Phuong Minh Nguyen-Luu, M.D.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

R2187 Issued in TX

Practice address

3501 N Macarthur Blvd Ste 310
Irving, TX 75062-3651

Phone

(214) 879-3505

Fax

(214) 879-3507

NPI assigned

Mar 25, 2013

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Other identifiers 1

Other names 1

• Phuong Minh Nguyen Former name

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

Specialty

Obstetrics/Gynecology

Education

Baylor College of Medicine, 2013

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: phuong.nguyenluu@jfdlm.eclinicaldirectplus.com
• FHIR API: https://fhir4.healow.com/fhir/r4/IJEBCA/Endpoint/IJEBCA

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.

• Jose Francisco Deleon MD, PA

  • Obstetrics & Gynecology Physician
  • Dallas, TX
  • NPI 1235605619
  Medicare reassignment NPD

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

{
    "created_epoch": "1364169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524614400000",
    "number": "1225370596",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1330 PRUDENTIAL DR STE 100",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752354123",
            "telephone_number": "214-879-3505",
            "fax_number": "214-879-3507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 N MACARTHUR BLVD STE 310",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "750623651",
            "telephone_number": "214-879-3505",
            "fax_number": "214-879-3507"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1300 Prudential Dr.",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Dallas",
            "state": "TX",
            "postal_code": "75235",
            "country_code": "US",
            "telephone_number": "214-879-3505 x301",
            "fax_number": "214-879-3507",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NGUYEN-LUU",
        "first_name": "PHUONG",
        "middle_name": "MINH",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-25",
        "last_updated": "2018-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "TX",
            "license": "R2187",
            "primary": false
        },
        {
            "code": "207VX0000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Obstetrics",
            "state": "TX",
            "license": "R2187",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "R2187",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3795627",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PHUONG",
            "last_name": "NGUYEN",
            "middle_name": "MINH",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Nexus Medical Diagnostics L.L.C.
• Isaac Nganga
• Cindy Ngo, PHARM. D
• Nina Ngo, OTD, OTR/L
• William Ngo Jr.
• Amy Nguyen, PHARMD
• An Nhien Tran Nguyen, PHARMD
• An Tat Nguyen, DDS
• Anh Quynh Nguyen, D.D.S
• Anh Tat Nguyen, MD

• Obstetrics & Gynecology Physician in Irving, TX
• Providers in Irving, TX by specialty
• Obstetrics & Gynecology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.