Individual provider Active NPI

Vu Nguyen, M.D.

  • Pediatrics Physician
  • Hutto, TX
National Provider Identifier
1194013722
Registry record updated May 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
P0455 Issued in TX
Practice address
2100 Muirfield Bend Dr Ste 115
Hutto, TX 78634-3587
Phone
(512) 861-9327
Fax
(512) 861-9328
NPI assigned
Jul 18, 2011
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 2, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X P0455 TX Primary

Addresses

Primary practice location

2100 Muirfield Bend Dr Ste 115
Hutto, TX 78634-3587

Mailing address

3750 Gattis School Rd
Round Rock, TX 78664-4642

Other practice location 1

3750 Gattis School Rd
Round Rock, TX 78664-4642
Phone (512) 813-6850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
P0455TXMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Glowworm Pediatrics PLLC Pediatrics Current Accepting new patients

Locations

2100 Muirfield Bend Dr
Ste 115
Hutto, TX 78634
Phone (512) 861-9327

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/20394/brand/1/csg/1/fhir/r4
  • Direct secure messaging: vu.nguyen.1@20394.direct.athenahealth.com

Organizations & group practices 1

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": "1310947200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1556755200000",
    "number": "1194013722",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3750 GATTIS SCHOOL RD",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644642"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 MUIRFIELD BEND DR STE 115",
            "city": "HUTTO",
            "state": "TX",
            "postal_code": "786343587",
            "telephone_number": "512-861-9327",
            "fax_number": "512-861-9328"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3750 Gattis School Rd",
            "address_purpose": "LOCATION",
            "city": "Round Rock",
            "state": "TX",
            "postal_code": "786644642",
            "country_code": "US",
            "telephone_number": "512-813-6850",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "VU",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-07-18",
        "last_updated": "2019-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "TX",
            "license": "P0455",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hutto, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.