",
            "telephone_number": "214-714-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3400 Miles Rd",
            "address_purpose": "LOCATION",
            "city": "Sachse",
            "state": "TX",
            "postal_code": "750484619",
            "country_code": "US",
            "telephone_number": "469-714-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2828 Nature Way",
            "address_purpose": "LOCATION",
            "city": "Frisco",
            "state": "TX",
            "postal_code": "750333286",
            "country_code": "US",
            "telephone_number": "469-714-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4045 W 15th St",
            "address_purpose": "LOCATION",
            "city": "Plano",
            "state": "TX",
            "postal_code": "750935891",
            "country_code": "US",
            "telephone_number": "469-714-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "720 Creek Valley Ct",
            "address_purpose": "LOCATION",
            "city": "Allen",
            "state": "TX",
            "postal_code": "750025294",
            "country_code": "US",
            "telephone_number": "469-714-0057",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "711 Matador Ln",
            "address_purpose": "LOCATION",
            "city": "Mesquite",
            "state": "TX",
            "postal_code": "751498830",
            "country_code": "US",
            "telephone_number": "469-714-0057",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CUNG",
        "first_name": "TAM",
        "middle_name": "NHAT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-29",
        "last_updated": "2024-05-28",
        "certification_date": "2024-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "Q5993",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "360740002",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in McKinney, TX

Sources for this page

Verify at the official NPI Registry.