Individual provider Active NPI

Nguyen Phan, M.D.

  • Internal Medicine Physician
  • Spring, TX
National Provider Identifier
1245266949
Registry record updated May 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
L9848 Issued in TX
Practice address
8515 Spring Cypress Rd
Suite 108
Spring, TX 77379-3354
Phone
(281) 376-2200
Fax
(281) 376-2205
NPI assigned
Jun 24, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X L9848 TX Primary

Addresses

Primary practice location

8515 Spring Cypress Rd
Suite 108
Spring, TX 77379-3354

Mailing address

8515 Spring Cypress Rd
Suite #108
Spring, TX 77379-3354
Phone (281) 376-2200

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
I20041013000144 TX Practitioner - Internal Medicine 8426018656 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Texas Tech University Health Science Center School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Pines Health Partners PAGroup PAC ID 1557368180, 2 clinicians

Practice addresses (Care Compare)

8515 Spring Cypress Rd
Suite 108
Spring, TX 77379-3354
Phone (281) 376-2200

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
L9848TXMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northern Pines Health Partners PA Internal Medicine CurrentSince May 1, 2006 Accepting new patients

Locations

800 Peakwood Dr
Ste 6D
Houston, TX 77090
Phone (281) 440-7878

8515 Spring Cypress Rd
Ste 108
Spring, TX 77379
Phone (281) 376-2200

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/IAEBCA/Endpoint/IAEBCA
  • Direct secure messaging: nphan27138@direct.houstonmethodist.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1151107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337558400000",
    "number": "1245266949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8515 SPRING CYPRESS RD",
            "address_2": "SUITE #108",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793354",
            "telephone_number": "281-376-2200",
            "fax_number": "281-376-2205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8515 SPRING CYPRESS RD",
            "address_2": "SUITE 108",
            "city": "SPRING",
            "state": "TX",
            "postal_code": "773793354",
            "telephone_number": "281-376-2200",
            "fax_number": "281-376-2205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHAN",
        "first_name": "NGUYEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-24",
        "last_updated": "2012-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TX",
            "license": "L9848",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spring, TX

Sources for this page

Verify at the official NPI Registry.