NPIMap

Individual provider Active NPI

Tri Hoaiduc Nguyen, M.D.

  • Dermatology Physician
  • Houston, TX
National Provider Identifier
1194942631
Registry record updated Sep 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
L7500 Issued in TX
Practice address
1140 Cypress Station Dr Ste 200
Houston, TX 77090-3057
Phone
(832) 643-8592
Fax
(281) 809-3845
NPI assigned
Apr 19, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X L7500 TX Primary

Addresses

Primary practice location

1140 Cypress Station Dr Ste 200
Houston, TX 77090-3057

Mailing address

1140 Cypress Station Dr Ste 200
Houston, TX 77090-3057
Phone (832) 643-8592

Other identifiers 2

IdentifierTypeStateIssuer
156409801MedicaidTX
8G7801OtherTXBCBSTX

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091030000422 TX Practitioner - DermatologyPractitioner - Micrographic Dermatologic Surgery (MDS) 6103963780 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
DermatologyAlso: Micrographic Dermatologic Surgery (MDS)
Education
University of Missouri, Kansas City, School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Texas Surgical Dermatology PAGroup PAC ID 5597064261, 4 clinicians

Practice addresses (Care Compare)

21009 Kuykendahl Rd
Suite a
Spring, TX 77379-3310
Phone (832) 663-6566

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10
Melanoma (skin cancer) excision58
Removal of tissue11
Removal of skin lesions1311
Removal of skin cancer383
Removal or shaving of skin growth1-10
Skin biopsy484

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L7500TXMDDermatology Physician
40204TXMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Texas Surgical Dermatology PA Dermatology CurrentSince May 1, 2016 Accepting new patients
Physicians Referral Service Current Accepting new patients

Locations

1515 Holcombe Blvd
Houston, TX 77030
Phone (713) 794-5446

1515 Holcombe Blvd
#R4212
Houston, TX 77030
Phone (713) 794-5446

21009 Kuykendahl Rd
#A
Spring, TX 77379
Phone (346) 220-8585

Organizations & group practices 2

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 7

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": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1347926400000",
    "number": "1194942631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 CYPRESS STATION DR STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903057",
            "telephone_number": "832-643-8592",
            "fax_number": "281-809-3845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 CYPRESS STATION DR STE 200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770903057",
            "telephone_number": "832-643-8592",
            "fax_number": "281-809-3845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "TRI",
        "middle_name": "HOAIDUC",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2012-09-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "TX",
            "license": "L7500",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "156409801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBSTX",
            "identifier": "8G7801",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.