Individual provider Active NPI

Phu N Vo, DPM

  • Podiatrist
  • Houston, TX
National Provider Identifier
1205067394
Registry record updated Dec 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
3126 Issued in TX
Practice address
4423 Griggs Rd
Houston, TX 77021-2815
Phone
(713) 429-0655
Fax
(713) 429-0670
NPI assigned
Aug 6, 2009
Last updated
Dec 13, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X DPM.200033 LA
Podiatrist 213E00000X 3126 TX Primary

Addresses

Primary practice location

4423 Griggs Rd
Houston, TX 77021-2815

Mailing address

4423 Griggs Rd
Houston, TX 77021-2815
Phone (713) 429-0655

Other identifiers 1

IdentifierTypeStateIssuer
2317229MedicaidLA

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211214000880 TX Practitioner - Podiatry 3072668110 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
DPM.200033LAMDPodiatrist
3126TXMDPodiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Dedicated Physicians Group of Texas PLLC CurrentSince Dec 6, 2021 Accepting new patients
Dedicated Physicians Group of Texas, PLLC CurrentSince Dec 21, 2021 Accepting new patients
Foot and Ankle Institute Podiatrist PastSince Apr 4, 2018 Accepting new patients
Dedicated Physicians Group of Texas, PLLC PastSince Feb 7, 2021 Accepting new patients
Foot Care & Surgery Clinic, Inc Podiatrist Past Accepting new patients
J & G Medical Services Corp Past Accepting new patients

Locations

1395 NW 167th St
Miami Gardens, FL 33169
Phone (305) 831-4760

4423 Griggs Rd
Houston, TX 77021
Phone (713) 429-0655

8121 Broadway St
Ste 150
Houston, TX 77061
Phone (832) 709-2770

8471 Gulf Fwy
Houston, TX 77017
Phone (314) 390-5433

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639353600000",
    "number": "1205067394",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4423 GRIGGS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770212815",
            "telephone_number": "713-429-0655",
            "fax_number": "713-429-0670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4423 GRIGGS RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770212815",
            "telephone_number": "713-429-0655",
            "fax_number": "713-429-0670"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VO",
        "first_name": "PHU",
        "middle_name": "N",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-08-06",
        "last_updated": "2021-12-13",
        "certification_date": "2021-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "LA",
            "license": "DPM.200033",
            "primary": false
        },
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "3126",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2317229",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.