Individual provider Active NPI

Le Thanh Nguyen, MD

  • Family Medicine Physician
  • Garland, TX
National Provider Identifier
1205020708
Registry record updated May 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
M7473 Issued in TX
Practice address
3465 W. Walnut St
Ste 225
Garland, TX 75042
Phone
(281) 484-0449
Fax
(281) 484-7210
NPI assigned
Aug 29, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 20, 2013

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 M7473 TX Primary

Addresses

Primary practice location

3465 W. Walnut St
Ste 225
Garland, TX 75042

Mailing address

3465 W. Walnut St
Ste 225
Garland, TX 75042
Phone (972) 272-7816

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
I20071226000273 TX Practitioner - Family Practice 7113017450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Primamed Physicians, PLLCGroup PAC ID 9234027897, 62 clinicians

Practice addresses (Care Compare)

3304 Alma Dr
Plano, TX 75023-7333
Phone (972) 424-6581

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
M7473TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Ucp Physicians of Central Texas, PLLC Current Accepting new patients
Primamed Physicians PLLC CurrentSince May 22, 2013 Accepting new patients
Ucp Physicians of Central Texas, PLLC CurrentSince Nov 1, 2011 Accepting new patients
Primamed Physicians PLLC CurrentSince May 22, 2013 Accepting new patients
Citimed, P.a. Family Medicine Past Accepting new patients

Locations

4401 Little Rd
Ste 520
Arlington, TX 76016
Phone (682) 318-3114

6001 W William Cannon Dr
Ste 302
Austin, TX 78749
Phone (512) 288-3627

11888 Marsh Ln
Ste 104
Dallas, TX 75234
Phone (972) 488-9222

1331 Northpark Dr
Kingwood, TX 77339
Phone (281) 359-5330

3304 Alma Dr
Plano, TX 75023
Phone (972) 424-6581

1240 E Palm Valley Blvd
Round Rock, TX 78664
Phone (512) 733-9100

Interoperability endpoints

  • Direct secure messaging: le.nguyenmd.p11@direct.nextcare.nextgenshare.com

Organizations & group practices 5

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": "1188345600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369008000000",
    "number": "1205020708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3465 W. WALNUT ST",
            "address_2": "STE 225",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75042",
            "telephone_number": "972-272-7816",
            "fax_number": "972-276-8137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3465 W. WALNUT ST",
            "address_2": "STE 225",
            "city": "GARLAND",
            "state": "TX",
            "postal_code": "75042",
            "telephone_number": "281-484-0449",
            "fax_number": "281-484-7210"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "LE",
        "middle_name": "THANH",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-29",
        "last_updated": "2013-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "M7473",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garland, TX

Sources for this page

Verify at the official NPI Registry.