Active NPI
Vu Nguyen, M.D.
- Pediatrics Physician
- Hutto, TX
National Provider Identifier
1194013722
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- P0455
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| P0455 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New 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
- https://api.platform.athenahealth.com/20394/brand/1/csg/1/fhir/r4
- 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.
-
- Pediatrics Physician
- Hutto, TX
- NPI 1285299461
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.