Individual provider Active NPI

Audrey Ngoc Nguyen, MD

  • Pulmonary Disease Physician
  • Houston, TX
National Provider Identifier
1205030889
Registry record updated Aug 7, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
P4213 Issued in TX
Practice address
6431 Fannin St
MSB 1.274
Houston, TX 77030
Phone
(713) 500-6833
NPI assigned
Jun 14, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X P4213 TX
Pulmonary Disease Physician 207RP1001X P4213 TX Primary

Addresses

Primary practice location

6431 Fannin St
MSB 1.274
Houston, TX 77030

Mailing address

7 Briar Dale CT Apt a
Houston, TX 77027-2925
Phone (512) 577-3321

Other identifiers 1

IdentifierTypeStateIssuer
3858306766OtherMYUTMB 3858306766-COMMERCIAL NUMBER

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
I20120920000486 TX Practitioner - Pulmonary DiseasePractitioner - Internal MedicinePractitioner - Critical Care (Intensivists) 9830347640 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pulmonary DiseaseAlso: Critical Care (Intensivists), Internal Medicine
Education
University of Texas Medical Branch at Galveston, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Georgetown Pulmonary Associates, P.a.Group PAC ID 2961558275, 5 clinicians

Practice addresses (Care Compare)

1900 Scenic Dr
Suite 2220
Georgetown, TX 78626-7703
Phone (512) 819-0132

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.18 of 100Reported as individual
Quality
72.27
Improvement activities
40
Cost
77.56

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Georgetown Pulmonary Associates, P.a. Critical Care Medicine CurrentSince Jun 1, 2016 Accepting new patients
St. Davids Healthcare Partnership, L.P., LLP Past Accepting new patients
Christus Health Southeast Texas PastSince Sep 4, 2012 Accepting new patients

Locations

1900 Scenic Dr
Ste 2220
Georgetown, TX 78626
Phone (512) 715-4227

Interoperability endpoints

  • Direct secure messaging: georgetownpulmonaryassociates.audreynguyen@118493.advancedmd-direct.com

Organizations & group practices 3

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 2

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": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1533600000000",
    "number": "1205030889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 BRIAR DALE CT APT A",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770272925",
            "telephone_number": "512-577-3321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6431 FANNIN ST",
            "address_2": "MSB 1.274",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77030",
            "telephone_number": "713-500-6833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NGUYEN",
        "first_name": "AUDREY",
        "middle_name": "NGOC",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-14",
        "last_updated": "2018-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "TX",
            "license": "P4213",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "TX",
            "license": "P4213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MYUTMB 3858306766-COMMERCIAL NUMBER",
            "identifier": "3858306766",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.